Did you know Pelvic organ prolapse (POP) is a very common condition, affecting up to 50% of women? 1

  • POP symptoms can include vaginal pressure or bulging, urinary incontinence, urinary retention, recurrent UTIs, and sexual pain.
  • Australian research estimates 1 in 9 women will ultimately have surgery for POP 2
  • POP symptoms can really affect your quality of life and impact your ability to do the things you love.
  • The treatment options for POP are; monitoring, conservative Physiotherapy management, or Surgical management.

Exhale Physio can help you with Pelvic Organ Prolapse!

  • Substantial evidence exists supporting the effectiveness of physiotherapy conservative management of POP using pelvic floor muscle training 3,4
  • In 2013, a new “management pathway” for POP was published, which include Physiotherapists in the fitting and management of pessaries for prolapse5.
  • As a specially trained pelvic floor physiotherapist I have undertaken a post-graduate university course in pessary management of pelvic organ prolapse6.

What is a Pessary?

  • A pessary is a silicone device inserted into the vagina to provide structural support for POP.
  • Your pessary will be selected based on the type of prolapse you have and the symptoms you are experiencing.
  • Some pessaries need to be taken out every day (e.g. the cube) and others can stay in for days at a time. How you choose to use your pessary is up to you. Some women just like to use them for sport, whilst others will wear them every day.
  • When the pessary is fitted correctly you will not feel or notice it (much like a tampon) and it should give you significant improvement in your bulge/ continence symptoms.

If you are experiencing prolapse symptoms, firstly know that you are not alone, and secondly that Exhale Physio can help! Pessaries can be a really effective way to manage POP and get you back to doing the things you love.

If you are interested in hearing more about pessaries don’t hesitate to contact me or book an appointment for a thorough assessment.

Ruth x

NOTE: Pessary fitting is undertaken at the Alana Healthcare clinic

  1. Thakar R & Stanton, S 2002, ‘Management of genital prolapse’ British Medical Journal. Vol. 324, no. 7348, pp. 1258-1262.
  2. Smith, FJ, Holman, CDJ, Moorin, RE & Tsokos, N 2010, ‘Lifetime Risk of Undergoing Surgery for Pelvic Organ Prolapse’, Obstetrics and Gynecology, vol. 116, no. 5, pp. 1096-1100.
  3. Dumoulin, C 2017, ‘PFMT and pessary’, in A Abrams, L Cardozo, A Wagg & A Wein (eds), Incontinence: 6th International Consultation on Incontinence, Tokyo, September 2016, International Continence Society, Bristol, England, pp. 1563–1576, 1623–1625.
  4. Braekken, IH, Majida, M, Engh, ME & Bo, K 2010, ‘Can pelvic floor muscle training reverse pelvic organ prolapse and reduce prolapse symptoms? An assessor-blinded, randomized, controlled trial’, Am J Obstet Gynecol, vol. 203, no. 2, Aug, pp. 170 e171-177.
  5. Management Pathway: Management of pelvic organ prolapse with pessaries (accessed on 12/04/19).
  6. Professional Certificate in Conservative Management of Pelvic Organ Prolapse http://unisa.edu.au/physioprofcert (accessed on 12/04/19).