Avoid Surgery for Vaginal Prolapse

[@colldollm51]

I have been seeing a urogynecologist who is rather brash, has explained little, thinks my questions are superfluous, and has offered extensive surgery as the only option. Once I realized where he was coming from, I thanked him and said, "Goodbye" - instinctively I also feel my prolapse is a fitness issue and will pursue seeing a DPT for long term results. Thanks very much for your explanations!

[@thepelvicfloorsolution]

Good luck

[@nicolelemos5056]

This was extremely helpful and I wish doctors would speak to women about this. I believe I could have 💯% healed this issue before it became the issue now. I had two vaginal births back to back, (July 21 + Oct 22) and severe pelvic pain my second pregnancy to the point I could barely walk. And complained to my OB and asked to be sent to a pelvic floor therapist. Neither of them stressed the importance of doing exercises and that it could lead to this. It’s very upsetting bc I believe this could have been prevented and caught if we had better postpartum care. Postpartum care looking for this issue and teaching women how to prevent it and repair their muscles after pregnancy. Thank you for this video! And it encourages me to share this video!

[@JuliaMonster]

I want to say this. I started doing hypopressives 7 months of pelvic PT after 2 vaginal births. Did an ultra sound found out my prolapse lessened from a 2 to a 1 from moderate to minimal. There is still healing that can be done. I send you mommy respect for sharing. Most woman can heal alot from this.

[@alyzimm1741]

Thank you for this information. I went to my OB GYN because I was having prolapse symptoms and she said I could either have surgery or a pessary and that exercises wouldn't help. It makes me sick to think she would have done the surgery and I wouldn't have thought that I needed to do exercises and then it would just reoccur... This is just an example of why I don't trust doctors except for KZbin doctors like yourself who really care about people and want to help them.

[@thepelvicfloorsolution]

Thank you!

[@flowersnpearls8179]

Doctor, I was recently diagnosed with vaginal prolapse Stage 1. What an excellent illustration of the condition. You are a brilliant teacher. Thank you.

[@thepelvicfloorsolution]

Thank you. Check out PfilAtes.com for an excellent program.

[@sarahporter9541]

Thisnshould be taught to every pregnant woman! And also given proper exercise instruction. I will pass this on to my daughter who is a dulah..and also has 7 kiddos..might need it herself. Many thanks!

[@thepelvicfloorsolution]

Wonderful!

[@elvirathomas4243]

I have been searching and reading comments from female gynecologists and patients for more than two hours. It took a man with a sock (No offense, because I know you're much more than that.) to explain Uterine Prolapse so that I can understand. Now, I can make a medical appointment and have some knowledge of what's going on with me. Thank you Dr. C.

[@MJM-je7cp]

Same here. A man with a sock. He cares about us

[@GLORIABENEDICT-r7o]

Wow same here

[@charlenelemay6709]

I have stage 4 prolapse due to Pelvic damaged in auto accident. A Pubic Plate was placed during Surgery. About 4 years later prolapse began. I have used Prolapse support belts. Pessary hasn't worked after GYN exam and placement. I appreciate your Video. I do not want Surgery at 81 years old.

[@jessieauna4639]

I am 76 and so thankful for your lesson. Am active don't feel any pain or discomfort but really appreciate the knowledge. Had no idea what it was. Thank you so much! ❤🙏

[@piedaderudman6043]

Such a thorough and useful explanation. Thank you! If only doctors would be more open and sympathetic about this issue. It is more common than most of us think!

[@thepelvicfloorsolution]

Glad it was helpful!

[@apsarahanagandi]

Thank you for explaining it so well. My family member is suffering from it and now with exercise she is feeling much better. I had not idea what the issue was until you explained so well.

[@thepelvicfloorsolution]

Thank you for the comment. Is she using The PfilAtes Method of pelvic floor exercise?

[@viivii9558]

Hi, which exercice?

[@lilj7596]

Same for me! No one ever thought it could be prolapse

[@barbaraanderson4175]

I had three pregnancy’s and two live births. At the time I delivered my babies the normal routine was forceps. Both of my births were with forceps. I had complete hysterectomy my dr said he was removing everything so I wouldn’t have to worry about getting ovarian cancer from using hormone replacement. The hormone replacement didn’t seem to anything for me. I stopped after three years with all the controversy. After the hysterectomy I had trouble with blaster leaking. I went and had therapy for 12 weeks. After that time I was told it’s not going to get any better. I’m now 74 and have pelvic floor prolapse. Blatter and colon. I wish they knew these thing back when I was child birth age. Before childbirth I had very strong pelvic floor muscles!

[@thepelvicfloorsolution]

Consider PfilAtes for $49. Www.pfilates.com

[@bluewaters3100]

I am 72 and have a bulging prolapse. I really don't want surgery but now I have a better idea of what is going on with me. The first thing to do is get myself on some HRT, go to a specialist , and do some pelvic floor exercises before even considering something radical like surgery. Thank you for the information and "sock" vaginia demo. It was very helpful!

