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Home » Gynecology » Vaginal Reconstruction (Pelvic Organ Prolapse)

Vaginal Reconstruction (Pelvic Organ Prolapse) in Cincinnati, OH

Pelvic organ prolapse (POP) or dropped bladder is an extremely common condition affecting nearly 50 percent of women over age 50. Our women’s health specialists at Crescent Women’s Medical Group, led by board-certified gynecologists (OB-GYN) Drs. Chandra Gravely and Cindy Hansel, are experts in correcting pelvic organ prolapse, or dropped bladder. Our friendly office welcomes women from the Cincinnati and Blue Ash areas of Ohio, and the surrounding communities.

What is Pelvic Organ Prolapse?

In many women, the natural structure that supports the pelvic region has been compromised or injured, causing it to prolapse, sag, bulge or drop. Several natural and surgical factors may cause the pelvic floor to weaken, causing organs to prolapse or descend. It may be the vagina itself that drops or the bladder, urethra, cervix or rectum may drop, causing bulging tissue to protrude through the vaginal opening.

Symptoms of Dropped Bladder or Pelvic Organ Prolapse (POP)

During the early stages of bladder or prolapse of any organ in the pelvic region, the symptoms are mild and may go unnoticed, while worsening over time. It takes years for symptoms to progress to the point that a woman will seek treatment. Frequent visits, screenings, and examinations by our specialists at the Crescent Women’s Medical Group, will help you manage the condition as efficiently as possible. We recommend that you come in immediately if you notice any of the following symptoms:

  • Bulging in the vagina
  • A spraying urine stream
  • A weak urine stream
  • Assistance in pushing stool out by inserting fingers into the vagina
  • Unusual dampness noticeable in underwear
  • Difficulty starting to urinate
  • Pain or discomfort due to vaginal dryness during sex
  • The sensation of sitting on a lump or ball
  • Heavy sensation in vagina
  • Inability to wear a tampon
  • Pelvic pain
  • Vaginal pressure
  • Sensation that bladder is not emptying fully when urinating
  • Needing to lift up the bulging vagina or uterus to start urination
  • Frequent urination
  • Urine leakage during sexual activity

Causes and Risk Factors of Pelvic Organ Prolapse (POP) or Dropped Bladder

There are many vaginal and pelvic injuries, conditions, and factors, such as heredity, medical history and lifestyle that can lead to prolapsed organs. For example, the strength of our bones, muscles, and connective tissue are all genetically influenced. Pelvic support may be diminished when any part of the pelvic floor is injured during vaginal delivery, surgery (such as a hysterectomy), pelvic radiation or back and pelvic fractures or other injuries.

Pelvic organ prolapse and dropped bladder may also be caused or exacerbated by any combination of the following factors:

  • Aging
  • Back injuries
  • Chronic coughing
  • Chronic straining
  • Constipation
  • Debilitating nerve and muscle disease
  • Heavy lifting
  • Hysterectomy
  • Obesity
  • Pelvic fractures
  • Pelvic radiation
  • Smoking
  • Surgery (abdominal, vaginal)
  • Vaginal delivery

Tests to Diagnose a Pelvic Organ Prolapse (POP) and Dropped Bladder

At the Crescent Women’s Medical Group, we encourage women to openly discuss their symptoms. Typically, our team of medical specialists can diagnose pelvic organ prolapse or a dropped bladder simply by listening to patients describe their symptoms and from visual observation. A pelvic exam is performed to determine if pelvic floor support has been lost. Once the proper diagnosis is established, we will discuss treatment options.

Treatment and Procedures for Dropped Bladder or Pelvic Organ Prolapse (POP)

When the top of the vagina drops or the bladder prolapses due to loss of the natural support structure of the pelvic floor, this condition may be surgically repaired to restore the original support structures. This procedure involves attaching the top of the vagina to the proper site of attachment by way of the following:

  • Laparoscopy
  • Minimally-invasive surgery
  • Robot-assisted surgery

If you live in Cincinnati, Blue Ash or the surrounding areas of Ohio and want to learn more about the causes and solutions for pelvic organ prolapse or a dropped bladder, contact the Crescent Women’s Medical Group today.