PROLAPSO
8 TO 15 CONSULTATIONS ARE REQUIRED AND TREATMENT LASTS 2 TO 3 MONTHS

PELVIC ORGANS PROLAPSE

You’ve probably heard of “dropped bladder“.

Just to give you an example, this is the popular name for this pathology that affects many women in adulthood.

In short, it is the displacement of the pelvic organs (urethra, bladder, uterus and rectum) towards the vaginal canal.

TYPES OF PELVIC ORGANS PROLAPSE:

  • Anterior wall prolapse:

When the bladder and/or urethra descend towards the vaginal canal.

  • Posterior wall prolapse:

In these cases, the descent of the rectum and/or intestine is the cause of the pathology.

  • Apex prolapse:

In fact, it is the most common, in these cases the uterus, or the vaginal vault in the cases of women who have undergone a hysterectomy (removal of the uterus), descends through the vaginal canal.

DEGRES OF PELVIC ORGANS PROLAPSE

  • Mild prolapse:

The first complaints are mild, that is, the descent of the organ does not reach the vaginal introitus (entrance to the vagina).

  • Moderate prolapse:

When left untreated, the prolapse tends to worsen and the organ reaches the vaginal introitus (entrance to the vagina).

  • Severe prolapse:

Consequently, after a long time without treatment, the prolapse worsens and the organ begins to emerge from the vaginal canal.

SYMPTOMS OF PROLAPSES

At first, patients say they feel a heaviness or ball in the vaginaafter a day of standing for a long time.

It can also happen during activities that require some effort, such as lifting weights, jumping, running.

However, in some cases, patients notice that when cleaning themselves they feel that there is a ball or lump coming out of the vagina.

In less frequent and more advanced cases, the sensation of a ball in the vagina is constant throughout the day.

CAUSES

The most common cause is weakness of the muscles of the PERINEUM , but it can also happen due to injuries to the ligaments that are part of the support system for these organs.

Physical activities, as they require more effort, can also be the cause of prolapse. After all, the effort made during physical activities leads to a large increase in intra-abdominal pressure, overloading the PERINEUM muscles, leading to declines in these organs when we are practicing more intense physical activities. Although they are women in excellent physical shape, they are not advised to work the PERINEUM muscles.

Because they find it embarrassing or because they think it is a normal progression of aging, few patients seek treatment. Therefore, without adequate treatment, the pathology will worsen, probably leading to surgery.

Treatments

urogynecological physiotherapy is a conservative, without any side effects, which can simply and quickly solve this problem.

Firstly, all patients are evaluated so that it is possible to find the most appropriate treatment in each case. All of our services are individualized respecting the goals of each patient.

These treatments aim to improve the contraction capacity of the PERINEUM to support the organs . For this purpose, electrostimulation and kinesiotherapy with biofeedback.

We start with simple exercises to contract and relax the pelvic floor muscles, then we associate these exercises with other movements, finally we do these exercises standing up.

Thus, the difficulty and intensity of the exercises evolves with each consultation following the concept Active Perineal Rehabilitation and Series developed by physiotherapist Dr. Laira Ramos.

SEE PATIENT TESTIMONIALS HERE