[@thepelvicfloorsolution]

I am so glad it was helpful. Take a look at PfilAtes.com for pelvic floor fitness program

[@joymccracken1939]

This is an excellent presentation and a nice way to talk about something that is simply 'not fun or uncomfortable'. It gives great insight into the inner workings of the female anatomy! Thank you again!

[@thepelvicfloorsolution]

Wow, thank you!

[@JoycePeniston]

@@thepelvicfloorsolution 2:55

[@STORMSHADOW7989]

Plz tell me which exercise ????​@@thepelvicfloorsolution

[@ramonaespi6884]

This presentation of vaginal prolapse really helps me understand my problem. Thank you Dr. Crawford.

[@elizabethannegrey6285]

I feel absolutely sick after that demonstration - not to criticise your demonstrable expertise , but just the thought of it! A great incentive to take care of the pelvic floor!!

[@annwinkleblack6512]

I am beyond angry! After seeing a gerontologist (I'm 71) & a urologist for debilitating back pain & numerous UTI's, NO ONE ever mentioned; asked; or did an exam for pelvic organ prolapse. Why aren't women educated about this prevalent horrifying issue! This borders on negligent abuse of women by the medical community!

[@marytravis1582]

You are not the only woman that is experiencing this substandard medical care If one is a childbearing woman you are not neglected but once you are menopausal you do not exist. Some of this lack of care is due to lack of knowledge in treating menopausal women and the other is you are aging just accept and move on. I have to be my own advocate when I am dealing with medical people. You have to do your own research when it comes to your medical care especially when it comes female care. Women stand up for yourself do not be intimidated .

[@akanesitapu5782]

Exactly not enough education given to women, I guess .I am waiting for months to be seen by the gynaecologist

[@1LadyJLE]

Wow, normal pelvic exam my doctor caught my prolapse and I knew something was wrong. We can't blame others, when it's our body, know your body. Prolapse you can tell.

[@margaretWestminster]

That is what I felt when i took myself to the emergency dept at a hospital. I had no ideawhat and why something felt like it was going to fall out of me. No one in my family had this happen so this was unknown to me. I must say this doctor has described this problem so well using a 3D model , excellent idea. All women should know about this and that way wont be scared when it does happen. Im disappointed that the surgury doesnt sound too successful. I have to have a pessari put in and then out every 3 months

[@vegetableautopsy3551]

From what I gather, women are just considered walking trash bags by the medical community. Autonomy and the ability to speak are inconveniences to these people.

[@susanyoung6951]

very helpful! I had a prolapse surgery and didn't know I had to continue with prolapse exercise. I am using a pessary ring now as it felt like I was heading toward another prolapse.

[@henriettetruter4545]

I had a prolapse of the vagina, bladder and rectum after my second natural childbirth. And I had been doing kegel exercises before, during and after childbirth. I was told by my gynecologist ( not the same person who assisted me with childbirth) that corrective surgery would solve the problem. After the surgery I thought the problem was solved only to experience 6 months later that my uterus exerted so much pressure on my bladder that it caused incontinence to develop. I went back to the doc who did the surgery and he said the next step was a hysterectomy. As I suffered from endometriosis and painful menstruation, I agreed to have the. hysterectomy. I was 34 years old. 10 years later, I developed incontinence again in spite of continuing kegel exercises. Then I was prescribed hormone replacement therapy alleviating most of the symptoms. Eventually I had to go for surgery again to insertion of a sling under my bladder. If I knew all of this was going to happen, I would have selected caesarean childbirths.

[@thepelvicfloorsolution]

I am always surprised these risks are not explained to women before pregnancy. Elective cesarian section is now an option in many places.

[@Safia_ss]

My aunt got the same problem of incontinence while she's much older than you..she's in early sixties..we then got an Indian dr from India who came and did some physio therapy plus electric shots on her pelvis..etc..she's now happy again and controlled urine..Alhamdulillah

[@bluewaters3100]

@@thepelvicfloorsolution I am going to venture a guess that women who have this issue gain more than 25-30 lbs. during their pregnancy and some do not eat that well . There is the option of an abdomen belt to keep the weight of the baby off the pelvic floor somewhat. Having a c-section is not the answer unless it is necessary for some other reason. Babies get many benefits from going down the birth canal that helps their immune systems. Also if you plan on nursing you are going to have the issue of drugs in your milk. Having a c-section scar is not something many womwn want unless it is totally necessary.

[@louisawelsh1169]

Thank you Bruce, your demonstration, sock and pelvic model together with your clear, concise and easy to understand teaching was perfect for me. Again thanks!

[@thepelvicfloorsolution]

Glad it was helpful!

[@telemachus7732]

I hate to look at anatomical models or pictures, but ALWAYS take valuable knowledge from them by doing so. Thank You !

[@jillmeraz7542]

Thank you for this informative video. I was told eighteen years ago that I had prolapse, but it didn't really start affecting me until 3 years ago, at the age of 50. it's to a point where it is actually protruding that I will just have to use a belt, which is a life saver at work, until I have insurance will pay for surgery. I always thought that it was the uterus protruding out, instead of the vagina...

