Extreme Prolapse

Extreme Prolapse

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Vaginal prolapse, also known as vaginal vault prolapse, occurs when the top of the vagina weakens and collapses into the vaginal canal. In more serious cases of vaginal prolapse, the top of the vagina may bulge outside the vaginal opening.
Symptoms of vaginal prolapse include the feeling of vaginal pressure or fullness — like you’re sitting on a small ball — and the sensation that something has fallen out of your vagina.
A cystocele or rectocele usually occurs with vaginal prolapse.
Mild cases of vaginal prolapse do not require treatment. Moderate to severe symptoms require nonsurgical therapies or minimally invasive surgeries, such as vaginal prolapse repair.

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Prolapse occurs when a woman’s pelvic floor muscles, tissues and ligaments weaken and stretch. This can result in organs dropping out of their normal position. Vaginal prolapse refers to when the top of the vagina — also called the vaginal vault — sags and falls into the vaginal canal. In severe cases, the vagina can protrude outside of the body.
There are no direct causes of vaginal prolapse. However, women are at an increased risk of developing vaginal prolapse if they:
Hysterectomy, a surgery to remove a woman’s uterus, is sometimes performed to treat uterine prolapse. However, vaginal prolapse can occur after hysterectomy (regardless of the reason for hysterectomy). This is called “vaginal prolapse after hysterectomy.”
Vaginal prolapse is relatively common. About one-third of women will experience some degree of prolapse during their lifetime. If you have more than one risk factor, your chances of developing vaginal prolapse increase.
Women with vaginal prolapse often report feeling pressure in the vaginal area, described as a throbbing pain in the vagina. Women also report:
The pelvic organs are all supported by each other. When one organ prolapses, it can affect the functioning of other nearby organs. Thus, some women also experience:
Your doctor will review your medical and surgical history and complete a physical exam. Additional tests, such as ultrasound or MRI, are rarely needed. In some cases, your doctor may also recommended urodynamics testing, a group of tests that evaluate bladder function.
Our team of compassionate urogynecologists uses the latest research and advanced technologies to treat a range of pelvic floor disorders.
Treatment for vaginal prolapse varies, depending on the severity of the symptoms. Many cases will not require treatment. In mild cases, your physician may recommend pelvic floor exercises to strengthen the muscles. In moderate cases, your doctor may insert a vaginal pessary to support your vaginal wall. In the most severe cases, you may benefit from surgery, such as colposuspension , a minimally invasive surgical procedure, where the vaginal wall is attached to a stable ligament in the pelvis.
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15 Things That Can Make Your Prolapse Worse
15 Things That Can Make Your Prolapse Worse
13. Intense core and abdominal workouts

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Many women experience some degree of Pelvic Organ Prolapse(POP) in their lives, whether mild or severe.
In most cases, the prolapse is mild and doesn’t require surgery and can be treated with pelvic floor strengthening exercises. However, the prolapse can get worse if you are not careful and you may end up need more than just Kegels .
Here’s a list of 15 things that can make your prolapse worse:
Over time, your entire body becomes weaker and your muscles and bones degenerate. This is not unique to the pelvic floor, but it is a factor that can make your prolapse worse.
Studies have shown that 37% of women who suffer from pelvic floor related disorders are between the ages of 60 and 79. Nearly 50% of these women are over 80.
Smoking doesn’t only lead to lung cancer and gum disease. It can also initiate Pelvic Organ Prolapse or cause it to worsen significantly.
This happens largely because of “smoker’s cough” which puts way more pressure on the pelvic floor than a regular cough. Smoker’s cough is the body’s way of removing the chemicals and toxins in cigarettes from the body. When one smokes heavily, the tiny hair-like structure in the lungs that are responsible for removing these toxins become weaker. The body’s response is to cough more violently and increase phlegm production.
Smoking can also weaken body tissue when nicotine gets absorbed into the bloodstream since it has been found to cause cell damage. It also slows down healing process after surgery since it lowers blood oxygen levels, meaning enough oxygen won’t get to your tissues.
Being overweight doesn’t just put you at risk of heart disease and diabetes.
Having a lot of abdominal fat increases intra-abdominal pressure on the pelvic floor and can cause pelvic floor dysfunction.
Obesity has been directly linked to pelvic organ prolapse and can cause symptoms to worsen over time if the weight is not reduced.
