We visited with Dr. Amos Adelowo, the director of our Urogynecology department, to learn more about Pelvic Organ Prolapse, a common condition many women …
My name is Amos Adelowo. I am a
Physician, here at Reliant Medical Group,
with the Department of Obstetrics and
Gynecology. I am the division Director
for the division of female pelvic
medicine and reconstructive surgery, also
known as urogynecology. Our division here Reliant, we take care of our patients and
women with pelvic floor disorders. This
includes women with pelvic organ
prolapse, or bladder prolapse, prolapse of
the rectum, as well as prolapse of pelvic
organs, such as the uterus. This condition
is very common in women- as they get
older, we see a lot in postmenopausal
women, women after menopause, as well as
women that have had children, either just even,
getting, being pregnant is a risk factor
for pelvic organ prolapse. So, we have women that have had cesarean
sections, and still present with having
complained of bulge in the vagina, or
feeling of something falling out of the
vagina. These women affected by this
condition, and this is a quality of life
problem- most women that have this
condition complain of pressure in the
vagina. They complain of difficulty
urinating or difficulty with bowel
movement. Some women actually have
incontinence of urine, or incontinence of
stool, as a result of the weakness of the
pelvic floor muscles, that contributes to
prolapse. Prolapse by itself is a quality
of life condition, so, it's unlike other
conditions like cancer. It is not a
condition that can cause, directly cause,
death to the patient. Unlike cancer, it is a
condition that is bothersome and
could affect the quality of life of
women. As a result of this, when women
come to us with this condition, we
discuss treatment options- and, some of
the treatment options for pelvic organ
prolapse does not always have to be
surgery. There are some treatment options
that include pelvic floor exercises, such
as pelvic floor physical therapy, as well
as other treatment options, such as the
use of pessary. What pessary is, is it's a
rubber device, that looks like a
diaphragm, and this goes in the vagina, to
hold the pelvic organs up, to keep it from
falling out. Again, this is a treatment
option that is not surgery; it does
require maintenance and care, and we
discuss with patient what those care
involves. It's like a band-aid, and it
helps women, especially if they have
multiple medical problems, and they
cannot have surgery, it's a way to treat
their prolapse. Other treatment options
that we have include surgery- and,
there are different ways we do surgery,
The good thing is now when we do surgeries
for prolapse, we are able to do surgery
that require patients to not even stay
in the hospital overnight. Most patients
go home the same day. We do this
minimally invasive surgery, either through
the vagina, or through small incisions in
the abdomen, and patients are able to
either go home the same day, or stay in
the hospital overnight, and they go home
the next day, and they have a speedy
recovery; they're up walking around the
same day of surgery, they're able to go
up and down the stairs, they're able to
go for walks, they have minimal
restrictions, and their recovery is as
minimal amount of pain, thus giving them
a good experience after surgery. This is
a picture of prolapse, and as it is seen
here, it comes in different forms. This is
with a uterus coming out of the
vagina. It could also be the rectum
bulging out into the vagina, or it could
be the bladder bulging out into the vagina.
So, there are different ways that
products can present. As a result of that,
when patients have symptoms, we encourage
them to discuss it with their primary
care physician, or come to us here at
Reliant Medical Group. They could contact
us, they could call us, the number is 508-368-3110.
That is a direct number where they could
talk to someone, let them know what their
concerns are, and we're usually able to
get them in to see us in a timely
fashion. By doing that, we'll be able to
talk to them, show them pictures and
videos, of what their condition look like,
and also discuss what the different
treatment options that they have. We're
always here to help, please don't hesitate to
call us as needed. Thank you.

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