[@jeantracy5339]

Doctors should have been talking to women about estrogen and what it does for a woman's body , ie prevents ,ut's , organ prolapse, leaking , etc

[@user-kb6wd5it4z]

Estrogen side effects also cause cancer.

[@stephanie26160]

@@user-kb6wd5it4z Many of the studies were flawed, there are many positives to estrogen and ways to mitigate risks.

[@gloriaobiekwe7906]

I lost a dear friend very recently who suffered from prolapse , I had no idea that this happens to some women, thanks for creating this awareness.

[@dinapalkowski8146]

What did she die from?

[@Meghalayagirlloveexploreworld]

I have this problem 😭 too I was crying coz I'm scare later after i do visit gynecologist Dr then she told me this like common to women pelvic problem , then I do search from KZbin ..abit relief from tension

[@KarenB-jp3tx]

What did your friend die of?? Was it a prolaspe??

[@alicat7281]

This is actually a pretty brilliant demonstration of vaginal prolapse.

[@stairwaytoheavenplatform]

Thank you . This was so helpful . I look forward to much more information. I did try Pilates are a year and it did help immensely. However, life happened and I had to quit for a long stretch and still have prolapse but it was improved. Thank you again for helping so many many women to FINALLY get answers making sense to us. Blessings to you .

[@thepelvicfloorsolution]

Thank you for your remarks!

[@donnabournelis9847]

Great explanation of this. I would like to here about ways to tighten these mussels. Better presentation that my GYN.

[@thepelvicfloorsolution]

thank you! join us online for the next P49 class. www.Pfilates.com

[@mariepatterson3819]

I have a pesire inserted at least 20 yrs ago, I am 94 now and having some leakage , thank goodness for women’s pads.

[@thepelvicfloorsolution]

Wow! You are my hero. Pfilates with modifications can help seniors. Check out pfilates.com

[@susanferrara528]

I had a pessary for only 1 year and now it's causing problems like slipping and lots of discharge and stomach aches. Any suggestions? Did you have any problems with your pessary?

[@thepelvicfloorsolution]

@susanferrara528 your doctor should be removing the pessary and examining the vagina every 3 months. Please let your doctor know tor know about the problems you are having. Sometimes you need to refit a pesssry

[@susanferrara528]

@@thepelvicfloorsolution thank you very much. I have been having it removed and checked every 3 months, but just recently it's been moving/shifting and causing pain. I will definitely ask her about a refit. What type of pessary do you use?

[@sandracasso8034]

Wow! I had that prolapse surgery in 1994 and here I am going through the same thing again but not as severe as before, but still worrisome to deal with. Very creative and informative video👍🏼

[@thepelvicfloorsolution]

Thank you so much! I wish you the best

[@phillipsmith4485]

Thank you for your reply. Recurrence in that study was anatomical not symptomatic, and therefore of doubtful clinical significance. In the UK it’s symptomatic recurrence that is considered most important.

[@cskiles318]

Best description I’ve seen. I wish woman were taught about this very early. I’m tired of it. I’m 67 had 2 kids. Took care of me disabled husband till I pulled my guts out. Not complain id be there for him again. Il Be very careful after surgery now that I know it can happen again. I do love to push mow and garden. Guess those days are gone. 3 more months Il be in recovery mode hopefully my sister has it 4 years ago and is a beautician on her feet all the time. She still doing ok. Hoping I’m the same. I wish I had taken better care of my pelvic floor. Thanks doctor, for great info 👍

[@thepelvicfloorsolution]

Thank you so much.

[@lindavanzwol2643]

From YT explainer by a PF therapist, i have learn't that a prolapse can put pressure on the PF. Which makes training of the PF nearly impossible... ( i am trying for 10+ yrs now) Thank you for this explaination. The hospital crew labels my prolapse " too mild for surgery" ... so i have wait till my organs fall out...

[@thepelvicfloorsolution]

You can improve pelvic floor performance with PfilAtes

[@lindavanzwol2643]

@@thepelvicfloorsolution 2 real life pf therapist and 3 online programs couldn't. Tough they all started with " but OUR prgramm really works" ... does yours come with a bottle of motivation ?

[@SelvakumariRavichandra]

I visited a gynecologist And was discouraged about the Surgery. Your video explains why Thanks

[@thepelvicfloorsolution]

Thank you

[@patriciahylton8413]

Yes,, Among other things, this video was an excellent visual ...Your Calm speaking Also was very nice,, Thank You....

[@leaharmstrong8209]

This video was extremely informative about this women's health issue. I had no idea that it can take years for prolapse to develop. I am 45, and I had 3 unmedicated childbirths and had a bit of "strengthening" of pelvic floor muscles in the post-partum recovery of my third to feel everything return to a normal. In reflection it around 9-12 months of daily kegel exercises. Everything felt fine and normal until 10 years later I experienced a debilitating stroke during which I experienced hemi-paresis of my right side. The lack of muscle sensation and muscle tone caused the vaginal prolapse to return, only more severe than before. Knowing that one should be mindful of exercising the pelvic floor muscles after the stroke should be incorporated into the physiotherapy treatment/recovery. It is a very difficult and embaressing topic to bring up to others. Thank you for this information, and I will share this info with others!

