Pelvic organ prolapse is a condition that affects many women, with up to 40% experiencing it in their lifetime. This podcast episode provides an in-depth discussion of pelvic organ prolapse, focusing on:



The causes, symptoms, and risk factors for pelvic organ prolapse
How pregnancy, genetics, and menopause may increase the risk of developing prolapse
What lifestyle factors affect prolapse
Common myths about sex and pelvic organ prolapse
The use of pessaries as a non-surgical treatment option
Surgical options, including reconstructive and obliterative surgery, and the considerations involved in choosing the right approach for person
The importance of choosing a high-volume surgeon for successful outcomes


 

Uncover everything about pelvic organ prolapse, from your two pelvic floor experts--Dr Jackson and Rosalind!
 


Key moments in this episode are:


00:00 What is pelvic organ prolapse
00:46 Vaginal anatomy
01:30 Weakened fascia
02:41 What causes prolapse--pregnancy
03:36 What causes prolapse--genetics
04:10 What causes prolapse--aging and lifestyle
05:50 Symptoms of prolapse
07:10 Sex and prolapse
07:59 Layers of the vagina
09:51 Treatment with observation
10:59 Nonsurgical treatment with pessaries
11:08 Interesting history of pessaries
12:38 Getting the right fit
13:57 Pessary care
14:56 The craziest pessary I ever used
16:23 Can't I just do Kegels?
18:35 Removing the stigma of a pessary
19:52 Mucus with a pessary
21:03 Surgery for prolapse
23:31 The topic of vaginal mesh
27:27 Possible complications with vaginal mesh
29:31 Can mesh be removed?
30:20 Slings vs vaginal mesh
32:15 When to consider surgery for prolapse
33:07 Obliterative vaginal surgeries
36:35 Recurrence of prolapse after surgery
37:38 Non-mesh options for vaginal repair
40:32 Choosing a high volume pelvic surgeon
 


Learn more about pelvic organ prolapse here:


https://www.augs.org/assets/2/6/POP.pdf
 
Learn about pessaries here:https://www.voicesforpfd.org/
 
Discover more about vaginal suspension surgery here:
https://www.augs.org/Vaginal_Suspension_Surgery.pdf
 
And learn about vaginal closure surgery (colpocleisis) here:https://www.augs.org/Colpocleisis.pdf
 


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