A member of the Pro-Health Organization, Dr. Maureen Muoneke is a medical consultant at the Georgia Division of Aging Services. With over two decades of experience obstetrician and gynecologist, Dr. Maureen Muoneke has provided health care to patients with various gynecologic conditions, including pelvic organ prolapse and uterine fibroids.
Pelvic organ prolapse happens when an organ situated within the pelvis or lower abdomen drops from its normal position, pushing against the walls of the vagina. Although bladder prolapse is the most commonly seen, other organs that can prolapse include the vagina, urethra, rectum, small bowel, and uterus. In some cases, more than one organ prolapse simultaneously.
Pelvic organ prolapse often occurs due to a weak or overstretched pelvic muscle. This may result from childbirth or certain surgeries. Aside from sensing constant pressure in the vagina, other symptoms may include feeling like something is falling out through the vagina, painful sex, constipation, incontinence, and pain in the lower back.
Although pelvic organ prolapse can run in families, older women are more likely affected. During diagnosis, a doctor may ask about the patient’s symptoms and also perform a physical examination. Treatments depend on which organ is affected and how bad the symptoms are. Special exercises called Kegels are recommended for mild symptoms. If symptoms persist, the doctor may have the patient fitted with a pessary, a device that helps with the pressure and pain of pelvic organ prolapse. Surgery is another option, but not suitable for a patient who plans to have a child in the future.
Dr. Maureen Muoneke 