{"id":1118,"date":"2014-04-05T07:30:21","date_gmt":"2014-04-05T07:30:21","guid":{"rendered":"http:\/\/petersphotogallery.com\/vanea\/?page_id=1118"},"modified":"2016-03-11T04:51:43","modified_gmt":"2016-03-11T04:51:43","slug":"pelvic-organ-prolapse-pop","status":"publish","type":"page","link":"http:\/\/petersphotogallery.com\/vanea\/pelvic-organ-prolapse-pop\/","title":{"rendered":"pelvic organ prolapse"},"content":{"rendered":"<p><strong><a href=\"http:\/\/petersphotogallery.com\/vanea\/images\/2014\/04\/5_normal.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-1152 aligncenter\" src=\"http:\/\/petersphotogallery.com\/vanea\/images\/2014\/04\/5_normal-300x133.jpg\" alt=\"normal\" width=\"370\" height=\"164\" srcset=\"http:\/\/petersphotogallery.com\/vanea\/images\/2014\/04\/5_normal-300x133.jpg 300w, http:\/\/petersphotogallery.com\/vanea\/images\/2014\/04\/5_normal.jpg 900w\" sizes=\"auto, (max-width: 370px) 100vw, 370px\" \/><\/a><\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Pelvic Organ Prolapse<\/strong><\/p>\n<p><a title=\"Prolapse\" href=\"http:\/\/www.thepregnancycentre.com.au\/getattachment\/Post-Pregnancy\/Tips\/About-prolapse\/What-is-a-prolapse.pdf.aspx\" target=\"_blank\">POP<\/a>\u00a0 is a condition where the walls\u00a0 or support ligaments and fascia around the vagina have become stretched, weakened\u00a0or damaged,sometimes\u00a0 from a traumatic childbirth. It&#8217;s a bit like a hernia into your vagina.\u00a0This can affect up to 50% of women who have had children.\u00a0 It is associated more with vaginal rather than caesarean births, but women who have <em>never <\/em>had children can also develop\u00a0 prolapse<\/p>\n<p><a title=\"pelvic organ prolapse\" href=\"http:\/\/www.thepregnancycentre.com.au\/post-pregnancy\/tips\/about-prolapse\" target=\"_blank\">signs of POP<\/a>.\u00a0\u00a0\u00a0 \u00a0<a title=\"POP\" href=\"http:\/\/www.healthforwomen.org.au\/health-issues\/122-uterine-prolapse\" target=\"_blank\">jean hailes website<\/a>\u00a0\u00a0<a title=\"diagnosis of prolapse\" href=\"http:\/\/www.pelvicexercises.com.au\/prolapse-diagnosis\/\" target=\"_blank\"> how severe is my prolapse<\/a><br \/>\n<a href=\"http:\/\/petersphotogallery.com\/vanea\/images\/2014\/04\/ProlapseTypes.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-1157\" src=\"http:\/\/petersphotogallery.com\/vanea\/images\/2014\/04\/ProlapseTypes-300x216.jpg\" alt=\"ProlapseTypes\" width=\"432\" height=\"310\" srcset=\"http:\/\/petersphotogallery.com\/vanea\/images\/2014\/04\/ProlapseTypes-300x216.jpg 300w, http:\/\/petersphotogallery.com\/vanea\/images\/2014\/04\/ProlapseTypes.jpg 901w\" sizes=\"auto, (max-width: 432px) 100vw, 432px\" \/><\/a><\/p>\n<p><strong>Symptoms of Prolapse<\/strong><\/p>\n<ul>\n<li>stress incontinence: leaking urine when:\n<ul>\n<li>coughing<\/li>\n<li>sneezing<\/li>\n<li>laughing<\/li>\n<li>standing up<\/li>\n<li>running<\/li>\n<li>walking<\/li>\n<\/ul>\n<\/li>\n<li>inability to completely empty the bladder or the bowel after going to the toilet<\/li>\n<li>straining to get urine flow started<\/li>\n<li>a slow flow of urine that tends to stop and start<\/li>\n<li>bladder frequency or urgency<\/li>\n<li>a sensation of fullness or pressure inside the vagina<\/li>\n<li>a bulge or swelling felt in the vagina or seen at the entrance<\/li>\n<li>Low back ache and\/or pain<\/li>\n<li>Low abdominal pressure and\/or pain<\/li>\n<li>Difficulty inserting a tampon or tampon moving down the vagina once inserted<\/li>\n<li>Sensation of constantly needing to pass stool or rectal pressure<\/li>\n<li>Poor wind (flatus) control<\/li>\n<li>Bowel urgency<\/li>\n<li>Discomfort during and\/or after emptying the bowel<\/li>\n<li>Decreased sexual satisfaction<\/li>\n<li>Decreased sexual arousal<\/li>\n<li>Sexual disinterest<\/li>\n<li>Vaginal pain or vaginal discomfort during or after penetrative sexual intercourse<\/li>\n<li>Difficulty with penetration with more severe prolapse<\/li>\n<li>Possible bladder leakage with intercourse<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-1155\" src=\"http:\/\/petersphotogallery.com\/vanea\/images\/2014\/04\/toilet-position.jpg\" alt=\"toilet position\" width=\"143\" height=\"194\" \/>The most important take home message about POP is that<em> it can almost always be helped with lifestyle changes<\/em>, <a title=\"How tio empty your bowels and sit properly- online physiotherapy video\" href=\"http:\/\/www.pelvicexercises.com.au\/bowel-movement\/\" target=\"_blank\">correct toilet technique<\/a>, exercise changes together with pelvic floor exercises from your Women\u2019s Health Physiotherapist.