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Pelvic Organ Prolapse

Cystocele

In the case of the bladder, a bulge may develop on the top vaginal wall that causes a cystocele”.

Rectocele

Similarly, the rectum can push upward on the bottom wall of the vagina causing a bulge.

Utero Vaginal Prolapse

In women with a uterus, a loss of support may cause the cervix to protrude through the vaginal canal.

Vaginal Vault Prolapse

In women who have had a hysterectomy, the apex of the vagina can fall through the vaginal canal.

These different forms of pelvic organ prolapsed may be difficult to distinguish because they all commonly form a vaginal bulge of some kind, and only a physician can reliably distinguish the type of prolapse by performing a detailed pelvic examination.

Observation

Fixing pelvic organ prolapse by surgery is usually recommended for patients that are symptomatic and for those having “quality of life” issues. If you have pelvic organ prolapse that is asymptomatic, then observing it with regular follow-up is reasonable. If you become symptomatic, then we can decide on other treatment options.

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