​ Mr Paul Curtis MBChB  FRCOG

​   Consultant Gynaecologist


Call:  01483 451669

this type of prolapse occurs when the bowel protrudes into the back wall of the vagina

Posterior (rectocele) -

Causes

this type of prolapse occurs when the bladder protrudes into the front wall of the vagina

Prolapse

A prolapse occurs when pelvic organs drop down due to a lack of support from the surrounding ligaments.  This causes pressure on other organs such as the bladder and bowel which then protrude or "bulge" into the vagina.  It is often described as feeling like something has "dropped down".  Types of prolapse include:

What is a Vaginal Prolapse?

Not every prolapse requires treatment and some women will not even be aware that they have a prolapse as it may only be discovered during a routine examination.


In mild cases, symptoms can often be improved by performing regular pelvic floor exercises, losing weight if necessary, avoiding heavy lifting and eating a healthy high-fibre diet to avoid constipation.


For a moderate prolapse you may be prescribed a ring pessary.  This is a device which is inserted into the vagina and is designed to help hold the prolapsed organ in place.


Surgical treatment may be required for more severe cases or when other treatment has not been successful.  Surgery will involve supporting the organs which have prolapsed into the vagina and strengthening and repairing the vaginal walls.


Please click here for more information about surgical treatment of vaginal prolapse.

by the time they are 80 years old.

Approximately 1 in 10 women will undergo surgery to repair a

A minor prolapse may not cause too many problems or may be treatable with the use of hormone replacement, pessaries or a vaginal ring.  However, in more severe cases surgery may be required.

  • Pregnancy and childbirth
  • Straining when constipated
  • Continuous heavy lifting
  • A chronic cough causing straining
  • Decrease in hormones following menopause
  • Being overweight

Anterior (cystocele) -

Symptoms

Vaginal Prolapse

Treatment

this type of prolapse occurs when the womb or cervix drops down into the vagina

Uterine or Cervical -

  • A feeling of something "coming down" within the vagina
  • A bulge within the vagina
  • Bladder or bowel incontinence
  • Backache
  • Discomfort during sexual intercourse
  • Problems passing urine