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Pelvic Organ Prolapse (POP) Treatment in Ventura County

Urogynecologists For Organ Prolapse Issues

Pelvic organ prolapse (POP) is a condition in which the bladder, uterus, rectum, or small intestine sags from its normal position into the vagina. This is caused by a weakening of muscles and ligaments in the pelvic floor. Prolapse can happen after pregnancy or a hysterectomy. Depending on the organ(s) involved and degree of prolapse, symptoms may include fecal or urinary incontinence, chronic constipation related to outlet dysfunction, and pain during sex.

POP is very common. According to the American College of Obstetricians and Gynecologists, POP affects 1 in 4 women in their forties, 1 in 3 in their sixties, and half of women in their eighties.

Pelvic Organ Prolapse Treatment Options

Treatment of POP varies depending on the woman’s lifestyle and personal preference, the symptoms, and the degree of severity. Lifestyle changes such as losing weight and doing exercises to strengthen the pelvic floor may help. Some women use a device called a pessary, which fits inside the vagina and supports the pelvic organs.

Surgery is the most definitive approach to pelvic organ prolapse. Surgical approaches range from vaginal only and laparoscopic assisted to robotic procedures. Open surgery is rarely necessary.

Two Approaches to Pelvic Prolapse Surgery:

  • Obliterative surgery: This surgery narrows or closes off the vagina to support prolapsed organs and restores pelvic organs to their original position. This procedure is effective but not recommended for women who want to remain sexually active as the narrowing of the vagina prohibits penetrative intercourse.
  • Reconstructive surgery: This surgery restores organs to their original position. This type of surgery can be performed through an incision in the abdomen or vagina, or laparoscopically.\

The type of prolapse surgery used will depend on the severity of the prolapse, the specific organs involved, and the woman’s lifestyle and personal preferences.