Conservative management of pelvic organ prolapse

Research output: Contribution to journalArticlepeer-review


Pelvic organ prolapse is a common condition with 1 in 10 women undergoing surgery during their lifetime. In the community 8% of women complain of the symptom of a vaginal bulge which is the symptom that most closely correlates with the finding of a prolapse on examination. Pelvic organ prolapse can impair urinary, bowel and sexual function. The NICE National Guideline Urinary Incontinence and Pelvic Organ prolapse in Women: Management makes recommendations on the assessment and treatment of pelvic organ prolapse. The most important part of prolapse management is obtaining a comprehensive pelvic floor history and understanding the woman's treatment goals and expectations. A standardised examination aids further decision making. Conservative treatment options include observation, lifestyle advice, pelvic floor muscle training and use of a pessary. Treatment choice is guided by patient preference.

Original languageEnglish
Pages (from-to)35-41
Number of pages7
JournalObstetrics, Gynaecology and Reproductive Medicine
Issue number2
Early online date4 Jan 2021
Publication statusPublished - 1 Feb 2021


  • pelvic floor muscle training
  • pelvic organ prolapse
  • pessary


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