Pelvic Floor Hernia

A pelvic wall hernia, or a uterine prolapse as it is more commonly known as, involves the uterus sliding out of its normal position.  When uterine prolapse occurs, the uterus slides out of its normal position, moving from the pelvic floor to the vaginal canal.

What are the causes?

Uterine prolapse is commonly seen in women as a result of complicated childbirth. The uterus is normally supported by strong connective tissue and muscle, which can get damaged and weakened during childbirth.  When the connective tissue becomes damaged, scared or impaired in function, the uterus can easily slide into the vaginal canal. Uterine prolapse is therefore directly associated with tissue trauma, which is usually sustained during difficult childbirth involving the birth of large babies or difficult deliveries.

The general relaxation of the kegel muscles surrounding the uterus can also cause uterine prolapse. This is generally seen in older people, or in women during a sudden reduction of oestrogen. Pelvic tumours have also been linked to uterine prolapse, though cases such as this are rare to your health due to a pelvic floor hernia.

Though the most common cause of uterine prolapse is childbirth, obesity and chronic coughing are conditions that can cause damage to the muscles tissues which prevent prolapse.  Anything that can cause a strain on the delicate pelvic muscles can cause prolapse, which includes lung conditions such as bronchitis and chronic digestive problems such as constipation.

Spotting a pelvic floor hernia

When a person has a pelvic floor hernia, a general sensation of heavy pulling in the pelvic region will be experienced. It has been described by many as the feeling of sitting on a small, hard ball.  Patients may also experience mild back pains and well as difficulties during sexual intercourse.

A medical exam should be able to identify the prolapse fairly quickly, however scans may be required to confirm the root cause e.g if a tumour has caused the problem.

Treatment options

The two mains way to treat uterine prolapse are vaginal pessary and surgery.
A vaginal pessary is a tailor made / fitted object that is inserted into the vagina to hold the uterus in place. A vaginal pessary may be used as a short term, long term or permanent solution to uterine prolapse. Vaginal pessary’s require occasional cleaning, which is usually done by a professional physician or doctor.

Although vaginal pessaries have seen some success, they cause irritation in most women and cause foul smelling vaginal discharge. Due to the fact they cause such irritation, many women experience vaginal ulcers as a result of the implantation of the pessary. Pessaries also can also interfere with a females personal sex life.

If the uterine prolapse is caused by being overweight, attaining an acceptable and optimal weight is advised. Obese women with uterine prolapse are also strongly advised against lifting heavy objects.

Surgery involves the inserting of mesh to keep a permanent hold on the uterus. Surgery is only ever used as a solution when the symptoms of the prolapse truly warrant the risks of the surgery.

As well as weight loss, there is a number of health and lifestyle changes that can help, if not sure, urinary prolapse. An example of this is the quitting of smoking, which can reduce the pressure on the bladder.

Complications often involved

Urinary tract infections are common with urinary prolapse, as is mild constipation. With more severe cases of prolapse, ulceration and infections are seen.


Uterine prolapse is often caused by the weakening of the pelvic floor muscles. As a result, a way to reduce the risk of prolapse is to actually strengthen the muscles that may become weak. This can be done through the use of kegel exercises, which can be done anywhere at anytime quite simply.

Another way to reduce the risk of pelvic floor pudendal hernia is to maintain an optimal weight. This can be done through regular exercise
and healthy eating.


When treatment is carried out correctly, the prognosis can be positive. Surgery is sometimes nesscasry, though the use of exercise, medication and vaginal peccaries is always advised before more extreme measures are taken. This is because, with surgery, there is always a more immediate health risk.


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