A vaginal prolapse occurs when the supporting tissues to the pelvic organs is damaged. The damage usually occurs at the time of childbirth but presents later in life after the menopause. The prolapse may be apparent at the entrance to the uterus and involve either the bladder, rectum or the uterus (womb).
What investigations are required?
An internal examination will usually confirm the type of prolapse. Sometimes it may be necessary to perform further tests of the bladder (urodynamic investigations) prior to any surgical correction.
A prolapse is usually corrected by an operation which may involve removal of the uterus and strengthening of the vaginal tissues to the bladder and/or rectum.
For those women who prefer not to have an operation it may be possible to control the prolapse with a ring pessary. This ring pessary would require a monthly visit to the hospital for it to be changed.
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