Can pelvic floor therapy fix prolapse?
Pelvic floor therapy—guided by a specialist physiotherapist—can significantly improve prolapse symptoms, slow progression, and enhance quality of life. For mild to moderate prolapse, it is often the first-line treatment. However, therapy rarely “fixes” severe prolapse completely without surgery.
Detailed Medical Explanation
Pelvic floor muscle training (PFMT) is proven to reduce prolapse symptoms and may prevent worsening. It involves targeted exercises to strengthen muscles supporting the bladder, bowel, and uterus. For women with grade 1 or 2 prolapse, supervised PFMT can lead to significant improvement, and some may no longer notice their prolapse. However, for more severe (grade 3-4) prolapse, therapy may improve comfort but not restore anatomy. (NHS: Prolapse treatment | NICE NG123)
Clinical Context
All women with prolapse should be offered pelvic floor therapy before considering surgery. Consistency, proper technique, and guidance from a specialist are key for success.
Evidence-Based Approaches
RCTs and NICE guidelines confirm PFMT as an effective, low-risk first-line option. Continued therapy also benefits post-surgery patients for long-term results.