[@thepelvicfloorsolution]

Thank you the thé encouragement!

[@melaniemoon4463]

This is the same with me. The back pain and sciatica that comes from it. I now walk with a frame and really can't walk far. I have been suffering for years and made to feel like there was nothing wrong. Now I finally know I can try and fix it x

[@milels6917]

Me too I have pain when I walk and back aches Although I had a cap fitted it hasn’t done much if anything

[@bluewaters3100]

You have leg pain from a prolapse?

[@nancymarwick9764]

You are such a good Dr/teacher. This is such important advice! I’m 73 now. I had a Hysterectomy at age 31. At age 65 I started going to a Urologist for my bladder issues. Mostly I felt my bladder had dropped and was looking for the bladder mesh, which was a no go as they quit doing that surgery. I had severe pulling when my bladder was full, not tolerable after a while. I was sent to GYN next and tried a pessary for a while and then ended up with the pelvic lift surgery Roboticly. The Gynecologist and Urologist did the surgery back to back and I did get a small urethral mesh put in too. I did pelvic floor PT “after” all this, not before. Next up, my bladder fell down into the vaginal canal. So I’m back to wearing a pessary to hold up my fallen bladder. I do pelvic floor exercises everyday now. I also walk daily, swim three times a week and also change my pessary myself and go every 6 months to see GYN for a pessary check. Had I known about pelvic floor exercises way earlier when I had my hysterectomy maybe a pelvic lift could’ve been avoided. I’m ok, and I do fine with the circumstances. P.S. your pelvic model is perfect. 👌🏻 ❤

[@thepelvicfloorsolution]

Thank you Nancy for sharing your story and for your kind words. I wish you all the best in 2025. Keep exercising!!

[@nancymarwick9764]

Happy New Year to you as well 🎉🥳 I love to exercise and walk but mostly love to swim.

[@dacaleenrowe8882]

Awww Dr thank you so much for your information about prolapse. Very very helpful.

[@c3creationsjaimol175]

Thank you Doctor for explaining this condition in a good way. It's very helpful for me to understand the situation of mine, as I am going thru the same problem.

[@thepelvicfloorsolution]

Thanks!

[@Imacatmom]

You explained this in a perfect way. I totally understand how and why this happens to woman.

[@thepelvicfloorsolution]

Thank you so much!!

[@Imacatmom]

@@thepelvicfloorsolutionyou’re welcome

[@beautifulpeacock4734]

Thank you kindly Dr. C. You gave me an excellent visual of what may be happening to me, and helps me understand the importance of exercising the muscles before it’s too late. I found your demonstration very interesting and helpful.❤ Thank you ❤

[@thepelvicfloorsolution]

That’s wonderful! Thank you. Join us on PfilAtes.com for the P49 pelvic floor fitness course.

[@marciasantelli-jones1557]

I truly appreciate that informative explanation of prolapse. I am convinced my prolapse would have been far worse if I was not adding plant based collagen to my am shakes. I also heard there are pelvic devices I can sit on that will help my muscles to expand and contract

[@lungitimba4156]

Thank you so much for the demonstration now I clearly see what is actually happening down there, and I feel empowered as I have recently been diagnosed

[@hilarywalton1143]

It would be nice if physicians would tell this after child birth and tell you to do them all your life. I am 61 ans fit but all my organs are currently falling out. It might be too late for exercise to help. I am trying.

[@thepelvicfloorsolution]

Thanks Hilary. Consider joining a P49 webinar www.pfilates.com/pfilates-online/

[@nataliarevelo486]

It would be nice if they would educate us women since our teens about pelvic floor health and how to keep it functional together with the core.

[@harristanaya31]

I have been doing kegel exercises all my life. My Dr said after I had my daughter that I had good vaginal cavity. I still had a prolapse. Smh some ppl it happens to. My Dr said that a lot of factors determine this. And kegel exercises are not scientifically found to stop a prolapse. I still do my kegel exercises.

[@patriciaburch6471]

@@harristanaya31be sure to be laying down when doing them but I would eventually just get the surgery they have an easier one 2 insissions in front.

[@jodybowling1457]

I just had a hysterectomy because my uterus was pressing on my bladder. When organs prolapse usually a hysterectomy is recommended. I had a mesh net placed inside to help with my bladder

[@arlenedrakes3620]

Very helpful i just came from the doctor and he told me I could learn how to manage my problem on youtube so thank you this was very helpful in understanding how I can help myself get better

[@thepelvicfloorsolution]

Glad it helped! www.pfilates.com/pfilates-online/

[@jackierowe9195]

I fought every step of the way to get my surgery and it was very successful don’t be put off get it done ! Don’t be fobbed off , I was told lies , that I was too fat , that it wouldn’t last, that most women have a problem. And that I was being silly . Go for it demand it , please ! It’s the best thing , med wouldn’t put up with walking around with this condition. I’m 66 and got it done 15 years ago as I was still a relatively young woman and I got my confidence back in every respect . Exercise doesn’t work I’m telling you because I tried everything

[@tarottime3219]

I agree, they don’t work!

