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Pelvic Organ Prolapse: Causes, Impact, and Treatment Options

Writer's picture: Dr. Girija WaghDr. Girija Wagh


Pelvic organ prolapse is a condition that, while not life-threatening, can significantly affect a woman's quality of life. It occurs when the muscles and tissues supporting the pelvic organs weaken, causing one or more of these organs to drop or press into the vagina. This condition can lead to various lifestyle changes and challenges, making early diagnosis and treatment essential.


Impact on Lifestyle and Self-Esteem


One of the most noticeable effects of pelvic organ prolapse is its impact on daily life and self-esteem. Women with this condition often experience a dependence on restrooms, which can hinder their social activities and lead to feelings of isolation and embarrassment. This dependency can significantly lower self-esteem and disrupt social interactions, highlighting the importance of seeking timely medical advice.


Early-Stage Management


In the early stages of pelvic organ prolapse, non-surgical treatments are often effective. Perineal exercises, such as Kegel exercises, can help strengthen the pelvic floor muscles.


Additionally, lifestyle changes, including weight loss and avoiding heavy lifting, can alleviate symptoms and prevent further progression of the condition.


Surgical Options for Severe Cases


For more severe cases, surgical intervention may be necessary. The type of surgery recommended often depends on the patient's age and the severity of the prolapse.


Conservative Surgery for Younger Women


In women under 45, a conservative surgical approach is typically preferred. This involves using either laparoscopic or open techniques to attach the womb to the bony structures of the pelvis. This procedure aims to preserve the uterus while also tightening or repairing the vaginal walls to restore normal pelvic function.


Surgical Options for Older Women


For women over 45, the surgical approach may involve removing the womb (hysterectomy) to provide relief from the prolapse. However, the vagina is carefully suspended to the pelvic ligaments to ensure that normal functions such as urination, defecation, and sexual activity are maintained.


Radical Surgery for the Elderly


In very elderly women, where the prolapse poses significant challenges to daily care and nursing, a more radical surgical approach might be considered. This could involve the partial or complete obliteration of the vaginal canal to provide long-term relief and improve the patient's quality of life.


Ending Words


Pelvic organ prolapse is a manageable condition with a variety of treatment options tailored to the individual’s needs and age. Early intervention with exercises and lifestyle changes can be beneficial, while surgical options offer solutions for more severe cases. Women experiencing symptoms of pelvic organ prolapse should consult a healthcare professional to explore the best treatment plan for their condition.


If you are experiencing symptoms of pelvic organ prolapse, consider booking an appointment with Dr. Girija Wagh at Cloudnine Hospital, Shivajinagar, Pune, for expert guidance and personalized care.


Book your appointment by calling 9011069011/9011049011 and visit her at Plot No.65, CTS No.3175, Senapati Bapat Rd, behind JW Marriott Hotel, Shivaji Co-op Housing Society, Pune.

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