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Pelvic Organ Prolapse

Overview

In pelvic organ prolapse, the vagina and the organs that surround and support it fall from their normal position. Mayo Clinic gynaecologists, urogynecologists and reconstructive surgery specialists work closely together to evaluate and treat the different types of pelvic organ prolapse. Correcting this condition usually requires surgery and Mayo's surgeons have extensive experience with these procedures, including minimally invasive surgical techniques.

Diagnosis

Specialists look for symptoms of prolapse, which may include pressure in the vagina or pelvis; a lump or bulge at the opening of the vagina; and urinary, bowel and sexual dysfunction. Diagnostic evaluations include a Q-tip test, bladder function tests and pelvic floor strength tests; doctors may also use imaging tests such as an ultrasound, MRI or cystourethroscopy. Read more about pelvic organ prolapse diagnosis. 

Treatment Options

Patients may benefit from a pessary (a device worn in the vagina for support), avoiding heavy lifting, Kegel exercises, oestrogen supplementation, electrical stimulation and biofeedback. However, in most cases, surgery is eventually required. Mayo Clinic surgeons use vaginal and abdominal procedures to correct pelvic organ prolapse.

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