[@rekhamirchandani8848]

Which type of operation did you do, i’m asked to get operated bt i’m really scared n confused if i should do it, am hving a ring(Hrt) and a pessary at the moment bt they feel i better go for surgery

[@jackierowe9195]

@@rekhamirchandani8848 honey I had a prolapse after my first baby who was 10 pounds I was in a mess but got a repair and I’m in the uk soi don’t know where you are . It was a 25 min repair and the just stitched me up , and put everything wher it was supposed to be to be . I had no pain , a bit of discomfort but really nothing to worry about . I guess you do have to be a bit careful for a few weeks as I’m not lifting heavy stuff , and it’s the best thing I ever did , they tried to say use legal exu and a ring , but my prolapse was so bad , but the consultant said it wasn’t bad , and most women have the same problem but just get on with it? Then he said I was overweight and it may not be successful, and I truly believe that they try to fob you off .

[@sdmakeupandentertainment]

Did you have pelvic floor reconstruction?

[@jackierowe9195]

@@sdmakeupandentertainment yes I did I had a severe prolapse after having my first child who was ten pounds. I suffered with it for 16 years and the consultant in the uk was very reluctant to do anything , telling me I was overweight, that the surgery wouldn’t last, that most women had the same problem and I was a nuisance , well I got it done and it was the best thing I ever did . Got my confidence back and havnt had any problems 20 years on

[@sandymenzel5355]

Just Dx 1st Stage Vag Vault Prolapse and this was very helpful. Since I'm 4 yrs post Hyst BSO etc due to G3EEC MSI (H) i failed to ask if i should continue using vag dialator x 3 a week. I was referred to pelvic floor center.

[@JanetBuel]

❤❤

[@julielepage1315]

I have a grade one bladder prolapse Really don't know if I am going to have to end up having surgery. Currently I am in the hands of Uro gynaecology team who are Great I am sure they will do the Right thing.

[@ShirleyMostert]

Excellent simple and graphically understood 👍

[@JosephineCrittall]

The demonstration with the sock was really helpful and made it very clear what a prolapse is. Is diet really beneficial to prolapse as well as exercise?

[@thepelvicfloorsolution]

Thank you!! What you eat may not have an effect but being overweight increases abdominal pressure and could harm pelvic support. Check out PfilAtes.com for a great pelvic floor fitness plan.

[@teresafraser3049]

This demo is brilliant! Thank you 😊

[@thepelvicfloorsolution]

You're so welcome!

[@annagreenfieldwelcometocha3312]

Very helpful thanks you I’m researching the issue now

[@marilynjackson2709]

Thank you very much for the vaginal prolapse information. I have decided NOT to have surgery for my Anterior vaginal prolapse. You get 5 stars! Thanks again.

[@thepelvicfloorsolution]

good for you. work on the pelvic floor muscles!

[@Cyrilmc222004]

Thank you so much Dr Bruce, but, I’m way past this already. I am going to have a vaginal hysterectomy in February 2025. I’ve not had any issues with my prolapse, only when I’ve had to have pessaries fitted has it been uncomfortable for me. So I’m going to be so glad to have this surgery with a surgeon in whom I have great confidence too

[@thepelvicfloorsolution]

Excellent. Best of luck to you

[@SF-jk9xu]

This is very helpful. The prop was very clear. Thanks.

[@henritink100]

Not weird at all! I just had a total hysterectomy with a bladder sling repair and rectocele repair. It all started from a prolapse which was the bulge you demonstrated that made me call my doctor and within 2 months I had surgery.

[@denisehitchens1418]

@@henritink100 oh my gosh. God please look after this horrendous procedure.

[@JeanSimon-x1c]

Me too I had the same thing but more than once and now I'm really scared to even have sex

[@JeanSimon-x1c]

I would like to talk to you or text you but I would really seriously like to talk to you on the phone about what happened with mine and explain it to you and ask questions because I'm even scared to have sex now because of what my doctor said.

[@JeanSimon-x1c]

I would rather talk on the phone and explain, is there any?Way possible that could happen

[@henritink100]

@@JeanSimon-x1c I mean why are you afraid? I just had my second post op visit and I’m 100 percent healed and was given the green light to resume all activities including sex and everything was fine.

[@dakotasmom17]

It would be helpful to see the exercises. I’m super fit. And still have a prolapse. I workout mindfully. I did levels at every stop light for no less than ten years. I have gained ten pounds in perimenopause. But I’m not over weight. Two years ago I decided I wanted to gain more muscle to support myself through my menopause journey. That made my prolapse worse. Since then I have been training on a product my husband created called The Answer. My prolapse is better. Be careful how you exercise ladies. All my workouts are centered around core strength. I wish I would have had The Answer after I had my babies.

