Can you have multiple types of prolapse at once?
Yes, it is common for women to have more than one type of pelvic organ prolapse at the same time, such as cystocele (bladder), rectocele (bowel), and uterine prolapse. Each type may cause different symptoms or overlap.
Detailed Medical Explanation
Multiple prolapses occur when the supporting tissues for more than one pelvic organ become weak or damaged, causing the organs to descend into the vagina. This is especially common after menopause, childbirth, or pelvic surgery. Symptoms may include pelvic pressure, bulging, urinary and bowel problems. Management is individualised and may include pelvic floor physiotherapy, pessaries, or surgical repair addressing all affected areas. (NHS: Pelvic organ prolapse)
Clinical Context
Combination prolapses are often found during pelvic examination. A thorough assessment ensures all areas are identified and treated appropriately for the best results.
Evidence-Based Approaches
Guidelines recommend individualised, holistic management. Both conservative and surgical treatments can address multiple prolapse types at once. (NICE NG123)