Pelvic Organ Prolapse

Pelvic organ prolapse is a condition that affects many women, often causing discomfort and affecting quality of life. Dr Sedick Camroodien, a distinguished OBGYN at Melomed Gatesville, specialises in diagnosing and treating this common yet often misunderstood condition.

His comprehensive approach helps patients understand their condition and explore treatment options customised to their individual needs.

What is pelvic organ prolapse?

Pelvic organ prolapse occurs when the muscles and tissues that hold the pelvic organs in place become weak, allowing one or more of these organs to descend or protrude into or out of the vagina. This can affect the uterus, rectum, or even the vaginal walls themselves, leading to various types of prolapse.

What are the causes of pelvic organ prolapse?

The causes of pelvic organ prolapse are multifaceted. Factors contributing to the condition include childbirth, particularly following a vaginal delivery, ageing, and the associated decrease in oestrogen levels during menopause. Other factors, such as chronic coughing, heavy lifting, and obesity, can also weaken pelvic floor muscles and tissues.

What are the different types of pelvic organ prolapse?

There are a few types of pelvic organ prolapse, each depending on the organ involved:

• Prolapsed uterus occurs when the uterus descends towards or into the vagina.
• Vaginal prolapse involves the dropping of the vaginal walls.
• Bladder prolapse, also known as cystocele, happens when the bladder protrudes into the front wall of the vagina.
• Rectocele happens when the rectum bulges into the back wall of the vagina.

Understanding the specific type of prolapse is crucial for effective treatment and management.

What are the symptoms of pelvic organ prolapse?

Symptoms of pelvic organ prolapse can depend on various factors but typically include a feeling of pressure or fullness in the pelvic area, discomfort or pain during intercourse, and difficulties with urination and bowel movements.

Some women may also notice a bulge in the vagina or feel as though something is ‘falling out’ of the vagina.

How is pelvic organ prolapse treated?

The approach to treating pelvic organ prolapse is tailored based on the condition's severity, the patient's health status, lifestyle factors, and personal treatment choices.

Dr Camroodien offers a range of treatments:

• Lifestyle adjustments such as weight management and avoiding heavy lifting can relieve some symptoms.
• Specialist-guided pelvic floor exercises can enhance the muscles' strength and support the pelvic organs.
• Vaginal pessaries, which are devices placed in the vagina to support the pelvic organs, provide a non-surgical option for many women.
• Surgical options include minimally invasive procedures to repair the affected organs and restore normal anatomy.

The choice of treatment is based on the patient’s specific circumstances, with a focus on improving quality of life while limiting the risks and complications.

Pelvic organ prolapse is manageable with the right medical guidance and interventions. Dr Sedick Camroodien is committed to personalised care that empowers women to lead comfortable and active lives.

If you are facing symptoms of pelvic organ prolapse, consult with Dr Camroodien to explore your treatment options and reclaim your health.