Pemberton • Whistler
Sports Injuries • Pelvic Floor Physiotherapy • Dry Needling • Acupuncture • Visceral Therapy

Pelvic Organ Prolapse

Occurs when part of the pelvic organs descends into the front, back or sides of the vaginal wall.

Different types of Prolapse:

  • Apical: descent of the uterus/cervix through the vagina (can commonly happen post-partum)
  • Anterior: front of vaginal wall is pushed down by the bladder and/or urethra (also called a cystocele or cystourethrocele)
  • Posterior: back of vaginal wall is pushed down by the rectum (also called rectocele)
  • Perineal Descent Syndrome: the perineum “balloons” downward when coughing/ sneezing or straining (either with a bowel movement, or lifting something very heavy while holding your breath)
  • Rectal Prolapse: rectal tissue prolapses through the rectum


  • Heaviness or a feeling of falling out in the perineum.
  • Pressure or pain in the pelvis and/or low back
  • Increased frequency and/or urgency to urinate
  • Dribbling after feeling like you are finished voiding
  • A feeling of incomplete emptying after going to the washroom
  • Straining to release stool, which may be associated with incomplete evacuation

Grading of Severity

Can check this on your own by using a mirror when standing or lying on your back, or by manually checking by inserting one or two fingers into vagina.  May have to bear down (cough , sneeze, or initiate a bowel movement) while checking to see or feel if there is anything descending in the vagina.

  • Grade 1: (mild) slight descent, not visible at vaginal opening
  • Grade 2: (moderate), visible at vaginal opening
  • Grade 3: (severe), visible at vaginal opening, and protrudes out from here
  • Procidentia: complete prolapse of the uterus

How Angela Simpson Physiotherapy can help you:

  • Perform an external and possibly internal pelvic floor exam to determine if a prolapse is present, and the type and severity.
  • Teach you techniques to help control and possibly correct for the prolapse
  • Educate you about what can make a prolapse get better or worse over time