Time for you to Bring Pelvic Organ Prolapse From the Closet

 

Pelvic Organ Prolapse 101

Video taken from the channel: Pacific Northwest Urology Specialists, PLLC


 

Pelvic Organ Prolapse: Surgery and Recovery

Video taken from the channel: Holy Cross Health


 

Pelvic Prolapse Repair

Video taken from the channel: CentraCare


 

Watch a Minimally Invasive Repair of Pelvic Organ Prolapse

Video taken from the channel: Cleveland Clinic


 

Pelvic Organ Prolapse, Animation

Video taken from the channel: Alila Medical Media


 

My (VERY) Personal Struggle with Pelvic Organ Prolapse

Video taken from the channel: That Mama Goes


 

Pelvic Organ Prolapse Victor Nitti, MD & Christopher Tarnay, MD | UCLAMDChat

Video taken from the channel: UCLA Health


Time to Bring Pelvic Organ Prolapse Out of the Closet Pelvic organ prolapse is an extremely common female health condition, yet too often it is confused with irritable bowel syndrome and is not properly diagnosed or treated. IT’S TIME TO TAKE PELVIC ORGAN PROLAPSE OUT OF THE CLOSET By Sherrie J. Palm. Pelvic organ prolapse. Pessary.

Urogynecology. Terms that all women should be familiar with, terms that few women are. Pelvic organ prolapse is a common female health condition that has probably been around since the beginning of mankind yet sadly remains in the closet. Time to Bring Pelvic Organ Prolapse Out of the Closet Pelvic organ prolapse is an extremely common female health condition, yet too often it is confused with irritable bowel syndrome and is not properly diagnosed or treated. Pelvic Organ Prolapse (POP) is quite common among today’s female population.

Many women have the symptoms but because they are embarrassed to discuss them with anyone they suffer in silence. POP can occur when the pelvic floor muscles weaken and one or more organs shift out into the vaginal canal and even bulge outside of the body. Pelvic Organ Prolapse is basically when your insides fall our your vagina. Yikes!

Stephanie Dolgoff reports on how she solved her POP problem. I can go for walks, out to dinner, and shopping without having to worry about what might happen. If you suffer from Pelvic Organ Prolapse I encourage you to not hide in a closet or allow it define how you live your life. Take charge of your health.

After all, there is a better life after leaving the closet! Betty Heath. While only 10-20 percent of women who have a prolapse actually experience symptoms or discomfort, it’s important to name this “hidden” condition, to bring it out of the shadows, and to let women of all ages know they are not alone. Pelvic organ prolapse is. Pelvic organ prolapse.

Pessary. Urogynecology. Terms that all women should be familiar with, terms that few women are. Pelvic organ prolapse is an extremely common female health issue that has probably been around since women started having babies yet sadly remains in the closet. Frankly, women are just too embarrassed to talk about it.

The list just below of definitions and symptoms is compiled with thanks to the Association for Pelvic Organ Prolapse Support. What is Pelvic Organ Prolapse? There are 5 types of pelvic organ prolapse: cystyocele (bladder drops and bulges into the vaginal canal), rectocele (large bowel or rectum bulges into the vaginal wall), enterocele. If pelvic organ prolapse is confirmed, it will usually be staged to indicate how severe it is. Most often, a number system is used, ranging from one to four, with four indicating a severe prolapse.

Pelvic organ prolapse can affect the front, top or back of the vagina. The main types of prolapse ar.

List of related literature:

Pelvic organ prolapse: defining the disease.

“Oxford Textbook of Obstetrics and Gynaecology” by Sabaratnam Arulkumaran, William Ledger, Stergios Doumouchtsis, Lynette Denny
from Oxford Textbook of Obstetrics and Gynaecology
by Sabaratnam Arulkumaran, William Ledger, et. al.
Oxford University Press, 2019

Preserving the cervix may decrease the risk of pelvic floor prolapse and urinary incontinence.

“Lewis's Medical-Surgical Nursing EBook: Assessment and Management of Clinical Problems” by Di Brown, Helen Edwards, Thomas Buckley, Robyn L. Aitken
from Lewis’s Medical-Surgical Nursing EBook: Assessment and Management of Clinical Problems
by Di Brown, Helen Edwards, et. al.
Elsevier Health Sciences, 2019

Pelvic organ prolapse is not a new medical problem.

