A case report of conservative treatment of pelvic organ prolapse in a 40-year-old pregnant woman

Serveh Parang, Nasrin Soufizadeh

DOI: 10.22122/cdj.v9i2.603


BACKGROUND: Pelvic organ prolapse (POP) is a rare event in pregnancy. Genital organs’ prolapse is multi-factorial and can be caused due to weakness of connective tissue and pelvic support muscles and also nerve damage. The purpose of this study is to report a case of conservative treatment of POP in pregnancy.

CASE REPORT: A 40-year-old woman with multiparous at week 17 of pregnancy complaining of heaviness, pressure, and mass protrusion from the vagina was referred to the Sayedolshohadaei Hospital in Sanandaj, Iran. On vaginal examination, Grade 3 prolapse based on Pelvic Organ Prolapse Quantification System (POP-Q) was diagnosed. Conservative treatment with pessary was ordered for her and bed rest was recommended followed by personal hygiene. Her pregnancy ended successfully and no complications happened for the mother and the baby.

CONCLUSION: Management and treatment of POP in an individualized and separate approach can be adopted based on the patient preferences. Use of pessary to prevent complications would be useful and can be considered as a noninvasive treatment in consulting patients.


Treatment; Pelvic Organ Prolapse; Pregnancy

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Berek J. Berek & Novak's gynecology. Alphen aan den Rijn, Netherlands: Wolters Kluwer; 2020.

Gholami Chaboki B, Mehrabi Y, Ramezani Tehrani F, Kavousi A. Factors associated to pelvic prolapse in women, weighted logistic regression model in complex sampling studies. J North Khorasan Univ Med Sci 2014; 6(1): 117-23.

Nygaard I, Barber MD, Burgio KL, Kenton K, Meikle S, Schaffer J, et al. Prevalence of symptomatic pelvic floor disorders in US women. JAMA 2008; 300(11): 1311-6.

Tegerstedt G, Maehle-Schmidt M, Nyren O, Hammarstrom M. Prevalence of symptomatic pelvic organ prolapse in a Swedish population. Int Urogynecol J Pelvic Floor Dysfunct 2005; 16(6): 497-503.

Walker GJ, Gunasekera P. Pelvic organ prolapse and

incontinence in developing countries: Review of prevalence and risk factors. Int Urogynecol J 2011; 22(2): 127-35.

Taimoori B, Roudbari M. The prevalence of symptoms of pelvic floor disorders in women that referred to the clinic of gynecology in Ali-ebn-Abitaleb hospital, Zahedan, Iran. Zahedan J Res Med Sci 2006; 8(3): 203-10. [In Persian].

Direkvand Moghadam A. Investigating on relationship between birth weight and prevalence and severity of pelvic organ prolapse. Iran J Obstet Gynecol Infertil 2012; 15(16): 13-9. [In Persian].

Gyhagen M, Bullarbo M, Nielsen TF, Milsom I. Prevalence and risk factors for pelvic organ prolapse 20 years after childbirth: A national cohort study in singleton primiparae after vaginal or caesarean delivery. BJOG 2013; 120(2): 152-60.

James DK, Steer PJ, Weiner CP, Gonik B. High risk pregnancy e-book management options-expert consult. Philadelphia, PA: Elsevier Health Sciences; 2010.

Patel S, Roberts S, Rogers V, Zink A, Duryea E, Morgan J. Williams obstetrics. New York, NY: McGraw-Hill Education; 2018.

Lo TS, Chen CK, Dass AK, Pue LB, Cortes EF. Spontaneous pregnancy after pessary placement in a patient with infertility and advanced pelvic organ prolapse. J Minim Invasive Gynecol 2016; 5(1): 38-40.

Guariglia L, Carducci B, Botta A, Ferrazzani S, Caruso A. Uterine prolapse in pregnancy. Gynecol Obstet Invest 2005; 60(4): 192-4.


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