MIRIAM MACKOVIC-BASIC, M.D. Ph.D., FACOG., EMBA
Pelvic floor prolapse as well as urinary incontinence are very common, but they are NOT a normal part of aging. Women are very hesitant to talk about these problems, although both conditions deeply affect their quality of life and physical and sexual activity.
ACOG (American College of Obstetrics and Gynecology) now recommends physicians to regularly screen patients for these issues. Personally, I found that patients are deeply thankful when I bring this topic, not only because they are embarrassed to ask, but because they believe it is a “normal condition” that cannot be treated.
Pelvic organ prolapse and stress urinary incontinence coexist in 15 to 80 percent of women with pelvic floor dysfunction. While these conditions are often concurrent, one may be mild or asymptomatic, while the other can be disabling condition. Women may have mild pelvic pain, but sometimes it can be so bad that they can’t walk or even sit for a longer time. Incontinence can prevent them to be involved in sport activities. They may avoid sex or be socially isolated due to upsetting accidents.