Nonsurgical Treatment Options for Women With Pelvic Organ Prolapse

Nurs Womens Health. 2018 Jun;22(3):228-239. doi: 10.1016/j.nwh.2018.03.007.

Abstract

Pelvic organ prolapse is a medical condition that can cause pelvic discomfort as well as urinary and bowel complications. Approximately 25% of women in the United States and roughly 50% of women worldwide develop this condition. Although pelvic organ prolapse is usually a non-life-threatening condition, it can result in decreased self-confidence and negative body image. Physical and emotional sequelae can limit physical activity, and decreased productivity could be a consequence. Evidence from the literature indicates that pessary use and pelvic floor muscle training are effective options when conservative treatment is desired. Additional research is necessary to determine long-term outcomes in women who choose nonsurgical treatments. Nonsurgical options are important for women for whom surgery is contraindicated or not preferred.

Keywords: cystocele; literature review; nonsurgical treatment; pelvic floor muscle training; pelvic organ prolapse; pessary; procidentia; rectocele; uterine prolapse.

Publication types

  • Review

MeSH terms

  • Female
  • Humans
  • Pelvic Organ Prolapse / therapy*
  • Randomized Controlled Trials as Topic