What Is Prolapse? 

Pelvic organ prolapse occurs when the pelvic floor muscles, ligments and connective tissues weaken, allowing the bladder, uterus, rectum or bowel to descend into the vaginal canal. 

Common types include: 

• Cystocele (bladder prolapse into the vagina) 

• Uterine prolapse 

• Rectocele (rectal prolapse into the vagina) 

Common Causes and Risk Factors 

Prolapse is most commonly associated with: 

• Pregnancy and vaginal childbirth 

• Chronic constipation and straining 

• Heavy lifting 

• Altered breathing pattern and/or poor core coordination 

• Persistent coughing 

• Obesity 

• Menopause (declining oestrogen levels) 

• Genetic connective tissue weakness 

Identifying your contributing factors allows us to design a treatment plan tailored specifically to you. 

Prolapse Symptoms That Require Assessment

You may notice: 

• A vaginal bulge or pressure sensation 

• Heaviness or dragging in the pelvis 

• Incomplete bladder or bowel emptying 

• Urinary leakage 

• Weak, slow urine stream 

Symptoms often worsen after long periods of standing, lifting, exercise, or at the end of the day. 

Early assessment can prevent progression and significantly improve symptoms. 

Conservative Prolapse Management 

Physiotherapy-First Approach

For most women, surgery is not the first step. 

Pelvic floor physiotherapy is considered best practice for mild to moderate prolapse. Our approach includes: 

• Individualised pelvic floor strengthening programs 

• Breath and abdominal pressure management strategies 

• Defaecation and bladder emptying techniques 

• Postural and lifting education 

• Exercise modification to protect pelvic structures 

• Pessary and prolapse supportive garment fitting 

We monitor your progress closely and adjust your program as your strength and symptoms improve. 

Many women avoid or delay surgery with structured physiotherapy.