In the USA millions of women are affected by pelvic organ prolapse (POP).
The strict definition of POP is any descent of the anterior vaginal wall (roof of vagina/cystocele), the vaginal apex (uterine of vaginal vault prolapse), the posterior vaginal wall (floor of vagina/rectocele), or all of these.
Symptoms include pelvic heaviness, vaginal bulging, incomplete bowel or bladder emptying, bladder control issues or discomfort with intercourse.
Most patients with only mild to moderate prolapse experience little if any symptoms until some part of the vaginal wall or uterus actually protrudes beyond the opening of the vagina.
The main risk factors for POP are vaginal childbirth, conditions that increase the intra-abdominal pressure (heavy lifting, chronic cough), aging, smoking and a family/genetic history.
POP is common affecting 15-30% of women over the age of 50.
Lifetime risk of prolapse or incontinence surgery in the USA is ~ 11%.
Although minimally invasive surgical options for nearly every patient with POP are available, a large proportion can be managed successfully with pessaries, pelvic floor muscle exercises or both.
The physicians at Associated Gynecology have always avoided using synthetic mesh for POP surgeries.
Native tissues with permanent suture have led to very good outcomes.