Madison Reporter

Pelvic organ prolapse, a condition affecting the pelvic floor, is not commonly discussed but impacts many women. Specialists at UW Health Integrated Specialty Care for Women are urging women to become informed about this and other pelvic floor disorders.

Dr. Frank Lin, a urologist and urogynecologist with UW Health, explains that "pelvic organ prolapse occurs when part of the uterus, bladder or rectum drops out of place into the vaginal canal." This condition arises from weakened tissues surrounding the vaginal canal and affects approximately 50% of women over age 50. "It's estimated that 10-15% of American women will have surgery for it in their lifetime," Dr. Lin adds.

Various factors can increase the likelihood of developing a prolapse. These include childbirth, age-related changes, connective tissue diseases, genetic predispositions, menopause, and hormonal shifts. Additional risk factors involve multiple vaginal deliveries, high birth weights during childbirth, use of forceps or vacuum-assisted delivery methods, connective tissue disorders, family history of prolapse, previous pelvic injuries or hysterectomies.

Early recognition and understanding of symptoms are crucial for effective management. Symptoms may vary depending on the size and location of the prolapse but often include urinary incontinence or retention, constipation, pressure sensations in the pelvis, and visible bulging from the vagina.

Dr. Lin advises that while some individuals may choose to delay treatment if symptoms are manageable: “A prolapse and symptoms can worsen with time.” Regular monitoring by healthcare providers is recommended to assess progression and explore treatment options as needed.

Treatment approaches range from non-invasive methods like pelvic floor physical therapy and lifestyle modifications to surgical interventions. "Surgical treatment is just one of many options," states Dr. Lin. "There are procedures, medical devices and even lifestyle modifications to repair your prolapse and improve your quality of life."

UW Health’s program offers comprehensive care through its multispecialty team approach—the only one in Wisconsin—ensuring personalized care for those dealing with these conditions.

Dr. Lin emphasizes open communication between patients and providers regarding any symptoms or concerns related to pelvic health: “We deliver personalized holistic care to improve your health well-being.”