Types of Pelvic Organ Prolapse and Solutions

Types of Pelvic Organ Prolapse and Solutions

Prolapse is the descent and eventual protrusion of an internal pelvic organ through the vagina or anus. Prolapse can occur in the bladder, uterus and rectum.

Prolapse is typically graded on a 1-4 scale or a 1-3 scale with 3 or 4 being the most advanced. It can sometimes take 20 to 30 years for a pelvic organ prolapse to develop, or it can happen suddenly.

From a statistics perspective, 50% of women who have given birth have some degree of pelvic organ prolapse.

Types of Prolapse

Bladder Prolapse, also called Cystocele or Anterior Wall Prolapse, occurs when the bladder shifts out of its optimal position and bulges into the anterior wall of the vagina.

Uterine Prolapse, also called Uterine Descensus, occurs when the uterus descends into the vagina.

Stage I: Your uterus drops into the upper part of your vagina.

Stage II: Your uterus falls into the lower part of your vagina.

Stage III: Your uterus is protruding from your vagina.

Stage IV: Your entire uterus slips outside of your vagina.

Rectum Prolapse. The rectum can bulge into the posterior wall of the vagina which is called a Rectocele or a Posterior Wall Prolapse. The rectum can also bulge out the anus which is called a rectal prolapse.

Enterocele occurs when the intestines start to descend into the lower pelvic cavity and can create a bulge at the top part of the vagina.

Vaginal Vault Prolapse occurs when the upper part of the vagina sags into the lower vagina. It is very common after hysterectomy.

Vagina Coach pelvic floor


Exercise can help strengthen your pelvic floor muscles.

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Kim Vopni, Vagina Coach