This was the style used for thousands of years until the invention of rubber.) Pessaries come in numerous sizes and shapes. The next rendition of pessaries was yarn dipped in wax and molded. (On a historical note, the original pessary was a potato, which rapidly fell out of favor as it tended to grow roots. Treatment options range from behavioral modifications or exercises (for mild prolapse) to pessaries to surgery.Ī pessary is a device that one places in the vagina and pushes the organs into their normal positions. This includes jobs that require heavy lifting, obesity, or smokers, particularly with a chronic cough. Increased strain on pelvic organs is also a common factor. Trauma (most commonly from childbirth, especially large babies) plays a role. The cause of POP is usually a combination of factors. It is most commonly associated with a soft bulge and can happen after hysterectomy as well. The small bowel: This is the least common of the prolapses, and represents a “true hernia” or a fascial defect in the upper vagina.Commonly, women will describe “splinting” which is putting fingers in the vagina to push the stool out of the rectum. It can be associated with difficulty getting a stool out. The rectum: This is a bulge that comes from the backside of the vagina.It can be associated with incontinence, difficulty urinating or a pressure sensation. The bladder: Usually a soft bulge at the top of the vagina.A prolapsing uterus often can feel like one is sitting on a lump. The uterus: The uterus is normally supported by the utero-sacral ligaments as well as other connective tissues. The most common symptom is that of a bulge coming out of the vagina, which can rub against the underwear and cause irritation and bleeding. POP, therefore, can be the result of one or several organs, all of which may or may not cause symptoms. POP is the result of a laxity of muscles, ligaments and connective tissues that support organs such as the uterus, bladder and rectum. Typically one’s first reaction to this is terror, but don’t worry, there is no need for panic. One of the most common first symptoms is a bulge protruding from the vagina. Pelvic organ prolapse (POP) occurs in as many as 40% of women, most commonly after age 40.
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