Pelvic organ prolapse

Urogynecological Physiotherapy in Pelvismed: Help with Pelvic Organ Prolapse

Pelvic organ prolapse is a problem that affects many women, especially after childbirth and during the menopausal period when hormonal changes can lead to disruptions in the stability of the bladder, uterus, and rectum. The statistics leave no doubt – as many as 50% of women after natural childbirth struggle with pelvic organ prolapse.

What Is Pelvic Organ Prolapse?

Pelvic organ prolapse is a condition in which the uterus and vaginal walls move towards the vaginal canal. This can include the descent of the anterior vaginal wall (urethrocele and cystocele), the posterior vaginal wall (rectocele), and the apex. The degree of prolapse is assessed by a physiotherapist on a scale from 0 to 4, and this assessment requires a vaginal examination. This examination is performed at the Pelvismed clinic after 6 weeks postpartum, in a supine position, and the patient decides when she is ready for it.

Mechanism of Pelvic Organ Prolapse

The pelvic organs are held in place by the pelvic floor muscles, ligaments, and fascia. During childbirth, these tissues can be damaged and stretched, resulting in pelvic organ prolapse.

Symptoms and Consequences

Women who struggle with pelvic organ prolapse often experience feelings of discomfort in the vagina or a sensation of a foreign body presence. Pelvic organ prolapse can also lead to pain during intercourse. Due to these symptoms, women may give up their favorite physical activities and lead a more conservative lifestyle.

Urogynecological Physiotherapy Before Surgery

Many patients are referred for tape implantation surgery by gynecologists and surgeons to support the organs and restore lost pelvic floor muscle and fascia function. However, it’s worth considering a consultation with a urogynecological physiotherapist before making a decision about surgery. This specialist will assess the possibility of managing prolapse through appropriately tailored training and manual therapy. Most cases of pelvic organ prolapse qualify for rehabilitation, and patients often notice significant improvement, getting rid of the troublesome problem without the risks associated with surgery

Urogynecological physiotherapy at Pelvismed’s clinic is an effective alternative in the fight against pelvic organ prolapse.