Can prolapse be treated without surgery?
Yes, pelvic organ prolapse can often be managed without surgery, especially in mild to moderate cases. Non-surgical treatments include pelvic floor muscle training, lifestyle modifications, and vaginal pessaries, all of which can significantly reduce symptoms and improve quality of life.
Detailed Medical Explanation
First-line management for most women involves pelvic floor physiotherapy to strengthen the supporting muscles, weight management, avoiding constipation, and limiting heavy lifting. Vaginal pessaries are devices that support pelvic organs and can be highly effective when properly fitted and monitored. Hormone therapy (vaginal oestrogen) may help with associated vaginal symptoms in postmenopausal women. Many women experience lasting symptom relief without surgery. (NHS: Prolapse treatment | NICE NG123)
Clinical Context
Many women prefer non-surgical treatment for personal or health reasons. Regular follow-up ensures treatment remains effective and adjusts to changing symptoms.
Evidence-Based Approaches
NICE and RCOG recommend conservative treatments as first-line therapy for prolapse. Surgery is reserved for severe symptoms or when conservative measures are unsuccessful.