Pelvic organ prolapse


Our leading gynaecologists can diagnose and treat vaginal prolapse with advanced reconstructive surgery

Enquiries & Appointments

Breast examination_315469034.jpeg

What is vaginal prolapse?

Over time, a woman's pelvic floor muscles are weakened by pregnancy, child birth and weight gain. These muscles support the uterus, small bowel, colon and bladder, and if the muscles weaken these organs may bulge into the vagina. This causes pain, possible incontinence and makes it hard to pass a bowel movement.

Need to know

A woman may experience different types of prolapse as different areas of pelvic floor muscle weaken. It's possible for the uterus, rectum, bowel or bladder to fall into the vagina. General symptoms of vaginal prolapse include:

  • a heavy feeling in the pelvis
  • feeling as though you're sitting on a small ball
  • feeling as though something is coming out of the vagina
  • difficulty passing urine and an increased need to visit the toilet
  • numbness during sex
  • passing urine when you sneeze or exert yourself
  • constipation

If you can see a lump of bulge coming out the vagina, you may need to seek urgent medical help.

Your consultant will discuss your symptoms with you and help to make a diagnosis. You may ask to see a consultant for a physical examination. He or she will feel for any lumps in the pelvic area and vagina. They may also use a speculum — an instrument used during a smear test — to see inside the vaginal walls and check for signs of prolapse. A prolapsed rectum may involve a rectal exam. Your consultant may also suggest a urine test to check for infection.
Your consultant will discuss your treatment options and help to determine the best approach for you. If the prolapse is causing mild symptoms, they may recommend pelvic floor exercises to help strengthen the muscles in this area. They may order obliterative or reconstructive surgery if the prolapse is severe. The first closes off the vagina in order to support the trapped organs. The second reconstructs the pelvic floor using a woman's own soft tissue and returns organs to their original condition. This surgery is either performed through the vagina or through the abdomen, causing less pain during sex.

Our locations

The Harley Street Clinic

The Harley Street Clinic

35 Weymouth Street W1G 8BJ London
The Portland Hospital

The Portland Hospital

205-209 Great Portland Street W1W 5AH London
The Princess Grace Hospital

The Princess Grace Hospital

42-52 Nottingham Place W1U 5NY London

Patient stories

This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.