Prolapse Online

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Treating Prolapse With Surgical Precision & Experience




Pelvic Care & Incontinence Center

Pelvic Prolapse

Prolapse Surgery

Urge Incontinence Vs. Stress Incontinence

Postpartum Pelvic Floor Complications

When to See a Urogynecologist



Female Incontinence, Pelvic Organ Prolapse, Laparoscopy


Prolapse, Female Incontinence, Urogynecology & Pelvic Reconstructive Surgery


Urogynecology & Pelvic Reconstructive Surgery, Pelvic Organ Prolapse


Urogynecology & Pelvic Reconstructive Surgery


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Prolapse (when the organs inside your pelvis, such as your bladder, vagina, uterus, cervix, and rectum, drop or fall) is a common condition. However, many women are unaware that treatment options are available. At University of Utah Health, our urogynecology specialists treat patients and conduct extensive research to better understand pelvic floor conditions. This helps us accurately diagnose your condition and tailor your treatment to your needs.
Urogynecologists are gynecology specialists with three additional years of training focused exclusively on pelvic floor disorder treatment, such as urinary incontinence and prolapse . Due to their specialized background, urogynecologists are able to provide improved outcomes for prolapse surgery than other surgeons who do not have as much experience or expertise in prolapse surgery.
There are different ways to repair the pelvic floor after prolapse. The type of surgery you need depends on:
Not everyone who has prolapse will need surgery. Your urogynecologist will talk to you about your prolapse symptoms . We will recommend both non-surgical and surgical options if your quality of life is significantly affected by the prolapse. 
The main advantage of prolapse surgery is improving your quality of life. Surgery may be considered for patients experiencing:
However, prolapse surgery does have some risks, such as:
When you first see one of our urogynecologists, they will review your medical history and discuss your symptoms. We will perform a physical exam to see which organ(s) are moving and how much they have moved. During the examination, we will ask you to lie down and stand up because gravity will sometimes affect how much your prolapse changes. Our urogynecologists will talk to you about non-surgical treatments and prolapse surgery options.
If your prolapse is not bad enough to need surgery yet, we may recommend:
If your symptoms are severe or you have tried non-surgical treatments and your prolapse has worsened, we will discuss your surgical options.
Most prolapse surgeries are done as a minimally invasive procedure without a large incision (cut). This procedure is typically performed under general anesthesia (put to sleep). You and your urogynecologist will create a detailed plan before the procedure so you know what to expect. Your surgery may last between 30 minutes and 4 hours, depending on the types of repairs and difficulty of the reconstruction process.
Your urogynecologist will access the area where they need to perform the procedure in one of three ways:
The route that your urogynecologist selects will depend on the procedure you are having, your anatomy, and past surgeries that might affect the tissues in your pelvic floor.
Your urogynecologist will repair the area that is prolapsed and perform any other repairs or procedures to strengthen and secure the pelvic floor. These could include:
Recovering from prolapse surgery will take one to six weeks, depending on the extent of repairs. You will have a follow-up visit with your urogynecologist six weeks after your surgery.
You will experience cramping or pressure in your pelvic area after your surgery. Most people experience this pain for about two weeks, but it may last up to six weeks. If you have an abdominal incision, you may have pain around the incision as it heals. Some people take prescription and/or over-the-counter pain medication to help manage their pain. 
Contact your doctor right away if you have:
You will be able to get up and walk around the same day as your surgery. You should be able to resume normal activities of daily living (such as showering, dressing yourself, and cooking) the day after your surgery.
Most people will be able to return to work between two and six weeks after surgery. Talk to your surgeon to discuss when you can return to work.
The success of prolapse surgery depends on many different factors, including:
Studies show that about 80 percent of prolapse surgeries are still successful after 10 years. About 10 to 20 percent of women will have some movement or bulging again, but it’s usually not enough to need another surgery. Only about two to three percent of women will need a repeat prolapse surgery.
Call 801-213‑2995 to request an appointment with one of our urogynecologists to discuss your prolapse and find out if prolapse surgery is the right option for you. Physicians can also refer patients to a urogynecologist using our online referral form , or by contacting our office.
You do not need a referral to see a urogynecology specialist at U of U Health, but some insurance plans require that you get a referral from your primary care provider (PCP) to see a specialist. Contact your insurance carrier with questions.
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Vaginal prolapse is a condition where your vagina slips out of position. It happens when the tissues and muscles in your pelvis weaken and overstretch. It’s more common in people who have had multiple vaginal deliveries during childbirth and have gone through menopause.


The American College of Obstetricians and Gynecologists. Pelvic Support Problems. (https://www.acog.org/womens-health/faqs/pelvic-support-problems) Accessed 9/15/2022.
InformedHealth.org [Internet]. Pelvic organ prolapse: Overview. (https://www.ncbi.nlm.nih.gov/books/NBK525783/) 2018 Aug 23. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. Accessed 9/15/2022.
Kuncharapu I, Majeroni B, Johnson D. Pelvic Organ Prolapse. (https://www.aafp.org/afp/2010/0501/p1111.html) American Family Physician . May 2010; 81(9): 1111-1117. Accessed 9/15/2022.
Merck Manual Professional Version. Uterine and Apical Prolapse. (https://www.merckmanuals.com/professional/gynecology-and-obstetrics/pelvic-organ-prolapse-pop/uterine-and-apical-prolapse) Accessed 9/15/2022.
The Women’s, The Royal Women’s Hospital Victoria Australia. Vaginal Prolapse. (https://www.thewomens.org.au/health-information/vaginal-prolapse) Accessed 9/15/2022.
Women’s Health Concern. Prolapse: Uterine and vaginal. (https://www.womens-health-concern.org/help-and-advice/factsheets/prolapse-uterine-vaginal/) Accessed 9/15/2022.


