What is uterine prolapse and how to treat it?
Uterine prolapse occurs when the uterus descends into or outside the vaginal canal due to weakened pelvic floor support. Treatment options include pelvic floor exercises, vaginal pessaries, and surgery, tailored to symptom severity and individual health needs.
Detailed Medical Explanation
Uterine prolapse typically results from childbirth, menopause, obesity, or chronic increases in abdominal pressure. Mild cases often respond well to supervised pelvic floor muscle training and lifestyle modification. Vaginal pessaries are devices inserted to support the uterus and can provide effective symptom relief for many women. Surgical options, such as vaginal hysterectomy or uterine suspension, are considered for severe cases or when conservative measures are unsuccessful. Individualised care and ongoing follow-up are essential. (NHS: Prolapse Treatment)
Clinical Context
Uterine prolapse is diagnosed by examination and graded according to severity. Most women are initially offered non-surgical treatment. Referral for surgery may be appropriate if symptoms are severe or fail to improve.
Evidence-Based Approaches
NICE and RCOG guidelines endorse a stepwise approach, starting with physiotherapy and pessaries. Surgery is tailored to patient preference, severity, and comorbidities (NICE NG123).