![]() ![]() Any exercise that is so strenuous you have to hold your breath is to intense and will increase intra-abdominal pressure causing an overload on the pelvic floor increasing risk of further prolapse. In addition, see treatment under Incomplete Emptying/Post-Void Dribble for self-management strategies. Treatment for Bowel and Bladder Retraining are also very beneficial for treating the symptoms of POP. Strengthening of the pelvic floor muscles (Kegels) are typically indicated for POP however it is very important to see a pelvic floor physical therapist to ensure you are performing Kegels correctly. Grades 1 and 2 can usually improve with physical therapy. Typically a grade 3 or 4 depending on symptoms and quality of life is considered to be a surgical case. There are 4 stages of prolapse (1=mild to 4=severe) and it is possible to experience a range in severity of symptoms that do not necessarily coincide with the level of prolapse. Incontinence may be present but is not necessarily a sign of prolapse.Difficulty emptying bowel/defecation (resulting in internal splinting or pushing near anus to facilitate evacuation of stool).Difficulty emptying bladder/urination (resulting in double-voiding or frequent urination).“Falling out feeling”/downward pressure.POP can be painful but typically women will complain of pressure rather than pain, along with other symptoms including the following: Pelvic Organ Prolapse (POP) is basically a hernia of the vaginal walls allowing for the bowel, bladder, and/or uterus to bulge into the vagina. Post-Void Leaking (leaking after urination).Defecation Dyssynergia/Difficulty with Defecation.Hesitancy/Difficulty Starting Urine Stream.Overactive Bladder (OAB)/Frequency/Urgency.Dyspareunia/Pain with Intercourse or Orgasm.Interstitial Cystitis (IC)/Painful Bladder Syndrome (PBS).
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