David Iles Urogynaecology
David Iles Urogynaecology

Vaginal Prolapse

A Urogynaecologist and Patient discussing Prolapse causes and treatment

Vaginal prolapse (medically known as pelvic organ prolapse) occurs when the muscles and supporting tissues of the pelvic floor weaken, allowing one or more pelvic organs to drop down and bulge into the vagina. These organs may include the bladder, uterus or bowel.

Prolapse is very common, particularly after childbirth and as women get older. Many women have mild prolapse without symptoms, while others may experience discomfort or a sensation of pressure in the vagina.

Specialist assessment can help determine whether treatment is needed and which options are most appropriate.

A Urogynaecologist and Patient discussing Prolapse causes and treatment

Vaginal (medically known as pelvic organ prolapse) occurs when the muscles and supporting tissues of the pelvic floor weaken, allowing one or more pelvic organs to drop down and bulge into the vagina. These organs may include the bladder, uterus or bowel.

Prolapse is very common, particularly after childbirth and as women get older. Many women have mild prolapse without symptoms, while others may experience discomfort or a sensation of pressure in the vagina.

Specialist assessment can help determine whether treatment is needed and which options are most appropriate.

Learn about Prolapse Treatment Options →

What are the symptoms of vaginal prolapse?

Symptoms vary depending on the type and severity of prolapse. Some women notice very little, while others experience more significant symptoms.

Common symptoms can include:

  • A feeling of heaviness or pressure in the vagina
  • A sensation of a lump or bulge in the vagina
  • Discomfort when standing for long periods
  • Difficulty emptying the bladder fully
  • Urinary leakage or urgency
  • Problems opening the bowels
  • Discomfort during sexual intercourse

Symptoms often become more noticeable with prolonged standing or at the end of the day.

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Common symptoms can include:

  • A feeling of heaviness or pressure in the vagina
  • A sensation of a lump or bulge in the vagina
  • Discomfort when standing for long periods
  • Difficulty emptying the bladder fully
  • Urinary leakage or urgency
  • Problems opening the bowels
  • Discomfort during sexual intercourse

Symptoms often become more noticeable with prolonged standing or at the end of the day.

Types of vaginal prolapse

Different types of prolapse are named according to the organ involved.

Prolapse - normal - colour

Anterior vaginal prolapse (cystocele)

The bladder bulges into the front wall of the vagina.

Uterine prolapse

The uterus descends down into the vagina.

Posterior prolapse (rectocele)

The bowel bulges into the back wall of the vagina.

Some women may have more than one type of prolapse at the same time.

 
Prolapse - normal - colour

Anterior vaginal prolapse (cystocele)

The bladder bulges into the front wall of the vagina.

Uterine prolapse

The uterus descends down into the vagina.

Posterior prolapse (rectocele)

The bowel bulges into the back wall of the vagina.

Some women may have more than one type of prolapse at the same time.

 

What causes vaginal prolapse?

Pelvic organs are supported by the pelvic floor muscles and connective tissues. When these supports weaken, the organs can gradually move downwards.

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Common causes Include:

  • Pregnancy and childbirth
  • Ageing and menopause
  • Chronic coughing
  • Constipation and straining
  • Being overweight
  • Genetic weakness of connective tissue

Common causes Include:

  • Pregnancy and childbirth
  • Ageing and menopause
  • Chronic coughing
  • Constipation and straining
  • Being overweight
  • Genetic weakness of connective tissue
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Often several of these factors are present together.

 

Treatment options for vaginal prolapse in Manchester

Treatment depends on the severity of symptoms and how much the prolapse is affecting your quality of life. It is tailored to your symptoms, examination findings, and personal preferences.

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ChatGPT Image Mar 18, 2026, 11_30_01 PM
Surgery

Pelvic Floor Physiotherapy for Prolapse

Strengthening the pelvic floor muscles can improve symptoms in many women, particularly in mild prolapse.

Pessary Treatment for Prolapse

A vaginal pessary is a soft device placed in the vagina to support the prolapse. Many women find this a simple and effective non-surgical option.

Prolapse Surgery Options

Surgery may be considered when prolapse symptoms are more severe or when other treatments have not been successful. The aim is to restore the normal support of the pelvic organs and improve symptoms.

Treatment options for vaginal prolapse in Manchester

Treatment depends on the severity of symptoms and how much the prolapse is affecting your quality of life. It is tailored to your symptoms, examination findings, and personal preferences.

Pelvic Floor Physiotherapy for Prolapse

Strengthening the pelvic floor muscles can improve symptoms in many women, particularly in mild prolapse.

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Pessary Treatment for Prolapse

A vaginal pessary is a soft device placed in the vagina to support the prolapse. Many women find this a simple and effective non-surgical option.

ChatGPT Image Mar 18, 2026, 11_30_01 PM

Prolapse Surgery Options

Surgery may be considered when prolapse symptoms are more severe or when other treatments have not been successful. The aim is to restore the normal support of the pelvic organs and improve symptoms.

Surgery

Treatment decisions are always individualised based on your symptoms and preferences.

Learn more about Prolapse Treatment in Manchester →

 

When should you see a specialist?

Pelvic organ prolapse is not a dangerous condition.

For most women, the decision to seek treatment is based on how much symptoms are affecting quality of life.
Many women have mild prolapse that does not require treatment.
However, early advice and conservative treatments can help manage symptoms and may reduce the risk of them worsening over time.

Specialist assessment may be helpful if you experience:

  • A sensation of a vaginal bulge or worsening heaviness that is bothersome
  • Symptoms that are affecting your daily activities, comfort, or ability to exercise
  • Bladder symptoms such as leakagr or urgency impacting your routine
  • Bowel symptoms such as difficulty opening the bowels or needing to strain
  • Discomfort during sexual activity
  • A feeling that your symptoms are worsening or becoming more intrusive
  • Uncertainty about whether your symptoms are normal or whether treatment might help
Clinic consultations room
  • A sensation of a vaginal bulge or worsening heaviness that is bothersome
  • Symptoms that are affecting your daily activities, comfort, or ability to exercise
  • Bladder symptoms such as leakagr or urgency impacting your routine
  • Bowel symptoms such as difficulty opening the bowels or needing to strain
  • Discomfort during sexual activity
  • A feeling that your symptoms are worsening or becoming more intrusive
  • Uncertainty about whether your symptoms are normal or whether treatment might help
Clinic consultations room

If your symptoms are affecting your quality of life, even if they seem mild, it is reasonable to seek advice and explore your options.

Book a consultation

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