Pelvic Organ Prolapse: What Choice Do I Have? ā MM1605
Pelvic organ prolapse is a common, distressing and disabling conditionĀ encountering increasing incidences with advancing age, menopause and parity.Ā It is the downward descent of female pelvic organs, including the bladder, uterusĀ or post-hysterectomy vaginal cuff and the small or large bowel, resulting inĀ protrusion of the vagina, uterus, or both.
Prolapse development is multifactorial, with vaginal delivery, hysterectomy,Ā chronic straining, normal ageing and abnormalities of connective tissue orĀ connective-tissue repair predisposing some women to disruption, stretching,Ā or dysfunction of the levator ani complex, connective-tissue attachments of theĀ vagina, or both, resulting in prolapse. Many women with pelvic organ prolapseĀ are asymptomatic and do not need treatment. When prolapse is symptomatic,Ā options include observation, pessary use and surgery.
Modern Medicine ā MayĀ 2016
