Pelvic Prolapse Treatment

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Pelvic Prolapse Treatment in London

Expert Pelvic Prolapse Treatment from Experienced Consultant Gynaecologists

Pelvic prolapse occurs when the muscles and supporting tissues of the pelvic floor become weakened, allowing the bladder, uterus, bowel, or top of the vagina to descend from their normal position. Many women experience symptoms such as a feeling of vaginal heaviness, a noticeable bulge, bladder or bowel problems, or discomfort that can affect everyday activities, exercise, intimacy, and overall quality of life. Although prolapse is a common condition, many women delay seeking treatment because they believe it is a normal part of ageing or childbirth or feel embarrassed discussing their symptoms.

At Gynaecology Clinic London, our experienced consultant gynaecologists provide expert assessment and treatment for pelvic prolapse in a professional, supportive, and discreet environment. We understand that every woman’s symptoms and treatment goals are different and are committed to providing evidence-based care tailored to your individual needs, helping you regain comfort, confidence, and quality of life.

Whether you have recently noticed symptoms or have been living with prolapse for some time, our specialists provide prompt access to expert advice and a full range of treatment options. From conservative management to specialist surgery where appropriate, we are committed to helping you find the most effective solution for your symptoms and lifestyle.

Dr Luxmi Velauthar
MBChB, MRCOG, MD

Why Choose Gynaecology Clinic London for Pelvic Prolapse?

Consultant-Led Care

Your assessment and treatment are provided by experienced consultant gynaecologists with expertise in pelvic floor disorders and pelvic prolapse, ensuring the highest standards of care throughout your treatment journey.

Comprehensive Treatment Options

From pelvic floor physiotherapy and pessary management to specialist prolapse surgery where appropriate, we offer a complete range of evidence-based treatment options tailored to the type and severity of your prolapse.

Comprehensive Improving Everyday Life

Our aim is not only to treat prolapse but also to improve your comfort, mobility, bladder and bowel function, sexual wellbeing, confidence, and overall quality of life, helping you return to your normal daily activities.

Individualised Treatment Planning

Every woman's symptoms and treatment goals are different. We take the time to explain your diagnosis, discuss every appropriate treatment option, and develop a management plan that best suits your lifestyle, symptoms, and personal preferences.

Accepted by Major Health Insurers

We welcome both self-pay and insured patients and work with all major private health insurers where appropriate, helping make access to specialist care as straightforward as possible.

Fast Access to Appointments

Private care provides prompt access to consultations, investigations, and treatment, allowing you to receive expert care without unnecessary delays.

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Expert gynaecological care tailored to your individual needs.

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Book Your Consultation

Expert gynaecological care tailored to your individual needs.

Book a Consultation

Fees and Pricing

Clear and transparent pricing is an important part of planning your care. The following guide outlines our consultation fees. If further investigations, procedures, or treatments are recommended, these will be discussed with you in advance so that you fully understand the costs involved.

Initial
Consultation

£250

Your initial consultation includes a comprehensive assessment of your symptoms and medical history, along with any appropriate examinations, investigations, and treatment options. A personalised care plan will be developed based on your individual needs.

Follow-Up
Consultation

£200

Follow-up consultations provide an opportunity to review your progress, discuss investigation results, assess your response to treatment, and ensure your care plan continues to meet your needs.

Dr Luxmi Velauthar, Consultant Gynaecologist, in consultation

What Is Pelvic Prolapse?

Pelvic prolapse occurs when the muscles, ligaments, and connective tissues that support the bladder, uterus, bowel, and upper part of the vagina become weakened or stretched. As these supporting structures lose strength, one or more of these structures can descend from their normal position and press against the walls of the vagina, leading to the symptoms of prolapse.

Several different types of prolapse can occur depending on the area affected. These include bladder prolapse (cystocele), uterine prolapse, bowel prolapse (rectocele or enterocele), and vaginal vault prolapse following a hysterectomy. Some women experience more than one type of prolapse at the same time, and specialist assessment can help determine the most appropriate treatment.

Consultant discussing pelvic floor health with a patient

What Causes Pelvic Prolapse?