While having an hourglass figure is desired in many cultures, history has proven this obsession to be fatal with the corset leading to lung infections, muscle atrophy, back pain, fractured ribs, crushed organs, and sometimes even death.
Corsets made a sort of a comeback with waist trainers but that doesn’t mean they are safe. Wearing a waist trainer causes upward pressure on the diaphragm and stomach, and downward pressure on the pelvic floor and abdomen.
Prolonged downward pressure on the pelvic floor causes strain and this is worsened when the waist trainer is used during exercise.
So do yourself a favor, leave waist training to the celebrities and put in the hard work yourself to trim down your waist, the safe way.
Remember that thing called Gravity? Well, it does play a role in your prolapse. Here’s how:
Gravity pulls everything towards the center of the earth and keeps us from floating off into space. When standing upright, gravity kind of pushes us down to the ground, gently of course. This means that everything inside your body is being pushed down as well, including your pelvic organs. This causes daily strain, and when you stand for extended periods the strain increases, worsening your prolapse.
In addition to standing for a long time, walking for a long time can cause the symptoms of prolapse to worsen.
When you walk, you engage muscles in the legs, glutes, abdomen, arms, and core. By default, the pelvic floor gets some of the action. When you walk long distances, you may feel immediate pain or soreness for some time after.
This is an indication that you are overworking the pelvic floor and that you should walk for a shorter duration and/or distance.
Chronic constipation can cause prolapse or can be a symptom of prolapse. It is described as the inability to pass stool frequently or as difficulty in passing stool.
As it relates to worsening prolapse, constipation causes you to strain your pelvic floor muscles to find relief. This can cause them to loosen or tighten.
This can be a result of insufficient fiber and water in the diet which causes stool to harden. Constipation can also be caused by stress, resisting the urge to defecate, pregnancy and colon cancer.
A chronic cough is a cough that lasts more than 2 months. This can be caused by a myriad of conditions such as asthma, acid reflux, chronic bronchitis, lung infections, lung cancer, and certain medications.
When this happens, there is a persistent pressure placed on the pelvic floor from all the organs above it. This will cause it to strain unless the cough is suppressed or unless the pelvic floor is braced for the impact (i.e by contracting and holding it)
High impact activities such as jumping, skipping, running and certain dances that involve having one or both of the feet off the ground at any given time can worsen prolapse.
This happens because these place repeated downward pressure on the pelvic floor, especially when done for an extended period, for instance when running track, in intense workout videos and routines, during high-energy dance routine practices.
While it is always a good idea to strengthen muscles and tone the body, certain weight lifting practices can have a negative impact on the pelvic floor.
This all has to do with placing excessive pressure on the pelvic floor. This happens during leg exercises such as leg presses, deep squats, burpees, and deep weighted lunges, and back exercises such as chin-ups, deadlifts, and kettlebell swings. Certain upper body exercises such as push-ups and lateral pull downs can also put pressure on the pelvic floor.
This can also happen during vaginal weight lifting when proper precautions aren’t taken or when weights are simply too heavy for the pelvic floor muscles.
You can probably understand how being pregnant can put a strain on your pelvic floor muscles. Women who have moderate to severe prolapse are not encouraged to get pregnant since it can make the situation worse.
Not giving yourself enough time for your pelvic floor to recover between pregnancies is a bad idea. Your doctor will tell you that. Your pelvic floor muscles are not given enough time to heal properly and over time they will stretch, weaken and cause or worsen prolapse.
If you suffered from mild prolapse, your uterus and/or other pelvic organs can drop further into the vagina during and/or after childbirth . This is a pretty common experience among women who have had prolonged labor or operative vaginal deliveries, delivered big, heavy babies or even had a c-section
A pelvic organ tumor can affect any pelvic organ. These include the bladder, uterus, ovaries, anus, and testicles in men. While many are non-cancerous, they can cause pain, nausea, bloating, swelling, incontinence and several other uncomfortable symptoms and side effects.
If left untreated for an extended period, pelvic organ tumors can worsen Pelvic Organ Prolapse by continuously bearing down on the pelvic organ or pelvic floor.
Core and abdominal workouts are done to reduce body fat around the abdomen and to improve balance and stability. But while you may be getting your body bikini ready and Instagram worthy, you can also be worsening your pelvic floor.
Well, how can this be if you’re toning these muscles? Well, that’s where you’re wrong.
