Pelvic Organ Prolapse

About 3 percent of women have some level of pelvic organ prolapse, which can cause discomfort when exercising, having sex, or using the bathroom. For pelvic discomfort caused by prolapse, expert urologist and reconstruction specialist Angelo Gousse, MD, offers pelvic organ prolapse repair in Aventura, Miramar and West Palm Beach, Florida. At Bladder Health & Reconstructive Urology Institute, Dr. Gousse offers the most advanced techniques to repair pelvic organ prolapse and improve your comfort and quality of life. To set up a consultation, book online or call today.

Pelvic Organ Prolapse Q & A

Pelvic organ prolapse (POP) happens when the muscles and ligaments supporting your pelvic organs — including your uterus, bladder, and rectum — become weak or loose. This weakening allows your pelvic organs to drop out of their normal place and may cause the following symptoms:

  • Uncomfortable pelvic pressure during exercise or sex
  • Seeing or feeling a bulge protruding from the vagina
  • A feeling of discomfort, heaviness, or fullness in the vagina
  • Pelvic pressure that’s worse with standing or at the end of the day
  • Leaking urine (incontinence) or difficulty having a bowel movement
  • Difficulty inserting tampons


While these symptoms may be embarrassing, compassionate care is available at Bladder Health & Reconstructive Urology Institute.

POP is more common among older women, though certain risk factors may predispose you to developing the condition sooner or at a younger age. Risk factors include:

  • Vaginal childbirth
  • Long-term pressure on your abdomen, possibly caused by obesity, coughing, or straining during bowel movements
  • Giving birth to a baby weighing more than 8.5 pounds
  • Hormonal changes during menopause
  • Family history


If you’re at risk of developing POP, Dr. Gousse provides counseling to reduce certain risk factors, such as maintaining a healthy weight, quitting smoking, and improving your diet.

Yes, there are different types of POP that can be diagnosed based on which pelvic structures are involved. The most common types include:


A cystocele is prolapse of the bladder. This is the most common type of prolapse.


A rectocele is prolapse of the rectum.

Uterine prolapse

A uterine prolapse occurs when the uterus falls downward and bulges out of the vagina. This may be accompanied by an enterocele, or prolapse of the small intestine.

If you’ve had a hysterectomy or other pelvic surgery, you may develop scar tissue that predisposes you to certain types of prolapse. POP may also involve more than one organ at a time, depending on the severity of your condition.

Dr. Gousse may recommend noninvasive treatments — including physical therapy, use of pessaries, and watchful waiting — for mild cases. If your condition is severe or causing you distress, Dr. Gousse may recommend a surgical procedure to repair your prolapse. Different procedures include:

  • Transvaginal surgery
  • Laparoscopic surgery
  • Robotic surgery


Dr. Gousse does not use surgical mesh for prolapse repair due to current FDA warnings. Instead, he uses biologic allograft or native tissues during the repair procedure.

To schedule a pelvic organ prolapse repair consultation at Bladder Health & Reconstructive Urology Institute, call or book online now.

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