Pelvic Organ Prolapse Specialist

UroGyn Specialists of Florida

Gynecologists & Urogynecologists located in Orlando, FL & Lake Mary, FL

Pelvic organ prolapse is more common than one might think. The doctors at UroGyn Specialists of Florida with offices in Orlando, Lake Mary and Kissimmee, Florida offer discreet and effective treatments for this condition.

Pelvic Organ Prolapse Q & A

What is pelvic prolapse?

Pelvic prolapse is a condition where an organ in the pelvic area drops out of its normal position. Some of the organs that may prolapse include the uterus, the top of the vagina, the bladder, rectum, or even part of the small intestine.

How can I tell if I have a pelvic prolapse?

Most pelvic prolapses are mild with the organ only slightly descending and not cause any noticeable symptoms. However, if the prolapse is severe women may notice a bulge at or past the vaginal opening. Other symptoms may include feeling full or heavy in the pelvic area, aching in the lower abdomen, pain or discomfort during sex, or having trouble urinating or passing stool. The doctor can diagnose a pelvic prolapse during an annual pelvic exam during the annual well-woman visit.

What causes pelvic prolapse?

Pelvic prolapse is common when the pelvic floor is weakened or damaged. For example, if the muscles or fascia become weak or damaged organs like the uterus, bladder, vagina, and rectum may slide out of place. Weakness in the pelvic floor is often caused by vaginal childbirth, however, having children doesn’t mean that you’ll definitely have pelvic prolapse. Pelvic prolapse is hereditary, so if a family member experienced this disorder, your risk increases. Also, injury to the pelvic floor, chronic constipation, obesity, and heavy lifting can contribute to the development of pelvic prolapse.

How is a pelvic prolapse treated?

Treatment for a pelvic prolapse depends on the severity of the condition. Women who have only mild prolapses may only need to have regular checkups and pelvic exams to ensure that the prolapse isn’t becoming more severe. Other women may benefit from using a pessary. A pessary is a small device that is inserted into the vagina to help to hold the pelvic organs in place. Women may also be advised to practice Kegel exercises. Kegel exercises strengthen the pelvic floor and can help hold the pelvic organs in place. In severe cases, surgery may be necessary to repair the prolapse. Surgery may involve reconstruction of the pelvic floor, the placement of supportive mesh devices, or in some cases, closing off the vagina to prevent prolapse organs from exiting the body. Reconstructive surgery may include fixation or suspension using the patient’s own tissues or surgical mesh. Other procedures include sacrocolpopexy and colporrhaphy. Whenever possible, the surgery is completed with minimally invasive techniques like laparoscopy.

Billling & Insurance

UroGyn Specialists of Florida accepts most major insurance plans. Please remember to bring your insurance card(s) with you on the day of your appointment. Contact your primary care physician to obtain a referral from your insurance carrier, if it is required by your insurance. If this referral is not obtained by the time of your visit, you will be rescheduled. Additionally, under the rules of all HMO and PPO policies, patients will be responsible for paying their co-payment at the time of the appointment.

Referrals are needed for the following insurances:

  • HMO's
  • Tricare
  • FHHS Rosen (every six months)
  • Wellcare (yearly)

Aetna
AvMed
Beech Street
Blue Cross Blue Shield
Cigna
Digestive and Liver Center of Florida, P.A.
Florida Hospital
Health First
HealthEase
Humana
Medicare
Multiplan, Inc.
Orlando Center For Outpatient Surgery
WellCare
WellMed
Winnie Palmer Hospital For Women & Babies
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