Conservative Management of Pelvic Organ Prolapse

  • George Ralph
  • Karl Tamussino


Pelvic organ prolapse (POP) refers to the descent of pelvic organs into the vagina. The prevalence of which varies from 40 % to 50 % over the age of 40 years. The incidence of prolapse increases with increasing age and surgical intervention might not be an ideal option for all. Conservative management should ideally be offered to women with prolapse while discussing their management options. Conservative measures have played a major role in the management of POP both as a short-term intervention and as a definitive management strategy. This includes lifestyle interventions, pelvic floor exercises, and mechanical support devices (pessaries). In assessing the success of conservative measures, it is usually the improvement of patient’s symptoms and the quality of life measures that are analyzed. Prolapse symptoms can include dragging sensation or heaviness in the vagina, backache, and a sensation of lump in the vagina, which may be associated with bladder, bowel, or sexual dysfunction. Objective assessment of POP, with staging using either the Baden-Walker or POP Quantification system, has been undertaken in a few studies evaluating the conservative management.


Stress Urinary Incontinence Pelvic Organ Prolapse Pelvic Floor Muscle Pelvic Floor Muscle Training Pelvic Floor Exercise 
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Copyright information

© Springer India 2015

Authors and Affiliations

  1. 1.Department of Obstetrics and GynecologyPublic Hospital LoebenLeobenAustria
  2. 2.Department of Obstetrics and GynecologyMedical University of GrazGrazAustria

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