Pelvic organ prolapse - assessment, treatment and a return to quality of life.
Pelvic organ prolapse (descent of the uterus, vagina, bladder or rectum) is a common problem, especially after childbirth and during menopause. It can cause a feeling of “heaviness” or pressure in the vagina, a visible bulge, urinary or bowel difficulties and discomfort during intercourse. At Polyclinic Cito we perform a detailed gynecological assessment and propose the best treatment plan - from exercises and local therapy, through pessary use, to surgical options when needed.
Pelvic organ prolapse occurs when the supporting structures of the pelvic floor (muscles and connective tissue) weaken, so the pelvic organs move downwards and can “bulge” into the vagina or outwards. In other words, the structures that normally hold the organs in place weaken, so the organs descend and cause various problems. The most common causes are childbirth, ageing, menopause, obesity or a chronic cough.
Note: It can be mild and without symptoms - it is treated when it causes complaints or impairs quality of life.
If you have symptoms or a suspicion of organ prolapse, the examination allows an assessment of the degree of prolapse and the choice of appropriate treatment.
The gynaecologist assesses when the feeling of pressure occurs, whether there are problems with urination and bowel movements, and the impact of the symptoms on daily life.
A gynaecological examination is performed, assessing the position of the vagina and pelvic organs and the degree of descent (if needed in different positions/under strain).
Ultrasound helps in the further assessment of pelvic structures and in ruling out other causes of complaints.
Based on the findings, an individual treatment plan is agreed, which may include exercises, local therapy, a pessary or surgical methods if needed.
If you have given birth, it is useful to state the number of deliveries and any complications during childbirth.
The aim of the examination is to make a clear diagnosis and create a plan that helps to reduce the symptoms and improve the quality of everyday life. Our team provides you with:
What you can do at home, when a follow-up is needed and which symptoms to pay attention to.
Pelvic organ prolapse is a sensitive topic - that is why discretion, experience and a realistic plan are important. Our team provides you with:
You don't have to suffer - there are effective options that significantly make everyday life easier.
The price at Cito Polyclinic is 40€. Please bear in mind that additional diagnostic tests, such as a Pap test and an ultrasound examination, are not included in this price and are charged separately according to the current price list.
You can get the first available appointment straight away by phone on +385 21 457 800 or by sending a short message via the contact form.
Specialist in Gynecology and Obstetrics
Subspecialist in Gynecological Endocrinology and Human Reproduction
Specialist in Gynecology and Obstetrics
Subspecialist in Gynecological Endocrinology and Human Reproduction
Specialist in Gynecology and Obstetrics
Subspecialist in Gynecological Endocrinology and Human Reproduction
Specialist in Gynecology and Obstetrics
Specialist in Gynecology and Obstetrics
Find answers to common questions about this service
A feeling of descent, pressure, difficult urination/defecation and vaginal protrusion. The diagnosis is clinical, with ultrasound and urodynamic tests as needed.
Pelvic floor physiotherapy, pessary therapy and surgical corrections (native tissue or mesh) depending on the degree and symptoms.
For pronounced symptoms or failure of conservative measures; methods include vaginal and abdominal (laparoscopic) approaches.
Regular pelvic floor exercises, body weight management, treatment of cough/constipation and avoiding heavy lifting.