<br \/>\n<em>Not <\/em> all POP needs surgery\u2026and if you do then it is <em>really<\/em> important to get your muscles as strong as possible and understand <em>why<\/em> you have to <a title=\"POP how best to protect and strengthen a prolapse\" href=\"http:\/\/www.pelvicexercises.com.au\/pelvic-organ-prolapse\/\" target=\"_blank\">make changes<\/a> in your life to maintain the success of any surgery.<\/p>\n<p><a title=\"sue croft physiotherapist\" href=\"http:\/\/suecroftphysiotherapist.com.au\/\" target=\"_blank\"> Sue Croft\u00a0 <\/a>a Women\u2019s Health Physiotherapist in Queensland has a great website\/blog and <a title=\"pelvic floor essentials and recovery from surgery\" href=\"http:\/\/www.pelvicfloorrecovery.com\/index_files\/Page838.htm\" target=\"_blank\">2 fantastic small books <\/a>\u00a0all about pelvic floor problems and surgery.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>F<strong>actors that put you at risk of developing POP<\/strong><\/p>\n<p>&#8211; Obesity- carrying extra weight causes a rise in the IAP (intra abdominal pressure) that can push down organs onto a weak pelvic floor<br \/>\n&#8211; Smoking \/and or chest problems &#8230;..causing chronic cough coughing causes huge rises in IAP<br \/>\n&#8211; Constant sneezing from allergies&#8230;.. as above!<br \/>\n&#8211; Chronic Constipation&#8230;.pressure against the back of the vaginal wall<br \/>\n&#8211; Heavy lifting occupations<br \/>\n&#8211; High impact; strong&#8217; core&#8217; exercise too soon after a vaginal delivery<\/p>\n<p><strong>Surgery for Prolapse<\/strong><br \/>\nWhat kinds of surgery are done for pelvic organ prolapse?<br \/>\nMany kinds of surgery can be done for pelvic organ prolapse.<br \/>\nTypes of surgery include:<\/p>\n<ul class=\"node\">\n<li>Repair of the\u00a0<a title=\"cystocele repair\" href=\"http:\/\/c.ymcdn.com\/sites\/www.iuga.org\/resource\/resmgr\/Brochures\/eng_antvwrepair.pdf\" target=\"_blank\">bladder<\/a>(cystocele surgery)<\/li>\n<li>Repair of the<a title=\"rectocele repair\" href=\"http:\/\/c.ymcdn.com\/sites\/www.iuga.org\/resource\/resmgr\/Brochures\/eng_postvwrepair.pdf\" target=\"_blank\"> rectum<\/a> (rectocele surgery) or small bowel (enterocele surgery).<\/li>\n<li>Repair of the<a title=\"vaginal\/uterus repair\" href=\"http:\/\/c.ymcdn.com\/sites\/www.iuga.org\/resource\/resmgr\/Brochures\/eng_uterosacral.pdf\" target=\"_blank\"> vagina \/uterus <\/a>(urethrocele)<\/li>\n<li>Removal of the<a title=\"hysterectomy\" href=\"http:\/\/c.ymcdn.com\/sites\/www.iuga.org\/resource\/resmgr\/Brochures\/eng_hysterectomy.pdf\" target=\"_blank\"> uterus (hysterectomy<\/a>).<\/li>\n<\/ul>\n<p><a title=\"info for POP surgery\" href=\"http:\/\/www.webmd.com\/urinary-incontinence-oab\/should-i-have-surgery-for-pelvic-organ-prolapse\" target=\"_blank\">What are the risks of surgery for pelvic organ prolapse?<\/a><br \/>\nProblems you may have after surgery can include:<\/p>\n<ul class=\"node\">\n<li>Incontinence.<\/li>\n<li>Not being able to empty your bladder.<\/li>\n<li>Pain during sex.<\/li>\n<li>Infection.<\/li>\n<li>Bladder injury.<\/li>\n<\/ul>\n<p>&#8220;Surgery for pelvic organ prolapse is done to <span style=\"text-decoration: underline;\">treat symptoms caused by one prolapsed organ<\/span>, so you may still have other symptoms after your surgery. Surgery in one part of your pelvis can make a prolapse in another part worse.\u00a0Sometimes a bulge in the vagina is &#8216;helping&#8217; to keep you continent and symptoms of Stress Urinary Incontinence SUI may become evident only after your prolapse repair.