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Pelvic floor prolapse can have many causes: Pregnancy and childbirth, physical strain, constipation, hormonal changes or a woman's own lifestyle can all favour the development of pelvic floor weakness. Many women feel that their quality of life is impaired - the urinary incontinence that often accompanies this is an unpleasant and shameful topic for many women. Fortunately, there are various effective treatment options for this problem - our specialists are here for you and will advise you in confidence at Bethesda Hospital.
What exactly is a pelvic floor prolapse (lat. descensus genitalis)?
The female pelvic floor is a complex structure consisting of connective tissue, muscles, nerves and ligaments and can be described as a holding and sealing apparatus for the organs in the pelvis. Pregnancy, childbirth and other strains damage and weaken this apparatus, which is why the pelvic floor can sag, especially at an advanced age.
This can affect the entire pelvic floor with its organs and lead to a prolapse of the uterus or vagina or even cause part of the bowel to descend. This can result in organ dysfunction, such as bladder and bowel emptying disorders, as well as bladder weakness.
What can you do if you have a prolapsed pelvic floor?
Often, a lot can be achieved with lifestyle changes (e.g. weight reduction or stool regulation), physiotherapy or the use of pessaries. In cases of severe suffering, failure of conservative measures or progression of the prolapse, surgical intervention can also help. Talk to our specialists to find the right treatment for you at Bethesda Hospital.
Find out everything you need to know about the clinical picture of pelvic floor prolapse and find out about the various treatment options we offer.
Not all women feel disturbed by a lowered pelvic floor. However, if symptoms occur, treatment should be sought.
Typical signs are
Monday to Friday 8.00 am to 5.00 pm
Pelvic floor prolapse is not necessarily dangerous unless the function of an organ is impaired. However, it can have a negative impact on the quality of life of the women affected. It is therefore advisable to do something about it.
The diagnosis can be made relatively easily: It results from the symptoms and a complete urogynaecological examination including ultrasound. Further examinations such as bladder or colonoscopy, bladder pressure measurements or imaging procedures are rarely necessary.
Complex cases, for example when different organ systems are involved, can be discussed and treated on an interdisciplinary basis at the pelvic floor board of the Pelvic Floor Centre. This is a special service offered by Bethesda Hospital. We will be happy to advise you in detail about your options at our centre.
Monday to Friday 8.00 am to 5.00 pm
Conservative therapies
Our first step is to advise you on lifestyle options. These include, for example, adjustments in the areas of diet, alcohol and coffee consumption, physical activity and body weight. Many symptoms can already be improved by means of training to build up the muscles in the pelvic floor, which our specialised physiotherapists offer. Another option is the use of a pessary, which is inserted into the vagina and moves the sagging organs back to their original location.
Surgical interventions as therapy
If conservative therapies are not effective or there is a high level of suffering, various surgical procedures are also possible: one modern method is the insertion of plastic mesh to reinforce the pelvic floor. This procedure is usually carried out by means of laparoscopy using gentle keyhole surgery. Thanks to the many different options available, we can offer you individualised treatment that precisely meets your needs and improves your quality of life in the long term. The aim is always to reconstruct or at least reinforce the pelvic floor so that the organs can once again lie in the pelvis and fulfil their function.
Monday to Friday 8.00 am to 5.00 pm
Pelvic floor prolapse usually only occurs in the second half of life. Half of all women who have given birth suffer from a more or less severe prolapse of the pelvic floor and the associated organs. In 80 per cent of those affected, prolapse and incontinence are combined.
Monday to Friday 8.00 am to 5.00 pm
Heidi Schuster had a foreign body sensation when sitting. Caused by a drop in the pelvic floor. She explains what helped her in the Diagnose Talk programme.
«At our pelvic floor centre, we attach great importance to personal and individual care for our patients.»
Wir haben die häufigsten Fragen rund um die Beckenbodensenkung zusammengetragen, beantwortet von unseren medizinischen Expertinnen und Experten.
Haben Sie weitere Fragen, die Sie hier nicht beantwortet finden? Sie können uns dazu gerne kontaktieren – wir sind gerne für Sie da.
Der weibliche Beckenboden, bestehend aus Bindegewebe, Muskeln und Bändern, kann als Halteapparat für die Organe im Becken beschrieben werden. Im Alter wird dieser Apparat zunehmend schwächer, weshalb sich der Beckenboden senken kann. Das kann den ganzen Beckenboden mit seinen Organen betreffen und zu einer Gebärmutter-, Scheiden- oder Blasensenkung führen oder auch einen Teil des Darms absinken lassen. Störungen der Organfunktionen, zum Beispiel Entleerungsstörungen von Blase und Darm, sowie eine Blasenschwäche können Symptome einer Beckenbodensenkung sein.
Nicht alle Frauen fühlen sich durch einen gesenkten Beckenboden gestört. Treten jedoch Symptome auf, sollte eine Behandlung erfolgen.
Anzeichen einer Beckenbodensenkung:
Nicht alle Frauen fühlen sich durch einen gesenkten Beckenboden gestört. Das Leiden ist auch nicht weiter riskant, sollte aber dennoch behandelt werden. Typische Anzeichen dafür sind:
Oft lässt sich bereits mit konservativen Therapien wie regelmässiger Physiotherapie und Training viel erreichen. Bei hohem Leidensdruck oder fortgeschrittener Senkung kann auch ein operativer Eingriff helfen. Sprechen Sie mit unseren Spezialistinnen und Spezialisten, um die für Sie passende Behandlung bei uns am Bethesda Spital zu finden.
Eine Beckenbodensenkung ist keine bösartige Erkrankung, aber sie kann fortschreiten. Die gestörte Funktion von Blase, Darm oder Gebärmutter sind gute Gründe für eine konservative oder operative Therapie.
Nein. In der Regel ist eine konservative Behandlung ein guter erster Schritt, der schon erfolgreich sein kann. Gezieltes Beckenbodentraining unter professioneller Anleitung hilft vielen Frauen bereits weiter – dasselbe gilt für den Einsatz eines Pessars.
Auf jeden Fall. Ein höheres Alter schliesst eine Operation nicht aus, da wir auch wenig belastende Eingriffe anbieten können.
Nein. Es gibt viele verschiedene Eingriffe, bei denen die Gebärmutter erhalten werden kann.
The clinical picture of pelvic floor prolapse falls within the specialist area of our Pelvic Floor Centre.
Our experienced specialists will be happy to help you - let them advise you individually as to which of the pelvic floor centre's services is best suited to your needs.
We provide interdisciplinary excellence in medicine, care and therapy, promote innovation and are at the cutting edge of research and technology. Personalised care in a family atmosphere, our excellent hotel facilities and the quiet location in the park support your recovery.
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