How to tell what type of prolapse you have?
The type of prolapse you have is best determined by a pelvic examination from a healthcare professional. Symptoms may suggest the type, but diagnosis relies on a clinical assessment to identify whether the bladder, bowel, uterus, or vaginal vault is affected.
Detailed Medical Explanation
Different types of prolapse cause different symptoms: cystocele (bladder) often causes urinary symptoms, rectocele (bowel) is linked to constipation, and uterine or vault prolapse may cause a bulge or pressure sensation. However, symptoms often overlap. Only a pelvic exam by a clinician can accurately diagnose the type and degree of prolapse, which is essential for appropriate treatment. (NHS: Prolapse diagnosis)
Clinical Context
A gynaecological examination is the gold standard for diagnosing and classifying prolapse. Further tests, such as imaging or urodynamics, may be needed for complex cases or surgical planning.
Evidence-Based Approaches
Current NICE and RCOG guidance recommend a thorough assessment and individualised care. Self-diagnosis is not reliable; always seek advice from a women’s health specialist. (NICE NG123)