I have a prolapse, is surgery my only option?

09 Aug I have a prolapse, is surgery my only option?

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I have found that people who are experiencing prolapse symptoms, or have been diagnosed with a prolapse, usually come to me having had to find out the physiotherapy can help from their own internet research, or through word of mouth.

This makes me a bit sad if they have already been to a medical professional, who has told them that the only option is surgery. They are usually surprised to find that physiotherapist’s work in this area, and the thought would never have occurred to them to look for a physio who does this.
There is a lot we can do for people experiencing a prolapse.

Physiotherapy treatment will usually include;
1. Lifestyle modifications and education
2. Pelvic floor exercises
3. Vaginal support Pessary fitting
4. Exercise advice

Pessaries can be an excellent, low risk, conservative alternative to surgery.

In fact, in 2013, the Journal of Obstetricians and Gynaecologists Canada stated that pessaries should be considered in all women presenting with symptomatic prolapse and/or urinary stress incontinence.
And how do they compare in the research to undergoing the surgery?

A recent research study published in the International Urogynaecology Journal (Lone et al, 2015) found that there both surgery and vaginal pessaries improved symptoms and quality of life of vaginal prolapse.

It was also found that there was no significant difference between the groups, which means that having physiotherapy treatment gave the same outcome as undergoing a high risk surgical procedure.

So, if you have been advised surgery is the only option, do yourself a favour and also seek out a pelvic floor physiotherapist in your area. We can help you to reduce or eliminate the symptoms, delay surgery, or possibly even avoid surgery altogether.

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