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Pelvic Organ Prolapse (POP)

From the Pelvic Floor Articles List

pelvic organ prolapse after hysterectomyLately I've had urinary incontinence and I've noticed that my vagina seems to be turning inside out. Is this pelvic organ prolapse?


The network of muscles and ligaments surrounding the vagina may weaken and cause the pelvic floor to collapse. There are different types of pelvic floor prolapse.

Vaginal Vault Prolapse

The top of the vagina may fall towards the vaginal opening. A herniated small bowel is often involved as the front and back walls of the vagina separate and the intestines can push against the vaginal skin. Many women develop vaginal prolapse, usually following menopause, childbirth or a hysterectomy. The uterus provides support to the pelvic floor and as it is removed, can result in the weakened state of the network of support.

Prolapse of the Bladder - Cystocele

If the front of the vaginal wall collapses, the result is a bladder prolapse. Often it is accompanied by a prolapse of the urether. A common symptom of bladder or urethra prolapse is urinary stress incontinence which is a leaking of urine involuntarily.

Prolapse of the Rectum - Rectocele

When the back wall of the vagina weakens, it pushes against the vaginal wall, causing a bulge which may be noticeable during bowel movements.

If you are experiencing any of the symptoms of a pelvic organ prolapse, it is important to visit your doctor for a complete assessment.

Treatment will depend on your particular circumstances but may include medications, physical therapy or surgery. Check with your personal physician.


This content was written by a member of HysterSisters.com as a non-medical professional based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

10-30-2009 - 12:19 PM


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