Not available for sale in the U.S. May not be available in all geographies.
Pelvic organ prolapse (POP) occurs when the tissues that hold the pelvic organs in place become weak or stretched, resulting in the displacement (prolapse) of the pelvic organs from their normal position.
Prolapse is caused by muscles and ligaments that have been weakened or damaged. The most common causes of prolapse include:1
- Previous Surgery
There are several types of Pelvic Organ Prolapse
A cystocele is formed when the bladder bulges (prolapses) or protrudes (herniates) into the vagina.
An enterocele occurs when the small bowel prolapses or proturdes into the vagina.
A rectocele occurs when the rectum prolapses or protrudes into the vagina.
A uterine prolapse occurs when the uterus prolapses or protrudes into the vagina.
Vaginal Vault Prolapse
A vaginal vault prolapse occurs when the upper part of the vagina falls into the vaginal canal. This sometimes occurs after a hysterectomy, causing the vagina to turn inside out.
Symptoms common to pelvic organ prolapse include:
- A bulge or lump in the vagina
- The vagina protruding from the body
- A pulling or stretching feeling in the groin area
- Difficult or painful sexual intercourse
- Vaginal pain, pressure, irritation, bleeding or spotting
- Urinary or fecal incontinence
- Difficulty with bowel movements
- Delayed or slow urinary stream
Approximately 45-75% of women may experience some degree of prolapse in their lifetime.1
Women may experience stress and a decreased quality of life as a result of pelvic organ prolapse (POP). Symptoms may limit daily activities and related decisions.2,3 In addition, POP can affect work performance and can have a major impact on sexual activity.2,3 One study found that women with prolapse endure their symptoms for years, delaying conversations with doctors because they are reluctant to discuss the subject.4
Pelvic Organ Prolapse Treatment Options
Prolapse treatment options may vary depending on the type of prolapse. The treatment will depend on the severity of the condition as well as your general health, age and desire to have children.
Nonsurgical treatments for POP may include:
- Exercise – special exercises, called Kegel exercises, can help strengthen the pelvic floor muscles. This may be the only treatment needed in mild cases of uterine prolapse. For Kegel exercises to be effective they need to be done daily.
- Vaginal Pessary – a pessary is a rubber or plastic devise used to support the pelvic floor and maintain support of a prolapsed organ. A health care provider will fit and insert the pessary, which must be cleaned frequently and removed before sexual intercourse.
There are two surgical approaches to surgical treatment for POP:
- Reconstructive – surgery to restore normal anatomy.
- Obliterative – surgery to close the vagina completely.
Reconstructive surgical options include:
- Vaginal colporrhaphy and apical suspensions using native tissue.
- Transvaginal mesh (TVM) repair systems.
The goal of surgical POP treatments is to repair or correct the prolapse. Surgical options are used to help return prolapsed organs to a more normal anatomical position and to strengthen structures around the prolapsed area to maintain support.
The Apogee™ Vaginal Vault Prolapse Repair System (Apogee™ System)
The Apogee System is a treatment option for vaginal vault prolapse. A vaginal vault prolapse occurs when the upper part of the vagina falls into the vaginal canal. This sometimes occurs after a hysterectomy, causing the vagina to turn inside out.
The Apogee System is a transvaginal mesh (TVM) repair system in which a surgeon positions a mesh that is designed to provide support where the vaginal vault descends into the vagina.
- Jelovsek J, Maher C, Barber M. Pelvic Organ Prolapse. Lancet. 207; 369(9566): 1027-38.
- Kuncharapu I, Majeroni B, Johnson D. Pelvic Organ Prolapse. Am Fam Physician. 2010; 81(9): 1111-7.
- Margalith I, Gillon G, Gordon D. Urinary Incontinence in Women under 65: Quality of Life, Stress Related to Incontienence and Patterns of Seeking Health Care. Quality of Life Research. 2004; 13(8): 1381-90.
- Mouritsen L, Larsen J. Symptoms, Bother and POP-Q in Women Referred with Pelvic Organ Prolapse. Int Urogynecol J. 2003; 14: 122-7.