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Vaginal prolapse: management with nonsurgical techniques

G W Davila1

  • 1Colorado Gynecology and Continence Center, Presbyterian-St Luke's Medical Center, Denver 80218, USA.

Postgraduate Medicine
|April 1, 1996
PubMed
Summary

Genital prolapse worsens over time and requires prompt attention. Treatment options range from pelvic floor exercises and pessaries to surgical repair addressing all defects and lifestyle adjustments.

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Area of Science:

  • Urogynecology
  • Pelvic Floor Disorders

Background:

  • Genital prolapse is a progressive condition that can lead to significant pelvic dysfunction.
  • Ignoring prolapse can result in increased symptom severity and treatment complexity.

Purpose of the Study:

  • To outline the management strategies for genital prolapse.
  • To emphasize the importance of comprehensive evaluation before surgical intervention.

Main Methods:

  • Review of conservative management options including pelvic floor exercises (Kegel exercises) and vaginal pessaries.
  • Discussion of the necessity for thorough bladder and urethral function assessment prior to surgery.
  • Highlighting the components of successful surgical repair, including addressing all anatomical defects and lifestyle modifications.

Main Results:

  • Conservative measures like Kegel exercises and pessaries can manage mild prolapse.
  • Surgical intervention offers definitive treatment when anatomical issues are fully corrected.
  • Lifestyle changes, such as avoiding strenuous activities, are crucial for long-term surgical success.

Conclusions:

  • Genital prolapse requires timely intervention to prevent progression and worsening symptoms.
  • A combination of conservative, surgical, and lifestyle approaches ensures optimal management outcomes.
  • Comprehensive pre-operative evaluation is essential for successful surgical repair of pelvic organ prolapse.

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