Conservative management of Prolapse -Your Gold Coast Prolpase experts

At Gold Coast Pelvic Health, Elle is apart of the first cohort of Women's Health and Contience Physiotherapists to complete the Post Graduate Certificate of the conservative management of Pelvic Organ Porlapse at the University of South Australia.

Elle is highly qualified in the assessment of Prolapse through the POP-Quantification system and Prolapse staging system will be able to provide you with the information of the causes your POP and how to best fix it whether that be with Pelvic Floor Muscle training, biofeedback, non-surgical POP management or surgical management. Elle is also enaging in sonographic imaging as an effective reliable tool for Prolpase evaluation and pessary success.

What is Pelvic Organ Prolpase?

Pelvic Organ Prolapse (POP) is the descent of one or more of the anterior (front) vaginal wall, posterior (back) vaginal wall, the uterus/cervix or the apex of the vagina (after a hysterectomy).

It is estimated that 1 in 3 women are affected to the degree that the vaginal bulge extends either equal to or beyond the vaginal opening. POP can be very distressing for many women as the symptoms of POP can significantly impact upon a Woman's quality of life, body image, intimacy and exercise goals. The detrimental side effects of POP can have long lasting effects and affect Women's overall health including mental and physical health outcomes.

So how do you know if you have a Prolapse?

There are 6 common symptoms including:

  1. Low Back Pain
  2. Feeling a Vaginal Bulge with wiping bladder and/or bowel
  3. Pelvic Pressure or heaviness around the vagina or lower abdomen - particularly after exercise, lifting, standing long periods or at the end of the day
  4. Difficulty with emptying bowel or bladder - a feeling of obstruction and unsatisfactory bladder and bowel emptying
  5. Splinting/digitation to assist with bowel and bladder emptying
  6. In severe cases bleeding, discharge and infection such as Urinary Tract Infections, recurrent thrush and bacterial vaginosis

The Pelvic Floor Muscles have an integral role in the symptom reduction of POP and to prevent worsening of POP. But what happens when you have a strong pelvic floor?

There are differing causes for the development of a POP including a weak or poor functioning pelvic floor, but the ligament support of the organs and fascial supports can also deteriorate with age, having carried babies, birthed babies, occupation, genetics, exercise and chronic constipation or straining with wmptying bowels and/or bladder.

Did you know that there are non-surgical approaches to Prolapse management with the successful fitting of a pessary?

A pessary that improves your symptoms is also a good indicator that opting for surgery will be a good option for you.

Pessaries can be used as a short-term solution post pregnancy for symptoms of prolapse when returning to exercise and while breast feeding. Pessaries can also be used as support for the pelvic organs during high intensity exercise programs to prevent prolapse symptoms for worsening.

Pessaries can also be a long-term solution as many women feel surgery is not an option for them due to health problems or wanting a non-surgical approach - Pessaries are the right choice for you!

So, what does a Pessary look like and what does fitting one involve?

At Gold Coast Pelvic Health Elle Pidgeon has undertaken a postgraduate certificate in the Conservative Management of Prolapse and she is highly qualified in the assessment of Prolapse through the POP-Quantification system and POP staging system.

A pessary is selected based off your POP-Q and POP-staging assessment, pelvic floor muscle function and morphology and patient goals and symptom relief.

There are many types of Pessaries - some are mechanically supportive and some are space occupying - your pelvic health Physio will talk you through these options and trial a Pessary for 7-10days. It may take 2-3 sessions to fit the right pessary, but once the fit is best then we will teach you how to look after your pessary, fit it and remove it yourself as needed as some pessaries can remain in place for 3-6months. We perform 3-6monthly checks to ensure there are no issues with the pessary.

Elle works with your GP and specialist- Urogynaecologist, gynaecologist, obstetrician, midwife, urologist or colorectal surgeon to provide the best outcome for you and your Health care team.


Can I return to exercise and the things I love doing?

YES! With succesful fitting of a pessary and a highly functioning Pelvic Floor, we assess your individual goals and you condition and help you on your path to recovery and retuning back to exercise and the things that allow YOU to be YOU.

Elle implements with you a graduated return to exercise programs and guides you every step of the way with how to use a pessary and ensure you are 100% happy with self management and you understand your pelvic health better than anyone else!


Call us today to find out more and find out how easy the conservative management of POP can be!

+ Southport Pelvic Health Clinic, Gold Coast Urology Clinic 

For Bookings Ph: (07) 5532 4644

+ Hope Island Pelvic Health Clinic, Homeworld Medical Centre

For Bookings Ph: 0422 434 200

+Tugun Pelvic Health Clinic, John Flynn Private Hospital Coast Colorectal Clinic 

For Bookings Ph: (07) 5598 0825

+ Burleigh Waters Pelvic Health Clinic, Eastbrooke Medical Centre 

For Bookings Ph: (07) 5568 600

+ Robina Pelvic Health Clinic, Primary Medical Centre

For Bookings Ph: (07) 5675 4700