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Center for Vaginal Surgery and Urogynecology

Urogynecologists located in St. Louis, MO

Up to one-third of women experience pelvic organ prolapse at some point in their life. Expert urogynecologist Dionysios Veronikis, MD, offers diagnosis and treatment for this uncomfortable condition that affects your quality of life. At the Center for Vaginal Surgery and Urogynecology in St. Louis, women can find relief from pelvic organ prolapse. Call the office or book online today if you have symptoms that need evaluation.

Prolapse Q & A

What is prolapse?

When an organ in your pelvis drops from its normal position, it’s prolapsed. You have muscles in your pelvic floor that create a hammock-like support for all your pelvic organs. 

When these muscles grow weak or suffer injury, they fail to hold up your organs as they should. You may experience prolapse due to childbirth, surgery, aging, or menopause. Pressure on your abdomen from chronic constipation or obesity can also contribute to pelvic organ prolapse.

What organs can prolapse?

Any organ in your pelvic area can prolapse. These include the:

  • Bladder
  • Rectum
  • Uterus
  • Vagina
  • Small bowel

With prolapse, the organs drop into the vagina, creating pressure or visible organ tissue.

What are the symptoms of prolapse?

Prolapse symptoms vary from mild to severe, depending on the degree of your condition. In mild cases, you may experience no symptoms at all. If you have a more severe case, you may experience the following:

  • Constipation
  • Feeling that something is falling out of your vagina
  • Visible, irregular tissue
  • Unusual spotting and bleeding
  • Backache and fullness feeling in the pelvic region
  • Urinary incontinence
  • Pain during intercourse

The symptoms you experience are often dependent on which organ prolapsed.

How is pelvic organ prolapse diagnosed?

Dr. Veronikis identifies prolapse during a physical exam. If you come in with symptoms suggesting prolapse, he’ll run imaging tests such as ultrasound to identify prolapsed organs. Your medical history also informs your diagnosis.

How is pelvic organ prolapse treated?

Dr. Veronikis evaluates your condition to determine an appropriate treatment plan. You may benefit from intervention as simple as physical therapy that helps to strengthen the muscles and tissue around the organs. 

Some women benefit from a pessary to support drooping organs. This removable device is placed inside your vagina.

Conventional vaginal or robotic surgery can also repair failing tissue or remove prolapsed organs, such as a hysterectomy to remove the uterus. Surgery is as minimally invasive as possible so you experience a quick recovery and minimal complications.

If you have symptoms that suggest organ prolapse, call the Center for Urogynecology and Pelvic Reconstructive Surgery or schedule an appointment online today.