What is the best treatment for prolapse?
The best treatment for pelvic organ prolapse depends on individual needs and severity. Conservative options, like pelvic floor muscle training and lifestyle modifications, are highly effective for many women. Vaginal pessaries and surgery are considered for more advanced cases or if symptoms persist.
Detailed Medical Explanation
Pelvic floor muscle training (Kegels) with guidance from a women’s health physiotherapist is the first-line treatment for most women. Lifestyle changes, such as weight management and addressing constipation, are also key. Vaginal pessaries provide mechanical support and can be fitted by a specialist. Surgery, including repair or mesh procedures, is reserved for severe or persistent cases. Your treatment plan should be tailored by a healthcare professional based on your specific symptoms and health profile. (NHS: Prolapse Treatment)
Clinical Context
Most women benefit from conservative management as a first step. If symptoms significantly affect quality of life or progress despite non-surgical measures, referral to a specialist for surgical options is considered.
Evidence-Based Approaches
NICE and RCOG recommend a stepped approach: physiotherapy, pessary use, and surgery only when necessary. Shared decision-making is crucial, and each option has benefits and risks (NICE NG123).