Bladder & Bowel Prolapse
Pelvic organ prolapse affecting the bladder, bowel, or both — and the leakage, pressure, and voiding difficulty that come with it.
What is Bladder & Bowel Prolapse?
Pelvic organ prolapse is when one or more of the pelvic organs — bladder (cystocele), bowel (rectocele), or uterus — descends from its usual position because the supporting pelvic floor and connective tissues have weakened.
It often follows childbirth, ageing, chronic straining, heavy lifting, or previous pelvic surgery. Symptoms range from a sense of heaviness or a visible bulge to leakage, urgency, and difficulty fully emptying the bladder or bowels.
Prolapse is staged 0 to 4 (POP-Q system), and most early-to-moderate prolapse responds well to conservative care — pelvic floor physiotherapy, lifestyle modification, and pessary support. Surgery is reserved for advanced cases or when conservative care has not given enough relief.
Common symptoms
- →Cystocele (bladder prolapse)
- →Rectocele (bowel prolapse)
- →Uterine prolapse
- →Stress urinary incontinence
- →Overactive bladder (OAB)
- →Voiding or evacuation difficulty
When to see us
If any of these sound familiar, booking a consultation is worth your time.
- →Sensation of heaviness, pressure, or a visible bulge in the pelvis?
- →Leakage while exercising, coughing, laughing, or lifting?
- →Constantly hurrying to the restroom, or multiple nighttime trips?
- →Difficulty fully emptying your bladder or bowels?
- →Symptoms worse at the end of the day, after standing, or after exercise?
- →Discomfort with intercourse since childbirth or prior surgery?
How we treat it
Care begins with a thorough pelvic floor assessment — strength, coordination, resting tone, and prolapse staging — so the plan that follows is matched to your specific picture, not a generic Kegel protocol.
Pelvic floor physiotherapy is first-line conservative care: targeted muscle training, bladder and bowel retraining, postural and lifting mechanics, and lifestyle adjustments (fluid, fibre, weight, chronic cough management).
Where lifestyle and physiotherapy alone are not enough, we coordinate pessary support with the patient and their gynaecologist — a vaginal device that mechanically supports the prolapsed organ and works alongside the muscle work. Surgical referral is reserved for advanced prolapse or when conservative care has plateaued.
- •Pelvic Floor Therapy
- •Lifestyle Modifications
- •Pessary Support
- •Bladder Training
- •Bowel Management
- •Postural Correction
What to expect at your first visit
Initial evaluation typically takes 60 minutes. We'll discuss your history, run a relevant assessment, and agree on a treatment plan together — you set the pace.
[Specific details TBC with clinic in Discovery Brief.]
Ready to talk to us?
A consultation is the fastest way to find out whether we are the right team for you.
Book a consultation →Content reviewed by Lymph & Pelvic Care Kenya. Last updated: pending Discovery Brief sign-off.