Many women do not need treatment for their PFD. However, treatment can often help when symptoms are bothersome or restrict a woman’s activities.1, 2 In addition, women can take actions on their own or along with treatment to help reduce or ease symptoms.
Nonsurgical treatments commonly used for PFDs include:
In some cases, surgery is the best treatment option, especially when other treatments are not helpful.1, 6 Some surgical treatments can be performed as outpatient procedures.
Not all women are good candidates for surgery. In general, women who want to have children should not have pelvic surgery.1 Also, prolapse can occur even after surgery is performed to correct it.1 Developing low-risk procedures and devices that work well in treating pelvic floor problems is a topic of intense research. Researchers are also comparing treatment methods to see what works best.
"Combination" can mean a woman is getting treated for more than one type of PFD, such as a treatment for both uterine prolapse and urinary incontinence. It can also mean using different treatments together to address PFDs, such as using PFMT and a surgical treatment to treat a woman’s symptoms.
Researchers are studying combination treatments to determine how to get the best outcomes for women with PFDs. For instance the Outcomes Following Vaginal Prolapse Repair and Mid-Urethral Sling (OPUS) study is evaluating if adding a procedure to treat stress incontinence at the time of surgery for pelvic organ prolapse in women who don't have symptoms of stress incontinence can help to prevent stress incontinence from occurring after surgery and without increasing risk.
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