Pelvic Organ Prolapse

Pelvic Organ Prolapse Care at UVM Health

Pelvic organ prolapse occurs when the muscles and tissues that support the pelvic organs become weak or stretched. This can cause organs — such as the bladder, uterus or rectum — to shift downward and press into the vagina. Prolapse is common, especially after childbirth, aging or pelvic surgery. Many treatments can help relieve symptoms and improve daily comfort.

Why Choose UVM Health?

As one of the region’s leading providers, we offer:

Advanced technology: We use sophisticated medical tools and technology to diagnose and treat pelvic floor prolapse, including robotic-assisted sacrocolpopexy — a minimally invasive surgical procedure that can reduce scarring and recovery time.
Leading-edge care: As part of a health system anchored by an academic medical center, our physicians are active researchers and educators who help train the next generation of experts. This academic connection keeps our care aligned with the latest evidence-based practices and innovations.

Pelvic Organ Prolapse Symptoms

Common symptoms include:

A feeling of pressure, fullness or heaviness in the pelvis
A bulge or “something falling out” sensation in the vagina
Trouble emptying the bladder or bowel
Leaking urine
Pain or discomfort during sex
Lower back or pelvic pain
Symptoms that worsen after standing or lifting and improve when lying down

Diagnosing Pelvic Organ Prolapse

Your provider will ask about your symptoms and medical history and perform a pelvic exam to check the position of your pelvic organs and strength of your pelvic floor muscles.

Testing may include:

Bladder function tests: To evaluate urine flow or leakage
Imaging tests: Such as ultrasound or MRI
Post‑void residual test: To see how well you empty your bladder

These tools help determine the type and severity of prolapse so your care team can tailor the right treatment plan.

Pelvic Organ Prolapse Treatment

Many people improve with non-surgical treatments. Common options include:

Lifestyle changes: Managing constipation, quitting smoking and avoiding heavy lifting
Pelvic floor physical therapy: Exercises (such as Kegels) to strengthen pelvic muscles
Pessary device: A small, removable device placed in the vagina to support pelvic organs
Medications: Such as vaginal estrogen to improve tissue strength after menopause
Surgery: Recommended for more severe prolapse or when other treatments are not effective

Your provider will help you choose the treatment that best supports your comfort, daily function and long-term quality of life.