[@RebeccaSutherland-tl6gq]

Look up Kegal exercises

[@LanyaA-p6h]

Thank you for the visual Doctor. It was very helpful. I really appreciate it very much. Job well done.

[@patsylatimer6995]

This was very good information for me as a68 yr old woman

[@ashleysipes1391]

I gave birth at 15 and 17 years old and my OBGYN never told me anything about prolapse and now I’m 39 I have prolapse

[@proudparrotparent815]

Very helpful, I just subscribed I haven't had. Vaginally births , but three C cections , use to be real active walking up to five miles a day , but now that I am a senior , have Sciatica in both legs , and back problems cant do my walking properly an sometimes not at all.have been having problems down there an had wonder for awhile if something was wrong . I just stumbled upon you , and I hope to learn more . Thank u soo much sir G.bless you.

[@thepelvicfloorsolution]

Thank you for your comment and very kind words.

[@marilynkrochak8873]

Very well described. Woukd love to hear about the great work you are doing to help women with prolapse

[@thepelvicfloorsolution]

Thanks! Please consider taking the P49 webinar. You can sign up at www.pfilates.com

[@phillipsmith4485]

To correct your statement, the correct fact is that about 30% of patients who have prolapse or incontinence surgery have another urogynaecological surgical procedure later in life (Olsen 1996). This is usually not a repeat procedure, but is a different urogynaecological procedure, not a failure of the original surgery. Recurrence of the same problem occurs in about 5% only, so 95% do not have the same procedure again (recurrence).

[@thepelvicfloorsolution]

Thank you Dr Smith for watching this video! I appreciate your feed back. There are indeed procedures with low (5%) failure rates; mesh sacral-colpopexy comes to mind. Repairs accomplished vaginally do not seem to be so durable. One study that reflects this is the multi-center extended study published in JAMA in 2018 (JAMA. 2018;319(15):1554-1565. doi:10.1001/jama.2018.2827). What is interesting is that, despite surgical failure as they defined it, most patients still reported improved symptoms compared to preoperative baseline.

[@marylynch951]

Thank you Dr I have a prolapse which was diagnosed 2018 as yet still unsure about surgery in 2023 My consultant keeps saying to me to have surgery i feel she is rushing me I had my Son 33 years ago and i was never advertised the importance of pelvis floor exercises But now i have started i do not want surgery I am seeing the consultant again in 6 months time hopefully by then My symptoms of the prolapse will have got better At this present moment i do not want surgery Once again thank you

[@thepelvicfloorsolution]

Hi Mary. Yes do your best with PF exercise. Perhaps take our p49 course (www.Pfilates.com). Talk to your doctor about a pessary device as well

[@marylynch951]

Thank you Dr for replying I really appreciate it I was fitted with a pessary last September 2022 but I had to go back few times because the prolapse was pushing down the pessary I was refitted with different size It is very comfortable but the prolapse still pushes down I have started pelvic floor therapy So hopefully in 6 months time I will have tightened my pelvic floor muscles because I do not want surgery I will make this a life habit every day please God Once again thank Dr

[@Hopespringseternal543]

Thank you for the clever props and demonstrations you gave. I am 73 and had a complete hysterectomy at 33 due to endometriosis. I don’t think I have prolapse but my doctor says I have a lot of scar tissue, shortening the vaginal depth. Is that related to making a person more susceptible to prolapse? Can using dialators help in any way for prevention? How about collagen? Would that be beneficial?. Is anything that thickens the vaginal lining beneficial? Thank you, if you choose to answer.

[@thepelvicfloorsolution]

Hi. Lack of estrogen can narrow and shorten the vagina. Estrogen cream can help prevent this. Dilators can help but are not a long term solution.

[@DGibsonxio]

My doctor refused to give me HRT. Never explained any of this. Maybe she didn't know?

[@tarottime3219]

I had 7 full term births, I wish we had the internet years ago because Ive learned more about life than any school could teach., and it’s it funny how most doctors don’t tell you what to expect after having so many children. I’m using a rubber disc right now, I don’t want to go in the hospital.

[@toniencheff4046]

Thank you. I am hoping to avoid surgery

[@thepelvicfloorsolution]

Good luck!

[@souledout3791]

I had this condition. Had an extensive surgery to re attach it to I guess what was my pelvic wall. It was a horribly painful recovery. Of course I was given pain killers to help ,but the caused constipation . Surgeon explains not to push or exert pressure in the area. Having had five various surgeries this was the worst EVER.

[@thepelvicfloorsolution]

I’m sorry to hear it was such an ordeal. I hope you got a good result

[@robertamandab7932]

What an ingenious way to demonstrate what's happening it the prolapse scenario, I never could quite grasp want was happening with it. But I have done Kegel exercises my whole life and when I was younger, I thought I was doing them to tighten my vagina after childbirth, little did I know it would help with this. I don't care so much about a tight vagina anymore but I do care about a tight pelvis wall.

