Does prolapse affect bowel and bladder function?
Yes, pelvic organ prolapse can cause bladder and bowel problems such as urinary leakage, urgency, incomplete emptying, constipation, and sometimes difficulty with bowel movements. The symptoms depend on which organs are involved and the severity of the prolapse.
Detailed Medical Explanation
Prolapse of the bladder (cystocele) can cause urinary incontinence, increased frequency, and incomplete bladder emptying. Rectal prolapse or rectocele may result in constipation, the need to manually assist bowel movements, or a sensation of incomplete emptying. In severe cases, double incontinence (both urinary and faecal leakage) may occur. Symptoms often improve with appropriate management and can be assessed by a specialist. (NHS: Prolapse Symptoms)
Clinical Context
Assessment includes a detailed history and examination to determine which pelvic organs are affected. Addressing bladder and bowel symptoms is a crucial part of holistic management for prolapse patients.
Evidence-Based Approaches
NICE guidelines recommend evaluating bladder and bowel function in all women with prolapse. Targeted treatments can address both prolapse and associated continence issues. (NICE NG123)