What is the most common type of pelvic prolapse?
The most common type of pelvic organ prolapse is cystocele, also known as anterior vaginal wall prolapse, where the bladder bulges into the vagina. This type of prolapse affects many women, especially after childbirth or menopause.
Detailed Medical Explanation
Cystocele occurs when the pelvic floor and vaginal wall supporting the bladder become weak, allowing the bladder to drop down into the vagina. This is most often due to childbirth, menopause, chronic straining, or ageing. Cystocele can cause symptoms such as vaginal bulging, urinary incontinence, and discomfort during activities. (NHS: Pelvic organ prolapse)
Clinical Context
Cystocele is the leading cause of symptomatic pelvic organ prolapse in women. It is often diagnosed by pelvic exam and can be managed with conservative or surgical options depending on severity.
Evidence-Based Approaches
NICE and RCOG guidelines support pelvic floor training and lifestyle changes as first-line treatments. Surgical repair is considered for significant symptoms. (NICE NG123)