talkhealth forums

I have a vaginal prolapse and cystocele, gradually getting worse over the last four years, but only just diagnosed. During this time I have also had occasional bowel leakage with no warning - when I run, squat down to lift a grandchild, etc. I have had all sorts of investigations into the bowel problem, and nothing was found to be wrong. Now I am guessing it is caused by the prolapse. I believe a Vaginal Pessary will be an option offered. Would this be likely to fix the bowel problem? Thanks

The prolapse suggest you have weakness of your pelvic floor muscles which can lead to escape/leakage of stool. Whilst you may find the pessary helps, it is important to have further plan including strengthening your pelvic floor muscles, ensuring you have a good fluid and fibre intake and even laxatives/other meds if necessary. You mention you have had tests - these can include assessment of the strength of the anal and rectal muscles, as well as your coordination of these muscles (using the right muscles to poo)/how well you evacuate your stool. If you have already seen a gastroenterologist/colorectal surgeon with a specialist interest in pelvic floor disorders they should be able to refer you to a pelvic floor nurse specialist who can help.