Prolapse and Pessaries

Prolapse refers to the descent of organs, most commonly the uterus, bladder, or rectum, into the vaginal canal. It occurs when the supportive structures of the pelvis weaken, often due to factors like childbirth,  and aging. 

Symptoms can include pelvic pressure, discomfort, urinary or bowel issues, and in severe cases, visible bulging.

Pessaries are devices inserted into the vagina to provide support and prevent the prolapsed organs from descending further. They come in various shapes and sizes, and a healthcare provider can help choose the most appropriate one for a patient's specific condition. 

Pessaries are non-surgical options and can be particularly beneficial for women who wish to avoid or are not suitable candidates for surgery. They are typically removed, cleaned, and reinserted regularly.

Physical therapy for prolapse involves exercises aimed at strengthening the pelvic floor muscles and improving overall pelvic support. These exercises, known as pelvic floor exercises, can help reduce symptoms and prevent further prolapse. Physical therapists can also provide education on proper lifting techniques, posture, and lifestyle modifications to manage prolapse effectively.

Both pessaries and physical therapy can play important roles in managing prolapse, either alone or in combination with other treatments like surgery or lifestyle changes. The choice of treatment depends on the severity of the prolapse, the patient's preferences, and their overall health status.

It's essential for individuals experiencing prolapse to consult with a healthcare professional to determine the most appropriate course of action for their specific situation.