Pelvic organ prolapse means that a pelvic organ, such as the bladder, has fallen out (prolapsed) from its normal place in the abdomen and is pressing against the vagina. This can happen when the muscles that hold the pelvic organs weaken or stretch. Most often this is due to childbirth. Pelvic organ prolapse is common. It is usually not a serious health problem, but it can cause discomfort or be painful. It can be treated if it bothers you, but it can also get better with time. More than one pelvic organ may descend at the same time. Most often these are the bladder, urethra, uterus, vagina, bowel or rectum. Pelvic organ prolapse is most often associated with pregnancy and vaginal delivery. They can weaken and stretch the muscles that hold the pelvic organs in place. If the muscles do not recover after birth, the risk of prolapse increases. Other causes of prolapse include aging, menopause, obesity, chronic cough, chronic constipation, or heavy lifting. Prolapse can occur without any symptoms. In most cases, patients report a feeling of pressure from the pelvic organs pressing against the vaginal wall. Another common symptom is a feeling of fullness low in the abdomen. There may be problems urinating or defecating, or pain during intercourse. Many women have only mild symptoms of pelvic organ prolapse. Surgery is usually only performed when the prolapse is affecting the patient’s daily life and the surgeon thinks surgery will help. Surgery should be considered if the prolapse causes pain, bladder and bowel problems, or if the prolapse makes daily activities difficult. After the operation, the organ can be prolaberated again. Surgery in one part of the pelvis can worsen prolapse in another part. This may mean that you will need to have another operation at a later stage. Some of the symptoms can be relieved on their own without surgery. Appropriate exercises at home strengthen the pelvic muscles. Various types of surgery are used to correct genital prolapse. The type of surgery depends on which organs have prolapsed. During surgery for prolapse of the bladder, urethra, rectum, and small intestine, the surgeon makes an incision in the wall of the vagina. Loose or torn tissue in the area of ​​the prolapsed organ is pulled and the vaginal wall is strengthened to prevent re-prolapse. During vaginal vault prolapse surgery, the surgeon makes an incision in the wall of the vagina. It attaches the upper part of the vagina to the wall of the lower abdomen, to the spine in the lower back, or to the ligaments of the pelvis. After this type of surgery, patients return to their normal activities usually after about 6 weeks.During the first 3 months after the operation, you will need to keep calm and avoid lifting weights or standing for long periods of time. It may be best to delay surgery if you plan to have children. Stress during childbirth can cause the problem to return. Bibliography: https://www.northshore.org/healthresources/encyclopedia/encyclopedia.aspx?DocumentHwid=av1031&lang=en-us#av2279 https://www.northshore.org/healthresources/encyclopedia/encyclopedia.aspx?DocumentHwid=tv1000&lid =69608