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Vaginal prolapse (also called a vaginal vault prolapse) is when the top of your vagina falls from its normal location in your body. Your vagina, also called your birth canal, is the tunnel that connects your uterus to the opening of your vagina. When the top of your vagina becomes weak, the organs that they should be supporting collapse into your vagina, creating the sensation of a lump or bulge.
Your vagina is one of several organs that rests in the pelvic area of your body. These organs are held in place by muscles and other tissue. These muscles come together to create a support structure called your pelvic floor . Throughout your life, this support structure can start to weaken. This can happen for a variety of reasons, but the result is a sagging of your organs. When your organs sag or droop out of their normal position, this is called a prolapse. Vaginal prolapse is when the top of your vagina weakens and falls into your vaginal canal.
Prolapses can be small or large. A small prolapse is called an incomplete prolapse. A bigger prolapse (a complete prolapse) happens when your organ has shifted significantly. A complete prolapse can cause your organs to come out of your vaginal opening. This is a very severe prolapse.
Vaginal prolapse can cause painful symptoms. Mild to moderate vaginal prolapse may not require surgery. However, more severe cases may need surgical repair.
Your pelvis is comprised of your uterus, vagina, rectum, bladder and urethra. These organs are held up by your pelvic floor muscles, which look like an upside-down umbrella. The umbrella holds your pelvic organs up, but over time or due to other factors like vaginal deliveries, this upside-down umbrella can begin to collapse.
There are several different types of prolapse that have different names depending on where the organ has dropped from. The different types of pelvic organ prolapse can include:

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Vaginal prolapse is fairly common. More than one-third of women or people assigned female at birth (AFAB) have some type of pelvic area prolapse during their lifetime. You’re more likely to experience vaginal prolapse later in life, especially if you’ve had multiple pregnancies with a vaginal birth.
You may not know you have a prolapsed vagina until vaginal tissue from your vaginal wall protrudes from your vaginal opening. Some people have symptoms like pain or feeling like they are sitting on a ball. Others find out about a prolapsed vagina during a routine pelvic exam.
Several other pelvic organs can slip out of position, not just your vagina. Depending on the type of prolapse you have and its severity, other nearby organs may be affected. For example, you may have problems with your kidneys, urethra (the hole you pee from) and rectum (the hole you poop from). Because a prolapse can cause other problems, it’s important to get it checked out by your healthcare provider.
Symptoms of vaginal prolapse can include:
Some people don’t feel a prolapsed vagina because the prolapse is mild. Your healthcare provider may discover a mild prolapse during a routine gynecological exam. In other cases, you may feel like a ball is hanging from your vagina or experience pain when peeing or when having sexual intercourse.
Your vagina is held in place within your pelvis by a group of muscles and other tissue — creating a support structure, of sorts. This structure keeps your organs in your pelvis in place. Over time, this structure can weaken. When that happens, your vagina might slip down out of place, causing a prolapse. Several common causes of vaginal prolapse can include:
Activities or conditions that place extra pressure on your abdominal area can also cause a prolapse. These can include:
A gynecologist usually diagnoses vaginal prolapse during an appointment. They will do a physical exam and talk to you about any symptoms of fullness in your pelvic area or urinary incontinence (leaking pee). You may also be asked about any previous pregnancies and deliveries. In most cases, your provider can feel a prolapse by inserting a gloved finger in your vagina or upon a visual inspection of the area.
In some cases, you may not have any symptoms and your provider discovers a prolapse during a pelvic exam.
If you have problems peeing, your provider may order tests to check your bladder function. They may also order an MRI (magnetic resonance imaging) or pelvic ultrasound if they need a better view of all the other pelvic organs.
A prolapsed vagina is more likely to happen after menopause and after multiple vaginal childbirths. This is more likely to occur if you’re older than 50, but it can happen at any age.
Vaginal prolapse treatment can vary depending on the severity of your prolapse. In some cases, your healthcare provider may want to just watch it over time to make sure it doesn’t get worse.
There are nonsurgical and surgical treatment options for vaginal prolapses. There are a few things your healthcare provider will take into account when forming a treatment plan. These can include:
It’s important to have an open and honest conversation with your healthcare provider about these topics. Talk to your healthcare provider about any questions or concerns you have regarding these treatments.
Nonsurgical treatments are typically used as a first option and work best with minimal or mild prolapses. Specific treatment options can include:
For more severe cases, surgery to correct vaginal prolapse can be an option. These options include:
Not treating vaginal prolapse can cause the condition to worsen. In addition to more pain, you may also get sores on your vagina, infection and increase your risk for injury to other pelvic organs.
No, you can’t push a prolapsed vagina back up. Your healthcare provider is the only person who should treat a prolapsed vagina. You may be able to feel a prolapse, and you may need to push the prolapse back up to poop or pee, but pushing the prolapse back up is temporary and will not permanently fix the prolapse.
You can’t always prevent vaginal prolapse. There are good lifestyle habits you can adopt to decrease your risk of developing vaginal prolapse. These can include:
When you lift something heavy, you can strain your muscles. This strain can lead to a pelvic organ prolapse. By following a few tips, you can lower your risk of prolapse.
Vaginal prolapse can happen again after treatment. However, most treatment plans are very successful. If you have multiple prolapses or a severe prolapse, your healthcare provider may talk to you about surgical treatment options.
In most cases, the outlook for vaginal prolapse is positive. Treatment and lifestyle changes typically work well. Talk to your healthcare provider about all treatment options and what each option would mean for you. Your provide
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