Pelvic Organ Prolapse

Pelvic pressure, discomfort, or urinary leakage can all be signs of pelvic organ prolapse. At the Institute for Gynecology Minimally Invasive and Robotic Surgery in Englewood, New Jersey, Yitzhack Asulin, MD, FACS, FACOG, provides compassionate, expert care for women experiencing prolapse symptoms. Using the latest minimally invasive and robotic surgical techniques, Dr. Asulin helps restore pelvic support, relieve discomfort, and improve quality of life. Schedule an appointment by phone or online to learn about your treatment options and regain confidence in your body’s strength and function.

What is pelvic organ prolapse?

Pelvic organ prolapse occurs when the muscles and connective tissues that support your pelvic organs—such as the bladder, uterus, rectum, or vagina—become weakened or stretched. This loss of support allows one or more organs to drop or press into the vaginal wall, causing a sensation of heaviness or pressure in the pelvic area.

Prolapse can develop gradually and is common among women who have given birth, experienced menopause, or undergone pelvic surgery. Though not life-threatening, it can significantly affect daily comfort and confidence.

What are the symptoms of pelvic organ prolapse?

Symptoms can vary depending on which organs are involved and the severity of the prolapse.

Common signs include:

• A feeling of pressure, fullness, or bulging in the vagina
• Lower back or pelvic pain that worsens with standing or lifting
• Difficulty emptying the bladder or bowels
• Urinary incontinence (leakage) or frequent urinary tract infections
• Discomfort or pain during sexual intercourse
• A visible bulge or tissue protruding from the vaginal opening

If you experience any of these symptoms, it’s important to seek evaluation. Early intervention can prevent worsening and help restore function.

What causes pelvic organ prolapse?

Several factors can weaken the pelvic floor muscles and connective tissue, including:

• Vaginal childbirth or multiple deliveries
• Aging and decreased estrogen levels after menopause
• Chronic constipation or straining
• Obesity or frequent heavy lifting
• Prior pelvic surgery or hysterectomy
• Understanding the underlying cause helps Dr. Asulin develop a personalized plan to strengthen and support your pelvic floor.

How is pelvic organ prolapse treated?

Treatment depends on the type and severity of your prolapse, as well as your lifestyle and goals. Options include:

• Pelvic floor therapy: Targeted exercises to strengthen supporting muscles
• Pessary device: A small, removable device placed in the vagina to support pelvic organs
• Minimally invasive or robotic surgery: Procedures that lift and secure the organs using advanced techniques for faster recovery and lasting results

Dr. Asulin takes a compassionate, patient-centered approach to help you regain comfort and confidence. Schedule your consultation by phone or online to discuss your best options for pelvic organ prolapse care.