prolapse caution

Can prolapse be treated through conservative measures alone?

Prolapse causes a range of unpleasant symptoms, including incontinence, discomfort, irregular bleeding and constipation. Some women find that their lives are significantly disrupted through attempts to manage the challenges which a prolapse bring; difficulties with intimacy can damage relationships whilst the worry of “an accident” can limit a woman’s ability to exercise, socialise or even work. Often initial visits to a GP can result in conservative measures such as Kegal exercises, weight loss or pessaries being suggested as possible treatment options. Here we look at how effective these may be in comparison with a surgical choice such as a sacrohysteropexy.

Prolapses generally worsen with age

The hormonal changes which occur during the menopause tend to exacerbate prolapse symptoms. The decline in oestrogen has a direct effect on collagen production in the body. Diminished collagen results in weakened ligaments and soft tissues, reducing the amount of support available to keep the pelvic organs in place. If left untreated, prolapses almost invariably increase in severity with age.

Manage not improve

Weight maintenance and pelvic floor exercises are important in order to maintain pelvic tone, but there is scant evidence to show that these measures actually resolve a prolapse; they simply help to prevent it getting worse and may provide some slight symptom relief. Often, without prolapsed uterus surgery, bothersome symptoms will persist.

Quality of life remains poor

Unfortunately, even if conservative management measures bring some relief, they are unlikely to ever fully resolve the problem, leaving women struggling with the misery caused by prolapse symptoms. If you’re looking for a permanent solution to the problems uterine prolapse brings, surgery is frequently the only truly effective choice.

Many women find it helpful to arrange a consultation regarding surgery at the same time as pursuing more conservative treatment options. Obtaining high calibre information on your options from someone such as Mr Broome and understanding the surgical option available can make it easier to decide on the best time to proceed. Whilst conservative measures form a valuable part of on-going prolapse management, ultimately surgery is usually required to enjoy a significant improvement in symptoms.


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