1 in 10 women will have had surgery for a prolapse by the time they are 80. So, despite it not being talked about much, pelvic organ prolapses are very common.
Some prolapse diagnoses come as a complete surprise. You may be diagnosed following a routine examination such as a smear test, and not have experienced any symptoms or pelvic discomfort. Or, you may have not recognised the symptoms you were feeling as being a result of a prolapse, such as a dragging sensation in your vagina, or issues of not being able to fully empty your bladder or bowel.
If you have been diagnosed with a pelvic organ prolapse, you will be wondering what to do next.
Do nothing as a prolapse is not life threatening.
Treat your prolapse with non-surgical treatments and lifestyle changes.
Treat your prolapse with surgery and lifestyle changes.
Following a diagnosis by your GP you should know the grade or stage of your prolapse.
Women (and sometimes men who can have a rectal prolapse) suffering from the most severe grades of prolapse are recommended to undergo surgery.
Non-surgical treatments can be completed in isolation, but you will see the most benefit if you incorporate them all into your life. They can also be used as preventative measures if you believe you are at risk of developing a pelvic organ prolapse.
5 Non-Surgical Treatments to incorporate
1. Daily Pelvic Floor Exercises (aka Kegel Exercises/Male Kegels)
You've probably already had a go at trying pelvic floor exercises, but most men and women forget to do them each day, or struggle and give up insisting that they don't work.
It's a common issue to struggle to find the correct muscles or even forget to regularly do them. Sadly, most of us give up before we start to feel the benefit. But by sticking with it, they are proven to increase the tone and strength in the muscles, lifting and holding your pelvic organs back in place.
To make your exercises even more effective, try an electronic pelvic toner like the Ultra 20 for women or the V For Men electronic exerciser. These contain clinically proven exercise programmes specifically targeted for each type of prolapse so you can make the most out of your time.
Use a biofeedback machine to follow your progress. There are also apps available, like the NHS squeezy app, which can remind you to do your exercises and help you follow your progress.
2. Consume High Fibre and Plenty of Water
With regards to a rectal prolapse, which can affect men as well as women, it is important to drink plenty of water and eat foods that are high in fibre.
Your doctor my prescribe bulking laxatives, which help a person have a bowel movement without straining or stool softners to treat consitpation.
3. Vaginal Pessaries
Vaginal pessaries are fast becoming the top option by women who want to support severe prolapses whilst they strengthen their pelvic floor with pelvic floor / Kegel exercises. A prolapse vaginal pessary can also be fitted as a permanent measure and changed by a healthcare professional around every six months.
The benefits of using a pessary include:
They take pressure off your pelvic floor whilst you concentrate on strengthening it.
They can stop the prolapse from developing further by acting as support.
You can remove it at any point if your prolapse is sufficiently repaired or your pelvic muscles have strengthened enough.
They can be used during your pregnancy, and removed for delivery.
They can be used following child birth.
If you have decided to opt for surgery, you can wear a pessary to relieve the symptoms whilst you wait. You may even reconsider undergoing the surgery once you become familiar with how easy using a pessary can be.
You can continue to be active, there is no recovery period following having a pessary fitted.
They do not prevent you from falling pregnant.
You avoid having to undergo surgery!
The risks of using a pessary include:
Risk of infection and ulceration if the pessary rubs - the pessary can be removed straight away and you can be prescribed with an oestrogen cream to apply to the affected area to encourage healing. Once you are healed, you can get a new pessary fitted.
Occasionally you can experience urinary incontinence due to the position of the pessary - your GP can adjust the pessary to improve this.
You may experience unpleasant vaginal discharge - removing the pessary will clear this up.
The pessary can move and be no longer beneficial - your GP can adjust the pessary to improve this.
4. Lifestyle Changes
Many of the lifestyle changes you can make to prevent a prolapse, can also improve the condition of your prolapse. When in conjunction with pelvic floor /Kegel exercises, you may see a huge improvement and mild and moderate prolapses may be resolved completely. So don't be hesitant, make a change:
maintain a BMI of less than 30
avoid heavy lifting
avoid high impact exercise
avoid constipation and straining
treat persistent coughs
perfect your posture
take daily vitamin D3 supplements or mouth spray;
- vitamin D deficiency clinically proven to be linked to pelvic floor weakness and disorders
- pelvic organ prolapse, urinary incontinence & faecal incontinence linked to Vit D deficiency
- excess body weight prevents your body accessing Vit D, it gets trapped in fat cells.
- higher levels of Vitamin D – stronger pelvic floor, less dryness & atrophy.
5. Hormone Treatment and Vitamin D3 Supplements
Supplements and topical oestrogen creams can be prescribed to boost the hormones you begin lacking through menopause and ageing.
Vitamin D3 is an all round good supplement to begin taking. It can help with many things, including period pain and weight loss and has been clinically proven to benefit your pelvic floor. 80% of reproductive age women are insufficient in Vitamin D, putting them at risk of not just prolapse, but other conditions including cardiovascular disease and diabetes.
Is Surgery Right For Me?
Surgery (including rectal prolapse surgical repair) is a last resort reserved for women and men who have tried non-surgical treatments but have not gained a quick enough or sufficient improvement in their quality of life.
1 in 10 women who suffer from a prolapse select surgery. 25-30% of which will experience a second prolapse after the surgery and as a result 19% will undergo a second surgery. Others will look at non-surgical treatments to improve their symptoms rather than go through a second surgery.
The most important thing to note is that all pelvic organ prolapses are a result of a weak pelvic floor, which is why organs often prolapse together. There is no surgical procedure that can restore the strength in the pelvic floor muscles. Surgeries instead involve each organ being stitched back into place to prevent them from being able to move. Because of this you will still need to incorporate non-surgical treatments into your life, after going through surgery, to support the surgery and prevent any recurrence from happening.
Original article: Kegel8 Website