[@rainbritton2197]

Episiotomy procedure cuts the very muscles that layer cause prolapse. I was told that due to improper stitching after an Episiotomy my muscles no longer worked right if at all. I wish they could please please please figure out real fix for this.

[@shikha3027]

How r u now?I have got through the same situation...did u find any solution

[@janineallen3681]

I currently have no problem but this vid is just brilliant, thank you!

[@MuhammadHassaanKhan-c2i]

Absolutely right ,education or knowledge is must,im facing prolapse due to pick up a heavy wet blanket 😢😢

[@thepelvicfloorsolution]

Consider The PfilAtes Method to strengthen your pelvic floor

[@MuhammadHassaanKhan-c2i]

@@thepelvicfloorsolution ok thanks a lot

[@avabishop753]

That demo was very good Dr 💯

[@thepelvicfloorsolution]

Thank you!!!

[@bolasofoluwe7059]

Love your demo gives me understanding of what is really going on in my body. God bless you Dr.

[@thepelvicfloorsolution]

So glad!

[@carolyndrawdy5687]

🙏🥰Doctor, many Women will Thank You for sharing this, will appreciate the information plus Demo and get busy doing the excercise to help themselves hopefully…avoid surgery if at all possible!

[@phillipsmith4485]

Thanks. Look at Steven Swifts work on asymptomatic, 'normal' women attending for routine check ups . He, and others, found that over 80% had stage 1 or 2 'prolapse' which was not 'bothersome'. By bothersome I mean with the only reliable specific symptom of uterovaginal prolapse which is the awareness of a lump. No women with stage 1 will be aware of a lump. It's normal, and should never have been called 'prolapse', like 'stage' 0 . The great problem, on both sides of the pond, is that many old texts and studies considered symptoms such as pelvic 'discomfort', backache and dyspareunia as often due to prolapse. They are not. These particular unrelated symptoms can however be improved in many cases by supportive physiotherapy, and they are not improved by surgical correction of the anatomical stage of 'prolapse'. However once a women is aware of a lump at the interoitus, which bothers her, and this is demonstrated on clinical examination (standing valsava with no traction on the cervix) I have never seen a resolution of this true prolapse symptom by anything other than a device or surgery. Once studies include 'stage 1' in their study group as 'prolapse' the results are of little value. Stages 2+ represent damage to fascial supports which cannot be affected by physiotherapy/physical therapy, and no study has shown a reduction of the stage of prolapse by muscle training. I'm sure Kari Bo would agree. The placebo effect of attentive, one to one physiotherapy, might reduce bothersomeness in the short term at most. Vaginal oestrogen is always useful. The one great disadvantage of the introduction of cervical screening is the common finding that vaginal support is reduced with age and after childbirth, usually asymptomatic, and inexperienced nurses and primary care physicians wrongly call this prolapse. Referral at this time to an overenthusiastic pelvic floor surgeon, particularly one keen to operate, can be so harmful, leading to difficult and unnecessary surgery and complications. BW

[@e.e.7114]

Am I understanding this comment to mean that once there is a bulge coming out of the vagina, it’s too late for self recovery!!

[@deirdremorris9234]

@@e.e.7114 Kindof sounds like it?

[@sherriebachell]

B. S........ I was very physical so I still got it... Diagnosed just recently, can also be down to autoimmune

[@lyndabustillos5209]

Your demo was so well articulated Thank you~

[@ruthbessette2190]

I thought I was the only one with this problem

[@fannieallen6005]

I had the mesh prolapse repair in 2001. It was a great success.

[@Lorrainecats]

Good to hear. I might be facing this soon.

[@marysmith-fs1sp]

Good news I'm thinking about doing the mesh

[@nidiaseibert2424]

My mesh broke. Good for you …😊

[@cskiles318]

My sister had surgery she’s going great at 4 years. So glad to hear a positive story I’m Getting mine in March 2025

[@dinapalkowski8146]

Omg What did you have to do then? Im afraid of this happening. I have prolapsed uterus and my Dr recommend a bladder sling also.​@nidiaseibert2424

[@beverlyfrancis8433]

I've seen one such prolapse on an 70 or 80 plus year old. Her family wanted a pap test.

[@kimberlyrampersad9192]

Love your example it really help understand what is going on with my body .Thank u .

[@randomnesspersonified]

This was an incredibly helpful video with great explanations and information - thank you.

[@thepelvicfloorsolution]

Thank you

[@naturegirl4074]

I wish they taught this. I’m a mess that’s all I’m saying. I also have hEDS. There needs to be awareness about that too

[@sagesmia1]

Very clear what occurs in a prolapse. Couldn't have done a better job explaining everything.

[@marygotobed]

Finally I understand what is happening to me. Thank you.

[@joanwaid]

So after becoming 71 years old & never having any kind of sex or at physical understanding , I know how & why & more importantly what I must now do to avoid surgery .

[@zinnia3684]

That was a very good description. Coulda woman have a bladder prolapse as a result of a partial hysterectomy? I believe I have one.

