Pelvic Health and Healing

Pelvic Organ Prolapse

There are 6 types of organ descent in the pelvic area, all of which are treated at Robinet Physical Therapy. These six types are cystocele, rectocele, urethrocele, enterocele, rectal prolapse, and uterine prolapse.

 

What are some of the common symptoms?

Cystocele is a condition where the bladder is bulging back into the vaginal canal. Some of the symptoms may include feeling a bulge when wiping on the toilet, or when showering, “falling out feeling”, pressure, recurrent urinary tract infections, feeling of incomplete urination, dribbling upon standing after urination, pain with sexual activity, inability to wear a tampon or hitting something when inserting a tampon.

Rectocele is a condition where the rectum is bulging forward into the vaginal canal.  Some of the symptoms are feeling a bulge when you wipe or when showering, “falling out feeling”, feeling of incomplete defecation (pooping) like the bowel movement is getting stuck, splinting for defecation (using your finger in the vagina to push back on the rectum or using your finger between the vagina and the anus and pushing upward and backward to get the stool out), loss of stool during sexual activity or pain during sexual activity.

Urethrocele is a condition where the urethra has dropped out of its original position. Symptoms may be feeling a bulge where the urine comes out, urinary urgency or urinary frequency.

Rectal Prolapse is a condition where the rectum is coming out the anus. The main symptom of this condition is a feeling that the rectum is coming out the anus with defecation. Sometimes you will have to push the rectum back up in the body. Other symptoms are a “falling out feeling”, pelvic pressure or feeling a bulge at the anus when wiping.

Uterine Prolapse is a condition where the uterus is falling down the vaginal canal. Common symptoms of this condition is a “falling out feeling”, pelvic pressure that gets worse as the day goes on, if you’re on your feet a long time or with lifting, feeling a bulge with wiping or showering, pain with sexual activity, especially deep vaginal penetration, inability to wear a tampon or hitting something when inserting a tampon.

 

What are some of the common causes?

Pelvic organ descent has various causes and medical professionals are always arguing about the true cause. However, there are some things that we know put you at risk for this condition. Heredity plays a part, so if your mom and grandma had a problem, you should be screened for this condition regularly.  The other causes are childbirth, especially if it was traumatic (episiotomy, tear, vacuum, forceps, long labor or too short).

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