Pelvic prolapse usually develops when the muscles, ligaments, and connective tissues that support the pelvic floor gradually weaken or become stretched over time. While pregnancy and vaginal childbirth are among the most common contributing factors, prolapse can also occur in women who have never had children. The likelihood of developing prolapse often increases with age as the supporting tissues naturally lose strength.

Pregnant woman, a common risk factor for prolapse

Common risk factors include pregnancy, vaginal delivery, menopause, ageing, chronic constipation, persistent coughing, obesity, heavy lifting, previous pelvic surgery, and conditions that increase pressure within the abdomen. In many women, prolapse develops as a result of several contributing factors rather than a single cause, making specialist assessment important in determining the most appropriate treatment.

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Woman experiencing pelvic heaviness and discomfort

Symptoms of Pelvic Prolapse

The symptoms of pelvic prolapse vary depending on the type and severity of the condition. Some women experience only mild discomfort, while others find that their symptoms have a significant impact on their daily activities, exercise, bladder or bowel function, sexual wellbeing, and overall quality of life. Symptoms may also become more noticeable after prolonged standing, heavy lifting, or towards the end of the day.

Common symptoms include a feeling of heaviness or dragging in the pelvis, a bulge or lump in the vagina, the sensation of something “coming down” through the vagina, difficulty emptying the bladder or bowel completely, urinary leakage, frequent urinary tract infections, discomfort during sex, lower back pain, and discomfort during physical activity. If these symptoms are affecting your everyday life, specialist assessment can help determine the cause and identify the most appropriate treatment.

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Consultant reviewing a patient's assessment

When Should You Seek Specialist Advice?

Although mild pelvic prolapse may cause few symptoms, more significant prolapse can affect bladder and bowel function, sexual wellbeing, physical activity, and your overall quality of life. Many women assume these symptoms are a normal consequence of ageing or childbirth, but effective assessment and treatment are available. Early specialist review can help determine the type and severity of prolapse and identify the most appropriate management before symptoms progress.

Ultrasound assessment during a specialist appointment

You may benefit from specialist advice if you notice a vaginal bulge or the sensation of something “coming down”, experience persistent pelvic heaviness or dragging, develop bladder or bowel symptoms, or find that prolapse is affecting your daily activities, exercise, work, confidence, or intimate relationships. Seeking advice early can often help relieve symptoms, improve quality of life, and reduce the likelihood of further progression.

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What Does Your Consultation Involve?

Your consultation will begin with a detailed discussion about your symptoms, medical history, pregnancies, childbirth history, previous pelvic surgery, lifestyle, and treatment goals. We will take the time to understand how prolapse is affecting your daily life, bladder and bowel function, sexual wellbeing, exercise, and overall quality of life, ensuring that our recommendations are tailored to your individual circumstances and the severity of your symptoms.

Ultrasound machine used for pelvic assessment

A pelvic examination will usually be recommended to assess the type and severity of your prolapse. Where appropriate, additional investigations such as pelvic ultrasound, bladder function assessment, or other specialist tests may also be advised to provide a more complete assessment. Your consultant will explain the findings clearly, answer any questions you may have, and discuss the treatment options available to develop a management plan that best meets your individual needs and treatment goals.

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Patient discussing treatment options with her consultant

Treatment for Pelvic Prolapse

Treatment for pelvic prolapse is tailored to the type and severity of your prolapse, your symptoms, general health, lifestyle, and personal preferences. Many women achieve excellent symptom relief with conservative treatments, while others may benefit from surgery if prolapse is more advanced or significantly affecting their daily activities, bladder or bowel function, or quality of life. The aim of treatment is to relieve symptoms, improve pelvic floor support, and help you return to your normal activities with greater comfort and confidence.

Medication used as part of prolapse treatment

Treatment options may include pelvic floor physiotherapy, lifestyle advice, vaginal pessary treatment, vaginal oestrogen where appropriate, and prolapse surgery. Our experienced consultant gynaecologists will explain the benefits and potential risks of each option, answer any questions you may have, and recommend the treatment approach that best suits your individual needs, lifestyle, and long-term goals.