[@thepelvicfloorsolution]

Sadly bladder prolapse is very common but not the consequence of partial hysterectomy

[@zinnia3684]

@ well that’s helpful for my understanding but leaves me with further questions. I have an appointment in Feb., and then hopefully a referral . I have been waiting for 4 years to be taken seriously. My Dr. dropped the ball on everything once Covid was the distraction.

[@filipinaprincesss7017]

This was so helpful thank you.

[@vickisalazar5727]

Can you do a video on prolapse bladder where you show what’s happening like you did with the sock? Thank you.

[@tabbjam]

Excellent explanation

[@sandybissett6806]

Excellent visual to help me throughly understand!

[@millienorton5009]

I had a prolapse uterus back when I was 38yrs old, l had a vaginal hysterectomy I'm 76 now and I've never had any problems.

[@thepelvicfloorsolution]

Now that is wonderful!

[@wilcox728]

Had surgery for prolapse 10 years ago, and my uterus was removed, my uterus should have been put in a sling instead of removing, which now created my bladder prolapsing so I had to have surgery to put my bladder back in place with a sling. That was ten years ago with the bladder sling and it's been great.

[@DonnaLew52]

Thank you for your post. I had the same with my uterus removed because it was pushing out my bladder. It helped for years but now my bladder falls down every time I urinate. 3, 10 pound babies!

[@highbany]

At 86 I have just learned that I have a prolapse after a cystoscope for bladder infections. I now need to see a gynaecologist. What will happen now

[@thepelvicfloorsolution]

Really depends. Talk to your urogyn about PES series and pfm exercise

[@highbany]

THANKYOU for your reply but I may have to wait until February 2024 before I see gynaecologist. In the meantime have my second uti in a month.

[@michelley9203]

Graphic.....but easily understood explanation....Thanks.

[@pastryshack551]

If you live with this problem not doing anything about it is there any harm? My stage is 4, but I can't see myself inserting the mesh inside my vaginal wall. I heard many austraulians had serious injuries from this procedure.

[@thepelvicfloorsolution]

A pessary is an option. Ask your doctor. In general if you are able to empty your bladder and the exposed tissue is not getting an erosion (not bleeding) prolapse is not dangerous. Many surgeons still perform native tissue repairs (no mesh)

[@CapricornSunSagRisingLibraMoon]

Great insight but how or what exercises should be done for this condition?

[@thepelvicfloorsolution]

Check out PfilAtes.com.

[@JanetTuttle-cb3xx]

Thank you for this great information.❤❤❤❤❤❤

[@moirastinson1186]

Excellent video…I have a prolapse ..don’t want surgery so hoping by exercising it will be ok.

[@beinghonest9849]

Hello.... are you married or not do you have child is okay to having prolapse before pregnancy?

[@kimpurcell3908]

Thank you for the explanation and demonstration. I wish I had a good Dr like you .

[@thepelvicfloorsolution]

I am available for online consultations if you are interested

[@dinapalkowski8146]

I have prolapsed uterus and my urogynecologist also recommended a bladder sling. She would do laproscopic abdominal da Vinci hysterectomy leave the cervix. How successful are these surgeries?

[@thepelvicfloorsolution]

Make sure to ask your doctor how she will suspend the cervix after removing the top of the uterus.

[@dinapalkowski8146]

@@thepelvicfloorsolution will it be successful then?

[@thepelvicfloorsolution]

Prolapse surgery can,and does, fail sometimes. Success rates should be in the 80+ % range

[@dinapalkowski8146]

What mesh material is the best?

[@reneemiller3241]

This video was extremely helpful and gave me a better understanding on my condition. I have mild-moderate prolapse of the uterus. It was that slight bulge that was sticking out my vigina that allowed me to know something was wrong. I am postmenopausal, over the age of 60, and muscles became weak. I was fitted with a pessary for two weeks went back to my doctor to check to make sure the fit was ok and told to come back in three months for the cleaning and reinstallment of the device. The initial fitting was very uncomfortable but I was lucky I didn't have to go through too many to get the right fit the first was obviously too big the horn the secret ng the ring with support was perfect. I needed the smallest size but before this you have to get MRI etc etc to see if you a candidate for this option to avoid surgery or getting stitch. As a doctor you know what I mean anyway for two weeks I adjust to the device at first sitting was arkward not painful. The device never felt like it was trying to come out I was told to watch for this. I coughed ,had normal urinations and bowel movements all I monitored in those two week. I returned to my doctor and it was good to go. I am glad I caught it in time because it could have been happening inside like you said and not until it started to protrude outside the virgina that I knew something was wrong. I whipped one day and felt the tissue touch something that was like a nob round. I used the mirror and there it was. You could literally see some veins running through the little round mass of tissue it was clearly attached to something because it feels like your touching you insides. Anyway I am so glad you made this detailed video and I plan to share it with as many people as I can. ❤ Thank you.

[@thepelvicfloorsolution]

Thank you for your feedback