Urogynecology and Pelvic Floor Disorders

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Symptoms

Pelvic Organ Prolapse

Typical symptoms in women with pelvic organ prolapse:

Vaginal:

  • Sensation of a bulge or protrusion
  • Seeing or feeling a bulge or protrusion
  • Pressure
  • Heaviness

Urinary:

  • Incontinence
  • Frequency
  • Urgency
  • Weak or prolonged urinary stream
  • Hesitancy
  • Feeling of incomplete emptying
  • Manual reduction of prolapse to start or complete voiding
  • Position change to start or complete voiding

Bowel

  • Incontinence of flatus, or liquid or solid stool
  • Feeling of incomplete emptying
  • Straining during defecation
  • Urgency to defecate
  • Digital evacuation to complete defecation
  • Splinting, or pushing on or around the vagina or perineum, to start of complete defecation

Sexual

  • Dyspareunia (painful sexual intercourse)
  • Decreased sexual desire due to decreased body image associated with prolapse