Pelvic Organ Prolapse

Pelvic organ prolapse (POP) occurs when the vagina is not well supported and different pelvic organs fall through that portion of the weakened vaginal support. The two main symptoms of POP are feeling of a bulge in the vaginal area and seeing part of the vagina come out. POP is anatomically divided into 3 locations within the vagina, depending on where in the vagina POP occurs. Apical prolapse is when the inner most part of the vaginal support is weakened. Anterior wall vaginal prolapse is weakened support of the “top” part of the vagina. Posterior vaginal wall prolapse is weakened support o the “bottom” part of the vagina. With apical prolapse, the pelvic organs that fall through the vagina are the uterus and small bowel. With anterior wall vaginal prolapse, it is the bladder that falls through. With posterior wall vaginal prolapse, it is the rectum that falls through.

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Yale's Dr. Leslie Rickey on what women need to know about Pelvic Organ Prolapse and the range of options for treatment.