Pelvic Organ Prolapse

Table of Contents

Factors Increasing Pelvic Organ Prolapse

Pelvic organ prolapse is a medical condition that may be caused by several reasons. Some of the factors contributing to an increase in pelvic organ prolapse chances are “The damage of the supporting fascial-ligamentous structures of the pelvis predispose to POP,4 and the risk factors include pregnancy, childbirth and birth weight, parity, previous pelvic surgery and menopause. Conditions such as a chronic cough, asthma, constipation, carrying heavy loads, or obesity predispose and worsen prolapse” (Tseng, 2015, p. 40).

Symptoms of Pelvic Organ Prolapse

The symptoms leading to detecting pelvic organ prolapse may be both asymptomatic and symptomatic. The signs usually become gradually worse unless detected and treated in time. Some of the most significant symptoms include directly seeing or being able to feel the prolapse itself, vaginal heaviness, suprapubic or pelvic discomfort, dyspareunia, pain or other troubling sensations when having sexual intercourse, aches in the lumbar spine area, and vaginal discharges or bleeding.

At least one of the symptoms (vaginal heaviness or, as reported by the patient “fullness”) is present. Although most of the most significant symptoms (including the direct visual affirmation of a prolapse) are absent, pelvic organ prolapse may be considered one of the most probable diagnoses.

Types of Pelvic Organ Prolapse

There are five known types of pelvic organ prolapse: cystocele, enterocele, rectocele, uterine prolapse, and vaginal vault prolapse. Cystocele refers to bladder prolapse. Enterocele is a small bowel prolapse; rectocele prolapse is a rectum prolapse. Finally, uterine prolapse is the prolapse of the uterus.

Since the patient’s first complaint was a vaginal heaviness, both uterine prolapse and vaginal vault prolapse are possible. It is impossible to determine which type of prolapse the patient is experiencing (if any) without having a thorough examination. However, vaginal vault prolapse is often coupled with a small bowel prolapse, which further supports the need for an examination.

Vaginal Estrogen Role

Vaginal estrogen is used to treat pelvic organ prolapse. The application of estrogen before surgical treatment increases the chances of quicker recovery. As stated by Rahn et al. (2015), “vaginal estrogen application before pelvic organ prolapse surgery improved the vaginal maturation index and increased vaginal epithelial thickness” (p. 3). Therefore, it is possible to suggest that vaginal estrogen must be applied if surgical treatment is required.

Indications of Surgery

The most significant sign that would allow suggesting that surgery is necessary would be the most prominent symptom of pelvic organ prolapse – seeing the prolapse directly. However, as stated before, the patient did not report this symptom. This lack of evidence supporting the need for a surgical intervention implies that nonsurgical treatment would probably be the most recommended course of action. Nevertheless, as stated before, unless an examination is carried out, there is no certainty in saying that surgery must be avoided.

Nonsurgical Treatment

Although there are certainly signs of pelvic organ prolapse in the patient, a full examination may demonstrate that the treatment is not necessary. After all, there are cases of prolapse that do not require immediate intervention, if any at all. However, the patient reported that the symptoms were lasting. Therefore, other options must be considered. These options include lifestyle and behavior adjustments, pelvic floor physical therapy, and the implementation of specialized vaginal devices.

References

Rahn, D. D., Ward, R. M., Sanses, T. V., Carberry, C., Mamik, M. M., Meriwether, K. V., … Murphy, M. (2015). Vaginal estrogen use in postmenopausal women with pelvic floor disorders: systematic review and practice guidelines. International Urogynecology Journal, 26(1), 3-13.

Tseng, A. (2015). Pelvic organ prolapse. Current management approaches to a common problem. Web.

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
$0.00
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with My Homework Geeks
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
Testimonials
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
11,595
Customer reviews in total
96%
Current satisfaction rate
3 pages
Average paper length
37%
Customers referred by a friend
OUR GIFT TO YOU
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat
Live ChatWhatsApp