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Ethicon Women's Health & Urology, a division of ETHICON, Inc.
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Facts to Know
- Pelvic organ prolapse (POP) occurs when one or more organ in your pelvisyour uterus, urethra, bladder urethra or bladdershifts downward and bulges into your vagina. Some studies find the condition affects up to 40 percent of women aged 50 to 70. However, the condition is generally not dangerous or life threatening.
- Pelvic organ prolapse is poised to become much more common in the United States and other Western countries with the aging of the Baby Boomers. However, it is not a condition of "little old ladies." One major study found that half the women seeking care for the condition were between 30 and 60.
- Symptoms of POP include a feeling of pelvic fullness or pressure; feeling as if a tampon were falling out; incontinence; painful or uncomfortable intercourse; pain or bleeding from the vagina (not menstrually related); lower back pain; and constipation. However, many women don't have any symptoms.
- Causes of POP include pregnancy, childbirth, aging, obesity and menopause. Straining with bowel movements, lifting heavy items and chronic cough can also contribute to POP. In some cases, hysterectomy can increase the risk, while a cesarean section may reduce it. The condition also has a genetic component.
- Urinary symptoms are the most common symptoms associated with POP. These include feelings of urgency, frequent urination, urinary incontinence or difficulty urinating.
- Diagnosing POP begins with a complete medical history and physical examination, including an internal exam and an anal examination. Tests to evaluate the health of your urinary system and bladder may be performed.
- There are four stages of POP, ranging from mild (Stage I) to severe (Stage IV).
- There are several types of POP, including bladder prolapse, or cystocele; rectal prolapse, or rectocele; uterine prolapse, or uterine descensus; and vaginal vault prolapse.
- Treatment for POP depends on the type of prolapse. Treatment options range from doing nothing and observing your condition over time to surgery to correct the prolapse. Unfortunately, clinical studies showing which approach works best are lacking, leaving treatment choices up to you and your doctor.
- Kegel exercises help strengthen your pelvic floor and may relieve pressure from prolapse. They are an excellent way to treat and prevent POP.
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View References for this Health Topic
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Create Date: 7/31/07
Date Last Updated: 7/31/07
Review Date: 7/11/07
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