Management of Vaginal prolapse

Vaginal prolapse may be isolated to descent of the uterus alone or include additional weakening of the tissue supporting the front and back walls of the vagina.

This may be associated with urinary symptoms of frequency or incontinence. Not all vaginal prolapses cause symptoms or require treatment. Many can be managed conservatively with the support of physiotherapist directed pelvic floor exercises.

A range of pessary supports are available to additionally manage prolapses by non surgical methods.

For those requiring surgery your gynaecologist will discuss the relative advantages and disadvantages of options for surgical repair. We do not undertake surgery utilising mesh.

When prolapses recur or are associated with significant urinary incontinence symptoms we may recommend referral toa specialist urogynaecological surgeon for further investigation and management.

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