Prolapse Solo

Prolapse Solo

Overview

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Pelvic organ prolapse

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Overview

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Pelvic organ prolapse is when 1 or more of the organs in the pelvis slip down from their normal position and bulge into the vagina.
It can be the womb (uterus), bowel, bladder or top of the vagina.
A prolapse is not life threatening, but it can cause pain and discomfort.
Symptoms can usually be improved with pelvic floor exercises and lifestyle changes, but sometimes medical treatment is needed.
Pelvic organ prolapse symptoms include:
Sometimes pelvic organ prolapse has no symptoms and is found during an internal examination carried out for another reason, such as cervical screening .
See a GP if you have any of the symptoms of a prolapse, or if you notice a lump in or around your vagina.
Your doctor will ask if they can do an internal pelvic examination.
For this you'll need to undress from the waist down and lie back on the examination bed.
Your doctor will then feel for any lumps in your pelvic area and inside your vagina.
They may gently put an instrument called a speculum into your vagina to hold the walls of it open so they can see if there's a prolapse.
Sometimes they'll ask you to lie on your left-hand side and examine you in that position to get a better view of the prolapse.
You can ask for this examination to be done by a female doctor and, if you like, bring someone you trust along with you for support.
If you have problems with your bladder, a GP may refer you to hospital for further tests.
If you do not have any symptoms, or the prolapse is mild and not bothering you, you may not need medical treatment.
But making some lifestyle changes will probably still help.
If the prolapse is more severe or your symptoms are affecting your daily life, there are several further treatment options to consider.
The recommended treatment will depend on the type and severity of the prolapse, your symptoms and your overall health.
You and your doctor will decide together what's the best option for you.
Pelvic organ prolapse happens when the group of muscles and tissues that normally support the pelvic organs, called the pelvic floor, becomes weakened and cannot hold the organs in place firmly.
A number of things can weaken your pelvic floor and increase your chance of developing pelvic organ prolapse.
Some health conditions can also make a prolapse more likely, including:
It's possible to have more than 1 of these at the same time.
Pelvic organ prolapse will usually be classified on a scale of 1 to 4 to show how severe it is, with 4 being a severe prolapse.
I’m 22 and suffering from pelvic organ prolapse. I have been to my GP who has…
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Page last reviewed: 24 March 2021
Next review due: 24 March 2024

You are here: Home / Pelvic Exercise Videos / Rectal Prolapse Exercises and Bowel Emptying Technique to Avoid Rectal Prolapse Worsening
Rectal prolapse exercises and using the correct physiotherapy bowel emptying technique can help you manage and potentially reduce the risk of your rectal prolapse worsening.
This Physiotherapy video and information teaches you:
International best selling prolapse exercise guide for women with prolapse and after prolapse surgery.
Prolapse Exercises teaches you how to:
Rectal prolapse is a condition where the inside of the rectum protrudes out from within the anus .
During the early stages the prolapse may be pushed back inside the body however if your rectal prolapse stays protruding outside the anus you need to seek urgent medical care which usually involves surgery.
If you suspect you have a rectal prolapse see your doctor or pelvic floor physiotherapist for assessment and management advice.
Mucosal prolapse which involves the rectal mucosa (membrane) protruding through the anus (shown right). This is the type of prolapse for which rectal prolapse exercises may be beneficial.
Full thickness rectal prolapse where the rectal wall protrudes or bulges out from the anus.
Internal intussusception where the rectum collapses but stays inside the body and does not protrude. Rectal prolapse exercises will NOT help this condition.
Rectal prolapse is different to a rectocele however the two conditions are often confused with each other. A rectocele is a pelvic prolapse condition in women where the rectum bulges into the back wall of the vagina.
A rectal prolapse results when the supportive tissues that hold the rectum in position become weakened and stretched so they stop working effectively. These tissues include the pelvic floor muscles that act like a supportive hammock.
The common causes of rectal prolapse include:
Signs and symptoms of a rectal prolapse can include:
Initially the rectal prolapse may retract (move back inside) the anus after a bowel movement.
As rectal prolapse worsens the prolapsed tissue usually becomes more obvious with everyday activities such as walking and prolonged standing. The prolapse may not retract inside the anus and this is a medical emergency.
Your pelvic floor is a structure made up of pelvic floor muscles and tissues that suspend your rectum and keep it in the correct position. Some of these muscles also help maintain bowel control.
Rectal prolapse exercises are also known as pelvic floor exercises or Kegels.
Training involves 3 stages or progression. Working through these 3 stages will help you train effectively to achieve your best possible pelvic floor strength and internal support for your prolapse.
To progress your rectal prolapse exercises:
Progressing your exercises is important for making your pelvic floor muscles work harder and ultimately getting the maximum benefit from your training. Your initial focus should be on doing the exercise technique correctly and progressing only when you’re sure you have mastered this.
Training for everyday activities involves using your pelvic floor muscles when you need them to work. This includes
Bowel management to avoid rectal prolapse worsening involves managing 2 key aspects to reduce the need to strain:
Straining is a key reason for rectal prolapse worsening.
The first step to avoid straining when emptying your bowel is by keeping your stool soft and well formed just like a Type 3-4 on this Bristol Stool Chart (see below). Having a stool consistency that is too loose (i.e. Type 7) or too hard (i.e. Type 1-2) can cause straining with bowel emptying.
Your stool is too hard (e.g. Type 1-2 consistency) which can cause straining and constipation.
Your stool is too l oose (e.g. Type 7) which can can cause you to strain and have bowel leakage bowel leakage.
Strategies to firm your stool and tips for management:
Straining to empty your bowels usually involves pushing or bearing down through the anus, breath holding and pulling your tummy muscles inwards. Pulling in the belly tightens the circular muscle around your anus. Doing this closes the anus making you more likely to need to strain to empty and worsen your rectal prolapse.
The correct bowel emptying technique with a rectal prolapse:
1. Padda BS, Jung SA, Pretorius D, Nager CW, Den-Boer D, Mittal RK. Effects of pelvic floor muscle contraction on anal canal pressure. Am J Physiol Gastrointest Liver Physiol. 2007 Feb;292(2):G565-71. doi: 10.1152/ajpgi.00250.2006. Epub 2006 Oct 5. PMID: 17023551.
2. Image pelvic floor muscles and rectum attribution: Armin Kubelbeck, CC BY 3.0 , via Wikimedia Commonshttps://commons.wikimedia.org/wiki/File:Anatomy_of_human_rectum_and_anus-2.png. Image modified to exclude specific labelling and pelvic floor muscle labelling simplified.
3. Image rectal prolapse Credit: St Bartholomew’s Hospital Archives & Museum, Wellcome Images. Wellcome Images images@wellcome.ac.uk http://wellcomeimages.org Watercolour drawing probably showing a prolapse of the rectum. 6 Jul 1894 By: Mark, Leonard PortalSt Bartholomew’s Hospital Archives & Museum Published: Copyrighted work available under Creative Commons Attribution only licence CC BY 4.0 https://commons.wikimedia.org/wiki/File:Prolapse_of_the_rectum_Wellcome_L0061308.jpg
Please read our disclaimer regarding this information.
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The internet’s BEST hardcore XXX fisting content updated 3X a week!
Additional classic content added on Flashback FFridays!
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Unlimited streaming
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