Urogenital Prolapse

Prolapse occurs when muscles or ligaments in the pelvic floor become weakened or damaged, allowing organs to drop or press into other areas. Organs that may be involved include the bladder, urethra, uterus, vagina, small bowel and rectum.


Common Causes of Prolapse

  • Childbirth
  • Repeated heavy lifting
  • Chronic coughing or constipation
  • Previous surgeries in the pelvic area
  • Hysterectomy
  • Obesity
  • Genetics


Symptoms of Pelvic Organ Prolapse

  • A bulge or lump in the vagina
  • Part of the vagina protruding from the body
  • A pulling or stretching feeling in the groin
  • Difficult or painful sexual intercourse
  • Vaginal pain, pressure, irritation, bleeding or spotting
  • Urinary and/or fecal incontinence
  • Difficulty with bowel movements
  • Delayed or slow urinary stream


There are many surgical and non-surgical treatment options for prolapse, including: 

  • Pelvic muscle strengthening 
  • Vaginal pessaries (rings to hold up protruding organs) 
  • Surgical techniques such as the elevate prolapse repair system and the upload vaginal support system.

Your North Shore-LIJ urogynecologist will recommend the right treatment option for you based on your specific type and severity of prolapse, age, overall health and future desire to have children. If surgery is required, our physicians have unique specialty training to handle pelvic surgeries.

To locate a North Shore-LIJ urogynecologist or schedule an appointment, visit Our Physicians or  Appointment Request.