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Pelvic Prolapse and Pelvic Floor Physiotherapy

Pelvic floor physiotherapy is often one of the first treatments recommended for women with mild to moderate pelvic prolapse. Strengthening the pelvic floor muscles can help improve support for the bladder, uterus, and bowel, reduce symptoms, improve bladder control, and enhance overall pelvic floor function. For many women, physiotherapy can be an effective way to manage symptoms and may help slow the progression of prolapse.

Our experienced consultant gynaecologists will assess whether pelvic floor physiotherapy is appropriate for your individual circumstances and, where indicated, incorporate it into your overall treatment plan. It may be recommended on its own or alongside other treatments to help relieve symptoms, improve comfort, and support your long-term pelvic health.

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Consultant explaining long-term treatment options

Pelvic Prolapse Surgery

Surgery may be recommended if your prolapse symptoms are severe, conservative treatments have not provided sufficient relief, or the prolapse is significantly affecting your daily activities, bladder or bowel function, or quality of life. The type of surgery recommended will depend on the type and severity of your prolapse, your symptoms, your general health, and your future treatment goals.

Consultant assessing a patient before surgery

Our experienced consultant gynaecologists will discuss all available surgical options, explain the expected benefits, potential risks, and recovery process, and answer any questions you may have. Together, we will help you decide whether surgery is the most appropriate treatment and develop a management plan tailored to your individual needs and lifestyle.

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Frequently Asked Questions

Does pelvic prolapse always require surgery?

No. Many women can successfully manage pelvic prolapse without surgery. Depending on the type and severity of your prolapse, treatment may include pelvic floor physiotherapy, lifestyle changes, vaginal pessaries, or other conservative treatments.

What is a vaginal pessary?

A vaginal pessary is a removable device placed inside the vagina to support the pelvic structures and help relieve prolapse symptoms. For many women, it provides an effective alternative to surgery and can significantly improve comfort and quality of life.

Woman discussing prolapse symptoms with her consultant

Will pelvic prolapse get worse over time?

Not always. Mild prolapse may remain stable for many years, while more significant prolapse can gradually worsen over time. Early assessment and appropriate treatment may help improve symptoms and reduce the likelihood of further progression.

Can pelvic prolapse affect my bladder or bowel?

Yes. Depending on the type and severity of the prolapse, some women experience urinary leakage, difficulty emptying the bladder, constipation, difficulty emptying the bowel, or a feeling of incomplete bladder or bowel emptying.

Symptoms associated with pelvic floor weakness

When is surgery recommended?

Surgery may be recommended if your symptoms are severe, conservative treatments have not provided sufficient relief, or prolapse is significantly affecting your daily activities, bladder or bowel function, or overall quality of life. Your consultant will discuss whether surgery is the most appropriate option for your individual circumstances.

Can I continue exercising if I have pelvic prolapse?

In many cases, yes. However, some forms of exercise may worsen symptoms. Your consultant can advise which activities are appropriate and recommend strategies to help protect your pelvic floor while remaining active.

Woman exercising to support her pelvic floor

Can pelvic prolapse return after treatment?

Although treatment is often very successful, pelvic prolapse can recur in some women over time. Maintaining a healthy weight, avoiding excessive straining, performing pelvic floor exercises where appropriate, and attending follow-up appointments may help reduce the risk of recurrence.

Do I need a GP referral?

No. Many women choose to self-refer for private assessment. Referrals from GPs and other healthcare professionals are also welcome.

Patient attending a follow-up appointment over time

How quickly can I be seen?

We provide fast access to consultations, investigations, and treatment, helping women receive expert assessment and timely care without unnecessary delays.

What happens at my first appointment?

Your consultant will discuss your symptoms, medical history, and how prolapse is affecting your daily life before performing an examination where appropriate. Any findings will be explained clearly, and a personalised treatment plan will be recommended based on your individual needs and treatment goals.

Our Locations

Our consultants at Gynaecology Clinic London see patients across leading private hospitals and clinics in London, including Harley Street, Canary Wharf, The Portland Hospital and Syon Clinic. These locations provide access to high-quality facilities, advanced diagnostics, and specialist women’s healthcare within comfortable and modern clinical settings.

Pelvic Prolapse Treatment