Pelvic Organ Prolapse

What Is Pelvic Organ Prolapse?

As you age, your pelvic support system begins to weaken; in some cases, this can lead to uncomfortable and embarrassing pelvic organ prolapse. At The Avery Center our team of physicians works with you to find a solution. From hormone treatments to innovative robotic surgery, they offer a variety of treatments. While all of our providers have expertise in prolapse, Dr. Adam Ofer specifically specializes in urogynecology with emphasis on both form and function. He has over 20 years of experience with both vaginal reconstruction and laparoscopic / robotic repair including sacrocolpopexy and slings. If you live near Westport, Fairfield, or Norwalk, Connecticut, and are looking for an OB/GYN who can determine if you have a prolapse, contact us today

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Frequently Asked Questions

What Causes Pelvic Organ Prolapse?

Pelvic organ prolapse occurs when one or more pelvic organs, including the bladder, uterus, small intestine, or rectum, drop towards the vaginal opening. In some cases, the vagina also prolapses. When your pelvic organ prolapse is severe, the organ may protrude outside the vagina. You may also have more than one organ prolapse at a time.

Prolapse is often related to weakness in your pelvic floor’s supportive structures. In many cases, there’s been a muscle or tissue injury, which can occur from pregnancy or vaginal childbirth, but it can also happen after pelvic surgery. Menopause and aging can also lead to a weakened pelvic support system and organ prolapse.

What are the Symptoms of Pelvic Organ Prolapse?

Not everyone who has pelvic organ prolapse experiences symptoms, but many do. The most common sign is pressure against your vaginal wall. You may also experience:

Pain in your lower back
Stretching in your groin
Discomfort during sex
Spotting or bleeding
Frequent urge to urinate or incontinence
Random bouts of constipation

You may also notice that your symptoms are worse when you’re running, jumping, or standing. If you lie down, they may lessen.

Can Pelvic Organ Prolapse be Treated?

When it comes to pelvic organ prolapse, your OB/GYN focuses on fixing the problem as safely and effectively as possible. If your case is minor, your doctor may suggest strengthening your pelvic floor through medication or physical therapy. They may offer fractional laser therapy to strengthen and revitalize your support system. If your prolapse is severe, a sacrocolpopexy is often advisable.

During this procedure, your doctor uses surgical mesh to create a sling that holds your organs in place and relieves the pressure created by prolapse. While a traditional sacrocolpopexy uses an open incision, the doctors at the The Avery Center perform laparoscopy or da VinciⓇ surgery, both of which use small, minimally invasive cuts. If you want a nonsurgical option, your doctor may use a pessary to keep the organs in place. These silicone devices are placed through the vagina and require regular maintenance. Dr. Adam Ofer runs the practice’s Bladder Dysfunction Program. He’s known for his expertise with pelvic organ prolapse and may provide counsel for your case.