Pelvic Organ Prolapse Treated by Gynecologists in Baltimore

Pelvic organ prolapse occurs when pelvic organs, such as the bladder or uterus, drop from their position in the lower belly and push against the walls of the vagina. This typically can happen when the muscles that hold the pelvic organs in place get weak or stretched from childbirth or surgery.

Types of Pelvic Organ Prolapse

• Cystocele—prolapse or bulging of the bladder into the vagina
• Rectocele—prolapse or bulging of the rectum into the vagina
• Enterocele—prolapse or bulging of the small intestine into a space between the rectum and vagina
• Uterine prolapse—prolapse or descent of the uterus into the vagina

Symptoms range from mild to severe and include:

• Pressure in your pelvis
• Tissue protruding from the vagina
• Feeling as if something is falling out of the vagina
• Urinary problems, such as urine leakage
• Trouble having a bowel movement
• Pain during bowel movements
• Pain during intercourse

A pelvic exam and a review of your medical history are used to properly diagnose pelvic organ prolapse.

Often, mild cases of pelvic organ prolapse do not require treatment but need to be monitored. Exercise and maintaining a healthy weight may provide symptom relief. In more severe cases, your doctor may recommend surgery involving endoscopy and pelvic reconstruction. This may be completed with a minimally invasive surgical procedure, such as laparoscopy.