Can prolapse cause urinary incontinence?
Yes, urinary incontinence—leakage or loss of bladder control—can occur with pelvic organ prolapse, particularly when the bladder or urethra is involved. Symptoms can include stress incontinence, urgency, or difficulty fully emptying the bladder.
Detailed Medical Explanation
Prolapse alters the normal anatomy of the bladder and urethra, making it harder for the sphincter to function. Cystocele (bladder prolapse) is most likely to cause stress incontinence, which is leakage during coughing, laughing, or exercise. Some women also develop urge incontinence or experience difficulty emptying the bladder fully. Treatments include pelvic floor muscle training, pessaries, and surgical correction for more severe cases. (NHS: Prolapse symptoms)
Clinical Context
Urinary incontinence often accompanies prolapse, especially after childbirth or menopause. A detailed assessment by a specialist is key to identifying the cause and tailoring treatment.
Evidence-Based Approaches
NICE guidelines support conservative treatments first, such as pelvic floor muscle training. More complex or severe cases may require further intervention. (NICE NG123)