Anatom3DPelvic organ prolapse
Prolapsus organorum pelvis · Pokles pánevních orgánů (prolaps)
female only
What it is
The pelvic floor gives way and organs descend.
Symptoms & signs
- Bulge or dragging sensation
- urinary leakage or difficulty
- bowel emptying problems
- discomfort during sex
🚩 Get help if…
- call 112 / 911 now Unable to pass urine at all
- see a doctor soon A bulge that cannot be pushed back, or bleeds or ulcerates
- see a doctor soon Repeated urine infections or feeling the bladder never empties
- see a doctor soon Difficulty emptying the bowel
Where it strikes
Medical treatment
- Pelvic floor physiotherapy
- vaginal pessary
- vaginal oestrogen
- surgical repair (native tissue or sacrocolpopexy) — vaginal mesh for prolapse was withdrawn in the US in 2019 over pain and erosion
Natural & lifestyle
- Supervised pelvic floor training (works in most mild cases)
- weight loss
- avoid heavy lifting and constipation
- treat chronic cough
Emerging & experimental
- Tissue-engineered scaffolds
- laser therapy trials (evidence still weak)
Alternative, off-label & anecdotal
Approaches used outside the guidelines, with what their supporters report and what testing has found so far.
- Hypopressive exercises — a trial found no benefit beyond ordinary pelvic-floor training mixed evidence
- Jade and yoni eggs — no evidence, and a risk of infection anecdotal / traditional
ICD codes
- ICD-10 N81.9
- ICD-11 GC40.Z Pelvic organ prolapse, unspecified