\u00a0This may mean that you have to have another surgery later.<\/p>\n<p>Pelvic organ prolapse can come back after surgery. How well surgery works depends on the type of surgery. But on average, about 3 out of 10 women who have the surgery end up having a second surgery within 4 years.<\/p>\n<p class=\"node\">The chances for success can be higher when a woman has two surgical procedures during the same operation-one to correct the prolapse and the other to help prevent incontinence problems that can arise after surgery. But more research is needed to find out if this is true for all types of prolapse surgeries.&#8221;<\/p>\n<p class=\"node\"><strong>What \u00a0exercises can I do?<\/strong><\/p>\n<p><a href=\"http:\/\/www.sportsfocusphysio.com.au\/contact-us\/northbridge\/\" target=\"_blank\">I see women <\/a>from e<a title=\"Managing POP post -natal\" href=\"https:\/\/www.pelvicexercises.com.au\/uterine-prolapse-after-childbirth\/\" target=\"_blank\">arly post- natal,<\/a> right through to post menopause.\u00a0 Careful examination, specific exercises, possible pessary support and lifestyle changes are all things that I can help you with, that do help to reduce the prolapse to an extent that you may not need surgery.<\/p>\n<p>Things that will impact on your risk of POP\u00a0when considering exercises&#8230;&#8230;..<\/p>\n<ul>\n<li>What was your\u00a0postnatal recovery like &#8211; for your pelvic floor<\/li>\n<li>How many\u00a0vaginal deliveries have you had<\/li>\n<li>Did you have a traumatic vaginal delivery; (forceps, breech)<\/li>\n<li>Have you reached menopause and beyond<\/li>\n<li>Are you obese\u00a0or overweight;<\/li>\n<li>Do you suffer\u00a0from chronic constipation and straining<\/li>\n<li>Do you\u00a0have a chronic cough<\/li>\n<li>Is there a family history of prolapse<\/li>\n<li>Do you feel any heaviness or bulge in\u00a0 or around your vagina&#8230;at any time during your menstrual cycle<\/li>\n<\/ul>\n<p>Michelle has a lot of info on this <a title=\"prolapse exercise blogs\" href=\"https:\/\/www.pelvicexercises.com.au\/pelvic-health-blog\/\" target=\"_blank\">collection of blogs.<\/a> Also this one on <a title=\"running with prolapse\" href=\"https:\/\/www.pelvicexercises.com.au\/prolapse-and-running\/\" target=\"_blank\">reducing the impact of running<\/a><\/p>\n<p>I hope you have found this information helpful. Prolapse symptoms need to be assessed and then we can work out a plan to help you!<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Pelvic Organ Prolapse POP\u00a0 is a condition where the walls\u00a0 or support ligaments and fascia around the vagina have become stretched, weakened\u00a0or damaged,sometimes\u00a0 from a traumatic childbirth. It&#8217;s a bit like a hernia into your vagina.\u00a0This can affect up to 50% of women who have had children.\u00a0 It is associated more with vaginal rather <a href='http:\/\/petersphotogallery.com\/vanea\/pelvic-organ-prolapse-pop\/' class='excerpt-more'>[&#8230;]<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-1118","page","type-page","status-publish","hentry","post-seq-1","post-parity-odd","meta-position-corners","fix"],"_links":{"self":[{"href":"http:\/\/petersphotogallery.com\/vanea\/wp-json\/wp\/v2\/pages\/1118","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/petersphotogallery.com\/vanea\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/petersphotogallery.com\/vanea\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/petersphotogallery.com\/vanea\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/petersphotogallery.com\/vanea\/wp-json\/wp\/v2\/comments?post=1118"}],"version-history":[{"count":56,"href":"http:\/\/petersphotogallery.com\/vanea\/wp-json\/wp\/v2\/pages\/1118\/revisions"}],"predecessor-version":[{"id":1831,"href":"http:\/\/petersphotogallery.com\/vanea\/wp-json\/wp\/v2\/pages\/1118\/revisions\/1831"}],"wp:attachment":[{"href":"http:\/\/petersphotogallery.com\/vanea\/wp-json\/wp\/v2\/media?parent=1118"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}