“Women and Health” by Marlene B. Goldman, Rebecca Troisi, Kathryn M. Rexrode
from Women and Health
by Marlene B. Goldman, Rebecca Troisi, Kathryn M. Rexrode
Elsevier Science, 2012

FDA: Surgical placement of mesh to repair pelvic organ prolapse poses risks.

“The Bathroom Key: Put an End to Incontinence” by Kathryn Kassai, PT, CES, Kim Perelli
from The Bathroom Key: Put an End to Incontinence
by Kathryn Kassai, PT, CES, Kim Perelli
Springer Publishing Company, 2011

13) This is important because in severe vaginal prolapse, chronic obstruction from the prolapsing pelvic organ could lead to chronic urinary retention.

“The Nurse Practitioner in Urology” by Michelle Lajiness, Susanne Quallich
from The Nurse Practitioner in Urology
by Michelle Lajiness, Susanne Quallich
Springer International Publishing, 2016

Pelvic organ prolapse.

“Campbell-Walsh Urology” by Alan J. Wein, Louis R. Kavoussi, Andrew C. Novick, Alan W. Partin, Craig A. Peters
from Campbell-Walsh Urology
by Alan J. Wein, Louis R. Kavoussi, et. al.
Elsevier Health Sciences, 2011

Then proceed with the lateral dissection and take down the lateral stalks of the rectum while protecting the ureters at all time.

“Operative Dictations in General and Vascular Surgery” by Jamal J. Hoballah, Carol E. H. Scott-Conner, MD
from Operative Dictations in General and Vascular Surgery
by Jamal J. Hoballah, Carol E. H. Scott-Conner, MD
Springer New York, 2011

FDA Safety Communication: UPDATE on Serious Complications Associated with Transvaginal Placement of Surgical Mesh for Pelvic Organ Prolapse; 2011.

“Comprehensive Gynecology E-Book” by Rogerio A. Lobo, David M Gershenson, Gretchen M Lentz, Fidel A Valea
from Comprehensive Gynecology E-Book
by Rogerio A. Lobo, David M Gershenson, et. al.
Elsevier Health Sciences, 2016

Pelvic organ prolapse is a manifestation of discrete descent of the female pelvic viscera.

“Campbell-Walsh Urology 10th Edition Review E-Book” by W. Scott McDougal, Alan J. Wein, Louis R. Kavoussi, Andrew C. Novick, Alan W. Partin, Craig A. Peters, Parvati Ramchandani
from Campbell-Walsh Urology 10th Edition Review E-Book
by W. Scott McDougal, Alan J. Wein, et. al.
Elsevier Health Sciences, 2011

Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL 1997 Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence.

“Gynaecology E-Book: Expert Consult: Online and Print” by Robert W. Shaw, David Luesley, Ash K. Monga
from Gynaecology E-Book: Expert Consult: Online and Print
by Robert W. Shaw, David Luesley, Ash K. Monga
Elsevier Health Sciences, 2010

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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22 comments

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  • I don’t like the fact this mesh is left in the body, and now body tissue is going to grow into the mesh. That is what it looks like to me. Anything soft that is put on mesh eventually filters through the holes on the mesh. I wonder if this cost as much as uterine removal!

  • Thank you for posting this video. I’m 35 and just had my “dynamic MRI”. I’m currently considering surgery so it was really great to hear from another woman going through the same thing. My mom also had this condition. Thankfully she talked about it matter-of-factly when we were growing up, so I knew immediately what it was. I also thank my mom that I don’t get embarrassed or angry with my body, and I’m optimistic about making a full recovery because I know my mom’s issues were successfully fixed with surgery. I only wish I’d listened to my mom when she told me women shouldn’t carry heavy things. Now I know why! Best wishes to y’all!

  • Hi! I also had a bladder and rectal prolapse after the birth of my son. I’m 28 years old and following physio. It is said to dramatically improve the situation. Didn’t get to the dramatic part for me yet. Lots of home exercise basically. I don’t have symptoms other than uncomfortable at certain sex positions, at others I don’t feel much.:( But I’m devastated to hear that the prolapse can come back just through pregnancy. I thought it’s giving birth vaginally that triggers it. Now I’m terrified, I do want to have more children, but also don’t want to completely say goodbye to my sex life at 28:(((

  • Thanks for sharing. I had a prolapse after my 6 year olds birth and an even more severe one after my almost 4 year olds birth. The vaginal prolapse is better but I deal with the rectal prolapse daily. With that comes a lot of inconsistence and issues going. I basically don’t let it stop.me from doing anything but I do have to be aware of using the bathroom quickly. I’m unsure what I’m going to do about it. I’m 37 and was told not to get surgery or anything until after menopause. I feel like most people have no idea this can happen. And I don’t understand why it’s not talked about more. Thanks again!!

