Function Ability Physical Therapy
Pelvic Organ Prolapse

The symptoms of a pelvic organ prolapse include a bulging feeling in the vagina that worsens as the day progresses, urinary incontinence, or constipation.

The types of pelvic organ prolapse are listed below:

  • Cystocele – The bladder bulges into the vagina through the tissue between the bladder and vagina, causing the bladder to come down into the vagina; it does not break through the tissue. It is graded from 1 to 3 according to the amount of descent.
  • Rectocele – The anterior wall of the rectum bulges into the posterior wall of the vagina and can cause a feeling of increased pressure and difficulty moving bowels.
  • Urethrocele – The tissue between the vagina and the urethra weakens, causing the urethra to push into the vagina.
  • Uterine prolapse – The uterus slips into the vagina, causing a bulging sensation. It is measured in grades between 1 and 4, with 4 being the most involved.
  • Enterocele – Organs such as the small intestine can bulge through the vagina. This is more commonly seen following a hysterectomy. This does not mean that after a hysterectomy you are likely to have an enterocele.

A physical therapist trained in connective tissue therapies and women’s health can locate regions in the body causing a strain pattern or pull on the connective tissue systems such as: fascial, muscles, ligaments and joints causing the pelvic organs to be unstable and prolapsing into or through the vaginal. Aligning the biomechanics in these regions support the health and strength of the pelvic organs.

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Hysterectomy Guidelines

  • Plenty of rest

  • Safe exercises immediately after a hysterectomy

  • Abdominal breathing exercises

  • Leg and feet circulation exercises

  • Range-of-motion exercises during bed rest

  • Roll to your side to get out of bed

  • Progressive walking exercises, beginning with 100 feet

  • Pelvic floor strengthening exercises

  • Avoid heavy lifting (2-4 lbs) 6 weeks

  • Avoid strength exercises for three months