Toning pelvic muscles does not require the same approach as getting a six-pack. In fact, the intensity of many core and abdominal workouts overworks the pelvic floor muscles and causes them to strain.
So while you may be flatter in the tummy, you open up yourself to a world of pain, discomfort and even embarrassment with these workouts.
While having gynecological cancer and prolapse at the same time is rare, it is not impossible, as seen in the case of this 80-year-old woman
Another way cancer can cause prolapse to occur or worsen is after a hysterectomy . In this procedure, the uterus is removed to stop the cancer from spreading. This is a win, however, removing the uterus requires cutting certain ligaments and tissues that hold it in place that can cause damage to the nerves and blood vessels that support the pelvic floor and keep it healthy.
Over time you may find that even though the cancer is gone, something still doesn’t feel right down there. This is because the pelvic floor has weakened.
If you have mild prolapse then there’s no need to worry about surgery. There are different nonsurgical treatments you can try such as electrical stimulation , tibial nerve stimulation, and biofeedback to get your pelvic floor strong again. Simple at-home Kegels can even do the trick.
But, if you neglect your condition and do nothing to help it, it will catch up to you. Pelvic Organ Prolapse isn’t like a cold or flu. It won’t fix itself and it certainly won’t just go away.
Doing nothing will cause your prolapse to worsen. Additionally, doing the same things that caused your prolapse will cause it to worsen.
While Pelvic Organ Prolapse is not the end of the world and can be treated, it can get worse if you aren’t careful.
Be sure to open a dialogue with your doctor about what you can do to help manage your prolapse and more importantly, what you shouldn’t do that can make it worse.
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Medically Reviewed by Jennifer Robinson, MD on October 27, 2020
The bladder is a hollow organ in the pelvis that stores urine. The pressure created when the bladder fills with urine is what causes the urge to urinate. During urination, the urine travels from the bladder and out the body through the urethra.
In women, the front wall of the vagina supports the bladder. This wall can weaken or loosen with age. Significant bodily stress such as childbirth can also damage this part of the vaginal wall. If it deteriorates enough, the bladder can prolapse, meaning it is no longer supported and descends into the vagina . This may trigger problems such as urinary difficulties, discomfort, and stress incontinence (urine leakage caused by sneezing , coughing , and exertion, for example).
Prolapsed bladders (also called cystoceles or fallen bladders) are separated into four grades based on how far the bladder droops into the vagina.
Prolapsed bladders are commonly associated with menopause. Prior to menopause , women’s bodies create the hormone estrogen , which helps keep the muscles in and around the vagina strong. Women’s bodies stop creating as much estrogen after menopause, and those muscles tend to weaken as a result.
The following factors are commonly associated with causing a prolapsed bladder:
The first symptom that women with a prolapsed bladder usually notice is the presence of tissue in the vagina that many women describe as something that feels like a ball.
Other symptoms of a prolapsed bladder include the following:
Some women may not experience or notice symptoms of a mild (grade 1) prolapsed bladder.
Any woman who notices symptoms of a prolapsed bladder should see their doctor. A prolapsed bladder is commonly associated with prolapses of other organs within a woman’s pelvis. Thus, timely medical care is recommended to evaluate for and to prevent problematic symptoms and complications caused by weakening tissue and muscle in the vagina. Prolapsed organs cannot heal themselves, and most worsen over time. Several treatments are available to correct a prolapsed bladder.
An exam of the female genitalia and pelvis, known as a pelvic exam, is required in order to diagnose a prolapsed bladder. A bladder that has entered the vagina confirms the diagnosis.
For less obvious cases, the doctor may use a voiding cystourethrogram to help with the diagnosis. A voiding cystourethrogram is a series of X-rays that are taken during urination. These help the doctor determine the shape of the bladder and the cause of urinary difficulty. The doctor may also test or take X-rays of different parts of the abdomen to rule out other possible causes of discomfort or urinary difficulty.
After diagnosis, the doctor may test the nerves, muscles, and the intensity of the urine stream to help decide what type of treatment is appropriate.
A test called urodynamics or video urodynamics may be performed at the doctor's discretion. These tests are sometimes referred to as "EKGs of the bladder". Urodynamics measures pressure and volume relationships in the bladder and may be crucial in the decision making of the urologist.
Cystoscopy (looking into the bladder w
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