  • I just had my baby and now I feel a lot of pressure and when i walk when especially I sit down it’s painful I feel like I’m sitting on something bulging out

  • The bubble feeling yes, that’s what i get too. I had cancer treatment recently on my pelvic area and i don’t think my bladder was full enough to keep it out of the way. I feel like it is definitely my fault.

  • The doctors need to educate women more about the long term ramifications of prolapse associated with hysterectomy and come up with a PT program to assist women in what and what should not be done when exercising, when it’s safe, what type of exercises to do to sustain a healthy pelvic floor, etc.

  • Thank you for this video! I’m seeing my obgyn tomorrow for a confirmed diagnosis. But I had my girls 19 months apart. After my 2nd, around 5-6 weeks postpartum, I did the same thing. Felt a heaviness and a pressure down there i figuredit was still just tightness from my stitches or something. So when washing up in the shower, I decided to feel and see if my stitches had dissolved yet. I felt this weird fleshy thing at the spot where my opening to my vaginal area should have been. I freaked out, and took a mirror to look and saw this bulge at the opening. I immediately messaged my dr and described it, but i was only 5 weeks postpartum, so she thought at the time it was still my body healing from swelling and such. She even took a look at my postpartum visit and told me to stick to doing kegels, but she said to take it easy and let my body heal. I had Googled it and suspected bladder prolapse, took her advice and worked on kegel and lower abdominal strengthening. I too have always had a weak pelvic floor, looking back. I am now 11 months postpartum and still am dealing with this issue. Some days its not as bad. But then some days I feel lots of pressure. It has effected me a lot emotionally, mentally, physically. I had and still have allll the same thoughts as you did. And I would love more kids, bug I’m so scared of ruining my body more, i guess. Im so scared that I’m going to end up pushing my bladdar furthur out or require surgery later.. it’s humiliating talking about it to my mom, who thinks I’m crazy and that it’s impossible since I am only 24 with 2 kids.. she’s in her 40s after having 7 with no experience with this.. I’m ready to see my dr and discuss this further with her. Some days mentally its not too bad. But some days it wears on me and makes me feel less than. My husband doesn’t mind. It doesn’t really effect sex too much, except it takes a little more time to.. fully uh, get it in lol and we just can’t achieve certain positions anymore do to discomfort.. but it’s not anything terrible. It’s more of a mental game. And I do think it’s due to a lack of information. Nobody discusses this with moms during pregnancy. It’s supposed to be an older lady thing. But, the more research I have done, the more I see that it is a lot more commom than people think.

  • My grandmother had 10 children! How on earth did she deal with it? We clearly need help from traditon midwives who know hands on stuff!! I’m 29 never been sexually active, no pregnancies, etc, Im underweight or have very little to no excess fat. But I have MS and I’ve been neglecting my pelvic health. Hoping to help my pelvic floor by doing some kegel exercises.

  • Thank you for the courage to speak up about this. This is a lot more common then anyone realizes.
    Unfortunately it’s not even talked about from doctors to do preventative measures. I discover what it was after we’ll over a year with symptoms I have a bladder prolapse. It’s something women are so stunned by we don’t share.
    I do when I can to younger women so they can ask their doctors for proper exercises for the pelvic floor.
    Your description of how this makes us feel as women is very accurate.
    Praying for us all�� it’s not pleasant to deal with affects our daily lives to varying degrees.

  • Hi I just came across your video and I also have rectocele. And can relate to your feelings. I’m just learning about it and have not been diagnosed, but I already know by how my body feels.
    So thanks for sharing, your video helped me to see that there are other women out there, and I’m not alone in this journey!

  • Thank you for sharing your experience and know that you are not alone. I have recently discovered that I suffer from this condition and it has devastated me mentally and physically. I experienced pain and heaviness since my son’s birth but always thought it might be stitches (had episiotomy due to postpartum haemorrhage) until one day during self examination, I found something hanging out of my vagina. I freaked and called my doc. The story thereafter is pretty much same to yours and everyone who have commented on this video. I started reading on internet initially about this condition and now I am onto reading and watching blogs like yours and many other women, who have similar condition and how they are coping up. I fail to understand why we are not made aware of all the precautions we need to take after vaginal delivery??My first was c sec and took all the precautions as advised by doc and was back to leading a healthy active normal life after 8 to 10 weeks. The second baby was normal delivery. I wish I had known about precautions to be taken after pp to save myself from getting this or atleast not as worse as it is now. I could have avoided so many activities during my initial pp days. I was always told that recovering from normal delivery was much quicker…clearly not for evryone:( I am trying to gather myself and come to terms with my new normal body and routine and is causing me anxiety but taking it in gradually. Stay strong. Best wishes.

