Subsidence: symptoms, causes and treatment prolapse

Health Kandos November 26, 2016 0 8
Prolapse of the uterus, bladder or rectum is caused by stretching of the pelvic floor muscles or damaged. These bodies are then no longer held in place. The uterus, bladder, and / or rectum lower than in the vagina. In the worst case, they even come out.


  • What is prolapse?
  • What is the cause of a prolapse?
  • What are the symptoms of prolapse?
  • How is a prolapse treated?

What is prolapse?

The uterus, the bladder and rectum are held by means of ligaments, muscles, and other tissues in place. When these ligaments and muscles are not strong enough, one or more of these bodies sag and partially come out. This is called a "prolapse" means a uterine prolapse, prolapse a bladder or a rectum prolapse. By prolapse operates the organ no longer properly, which can lead to incontinence, difficulties with defecation or discomfort during sexual intercourse.

What is the cause of a prolapse?

Although a prolapse occurs especially in old age, some younger women are also affected. It has mainly to do with the weaker are the pelvic floor muscles and connective tissues, and not everyone has an equally strong pelvic floor. There are women who naturally have weak connective tissue. In addition, the pelvic floor can be weakened or even damaged due to include childbirth, heavy physical labor, obesity and frequent coughing for example smoking or due to lung diseases. Prolapse occurs especially after the transition. The tires in women become weaker due to lower estrogen levels. Chronic constipation and hard pressed as a result, can aggravate a sagging.

What are the symptoms of prolapse?

In a subsidence can create different problems, depending on the type and extent of the subsidence. Incidentally, not all subsidence problems. The symptoms that occur often worsen during the day or after physical exertion. After halftime, the complaints often take off.
Bladder Prolapse symptoms
In a bladder prolapse, the following symptoms may occur:
  • a feeling of pain and prolapse in the vagina, a bulge at the front of the vagina;
  • pain during intercourse;
  • difficulty in emptying the bladder, difficulty to urinate properly empty the bladder, which increases the risk of bladder infections;
  • struggle to hold the urine.

Rectal Prolapse symptoms
In a rectal prolapse, the following symptoms may occur:
  • the formation of a bulge at the back of the vagina;
  • a ball feeling around the anus and / or vagina;
  • trouble with ease, even if you feel pressure;
  • sometimes the stool suddenly during urination;
  • After the shit you have the feeling that there is something left in the intestine;
  • the rectum may come out through the anus.

Uterine prolapse symptoms
When uterine prolapse, the following symptoms may occur:
  • the feeling that something comes out or protrudes slightly from the vagina or a feeling for the ball between the legs;
  • a nagging pain in the abdomen, legs or groin, which may radiate to the back, sometimes accompanied by enormous fatigue.
  • sit and bicycles can cause problems.
  • pain during intercourse; and
  • difficulty urinating, including involuntary leakage of urine or frequent urination.

You can also have a combination of these symptoms, if several organs simultaneously subsided.

How is a prolapse treated?

If you have no symptoms, treatment is not generally necessary. Losing weight and proper treatment of underlying medical problems, such as lung disease and chronic constipation, may slow the progression of prolapse. Depending on the severity of the symptoms, the findings of the doctor, your physical condition and your needs, there are several treatments. In the case of a shortage of female sex hormone, vaginal suppositories or vaginal creams may be prescribed. Other treatment options include:
Exercising the pelvic floor muscles
Bekkenfysiotherapie is exercising the pelvic floor muscles, which are the muscles that support the bladder and uterus. Using special drills will work on strengthening your pelvic floor muscles so that you can cope better with pressure increasing pressure moments such as sneezing hard, coughing and lifting. You can also learn better through exercises dealing with complaints such as urinary and faecal incontinence and difficulty urinating. Physical therapy reduces the symptoms of prolapse, but the settlement itself is not eliminated. With few complaints pelvic physical therapy can sometimes help. A longer existing subsidence or to more serious complaints, assists exercising the pelvic floor muscles and usually will have to be looked at another treatment option.
A soft ring or pessary inserted into the vagina and rests on the pelvic floor and pushes up the sagging tissue. There are various pessaries in all shapes and sizes, subsidence for various types. By a ring pessary succeed often better example during exercise to keep the lake. A well-fitting ring you do not feel, even during intercourse. A ring is not possible with any subsidence. This depends among other things on the type of prolapse, the severity and the strength of the pelvic floor. A pessary can sometimes cause symptoms like vaginal discharge, bleeding and worsening of incontinence.
If the above options do not provide sufficient relief, the GP can refer you to a gynecologist. At its prolapse, depending on the type of sagging and you wish, various types of operations possible. Surgery often has the advantage that you reduce symptoms or even disappear completely. Keep in mind that there can be complications or symptoms after a few years to return.