Prolapse and
Pessary Fittings

What is Prolapse?

Prolapse is the protrusion of vaginal tissue within and/or outside of your vagina. Approximately 50% of women, and those assigned female at birth who have had children will experience symptoms of pelvic organ prolapse at some point of their life.

What are the signs and symptoms?

Vaginal heaviness
Vaginal dragging sensation
Sensation of vaginal bulge
Lower abdominal discomfort
Lower back pain
Incomplete bladder emptying
Difficulty emptying bowels
Discomfort with intercourse

What is a pessary and how can it help pelvic organ prolapse?

A pessary is a silicone device that is inserted into the vagina that helps to support the vaginal walls and the organs of the pelvis
Pessaries are a safe, effective and evidence-based method for the management of pelvic organ prolapse
By providing structural support, a pessary can reduce symptoms associated with prolapse, improve the efficiency of pelvic floor muscles when performing pelvic floor strengthening exercises, improve body image and sexual activity, and delay the need for surgical intervention

How can we help manage your pelvic organ prolapse at Sydney Women’s Physiotherapy?

Physiotherapy has been shown to be a first-line treatment option for the management of pelvic organ prolapse. At Sydney Women’s Physiotherapy, we always provide an individualised program targeting the patient’s unique concerns and goals. Treatment that may be provided as part of the individualised program includes: education regarding anatomy and pelvic organ prolapse, lifestyle modifications, postural modifications and movement advice, pelvic floor muscle training and addressing any other areas of weakness in the body with an achievable home exercise program provided, advice regarding healthy bladder and bowel habits, pessary fitting and management, and advice and support in respect to exercise and hobbies of your choosing. At Sydney Women’s Physiotherapy, we also provide physiotherapist-led group exercise classes that support patients with a safe return to exercise with pelvic organ prolapse.