  • I finally found a gynocologist willing to fit me for a pessary, although she remained unwilling to really check to see what size until I brought in a chart of the different ones with labels explaining. I now have a large gelhorn size, but lived for months with a too-small one. I drink coffee, but had to stop due to a fallen too-small pessary. I fell asleep on the freeway (it was vacant and pitch-dark) and totalled my car without injury.

  • I’ve had 3 children vaginally and at the end of last year had a hysterectomy. It was the perfect storm for my organs to begin to shift around. I’m grade one but I’m in some discomfort. Lower back pain, lower abdominal pain and some sexual dysfunction. I agree that my sexual dysfunction is more likely due to my preexisting pelvic floor issues (weak muscles, vulvodynia). I just started PT and am hoping I can prevent it from getting worse. Thank you for this information! I’m doing as much studying as I can.

  • I have 2 friends who have endured a lot of pain and discomfort due to having mesh inserted to alleviate this condition. They absolutely do not recommend it!!

  • Thank you so much for sharing your story. I was feeling very alone and like my body failed me. I was just diagnosed with bladder, rectal, and uterine prolapse this week. I’m 11 weeks post partum after having my first child and just turned 30. I’m reeling from the diagnosis.

    I’m starting physical therapy soon and getting fitted for a pessary ring. Is that what helped you?

  • I am so glad I found your video. I feel like you’re reading my mind and speaking my thoughts. I am headed to another doctor on Thursday for an actual diagnosis but I swear my uterus is actively falling out. Thank you for making me feel like I’m not alone and crazy. This video is a huge blessing to me. Thank you!!!!!!

  • Im 29 years old dont smoke,have kids and im not overweight. I have a bladder prolapse. I discoverd it friday july 17 it freaked me out when i found it the only reason i looked was being intimate with my other half was causing a lot of pain and bleeding. But what most likely caused my prolapse is chronic constipation and heavy lifting. Im still waiting to be seen by my gynecologist. It cant happen soon enough im super stressed out! I wish someone would have told me this could happen! I would have been more on top of my constipation. Iv now started taking miralax and making more effort to eat more fiber and fruits and vegetables. My prolapse is still inside but it blocks the entryway. Iv been working on kegel exercise. I know why women are hesitant to bring it up to their doctor. When i went to my doctor lets say he lacked sensitivity and made a comment about how i should just use more lube. when he should have asked if iv been using lube? because i told him what officially made me make an appointment was one the really painful intercourse an bleeding plus finding the weid mass inside. So to make the comment just use more lube upset me in an already very uncomfortable situation! The good news is the Specialist I’ve been referred to have all had way more professional courtesy then my primary doctors here over the past few years I have vented on Facebook about how I feel the healthcare system has failed me because I cannot seem to find a primary care doctor that takes a proactive approach to my health I know they exist because I had a very good doctor when I was a kid and my other half has a great doctor as well if it wasn’t for insurance I would have switched to his doctor already due to this incident. I have message my doctor in reference to the comment that was made in hopes that in the future I can receive better care!!

  • I need to see a doctor as well to find out what’s going on down there. I had 2 successful vaginal deliveries. ������ I thank God I was able to have kids because there are a lot of women that can’t have kids. So whatever is going on down there I’ll just have to deal because I would do it all again if I had to. I wouldn’t change a thing.

  • What do you think of achieve total control over your erectile dysfunction using Erectodom Secrets? I notice lots of people keep on talking about Erectodom Secrets.

  • Back Nov. 20, 2018 my uterus pushed my bladder down. Also had rectocele because of constipation. Bladder was sutured up at that time. Now it is the middle of March 2019, and my bladder fell again. I need to go back in the hospital again to get it suture back up.

  • I am an Arvigo Therapy practitioner which is also known as Mayan Abdominal Massage. It is a non evasive treatment for uterine or bladder prolapse that was developed in Belize, Central America. There are now practitioners around the world that do this treatment. It works to reposition the organs in the pelvic floor. Often times women believe this is something that they have to live with but there is help out there. I have been treating uterine and bladder prolapse for years and there is hope! Please do some research on this treatment and find a practitioner in your area:)