No, You’re Not Broken: Understanding and Treating Pelvic Organ Prolapse

2025-04-25

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In this essential episode of The Double Scrub, Dr. Radhika Sharma and Dr. Scott Curtis take on a topic that’s often under-discussed but deeply impactful: Pelvic Organ Prolapse (POP). Affecting up to 50% of women over their lifetime, POP can lead to discomfort, pressure, and urinary changes — but too many suffer in silence. The docs break down the most common symptoms, how to get a proper diagnosis, and what treatment options exist — from conservative management like pelvic floor therapy and pessaries to

In this essential episode of The Double Scrub, Dr. Radhika Sharma and Dr. Scott Curtis take on a topic that’s often under-discussed but deeply impactful: Pelvic Organ Prolapse (POP). Affecting up to 50% of women over their lifetime, POP can lead to discomfort, pressure, and urinary changes — but too many suffer in silence.

The docs break down the most common symptoms, how to get a proper diagnosis, and what treatment options exist — from conservative management like pelvic floor therapy and pessaries to surgical procedures like sacrocolpopexy and uterosacral ligament suspension.

They also explore the real talk around recovery: what increases surgical success, how to prevent recurrence, and why post-op care and pelvic floor rehab are game-changers for long-term results.

If you’ve ever wondered what that “heaviness” feeling is or why no one warned you about pelvic floor changes after kids or menopause — this one’s for you.

Key Takeaways:

Pelvic Organ Prolapse affects nearly 1 in 2 women at some point.
Symptoms include vaginal pressure, bulging, incontinence, and more.
Pessaries offer a non-surgical way to manage and support prolapse.
Pelvic floor PT improves symptoms, prevents worsening, and boosts recovery after surgery.
Surgical options like sacrocolpopexy have high success rates — but they’re not one-size-fits-all.
Post-operative recovery, vaginal estrogen, and smart lifestyle habits are crucial to preventing recurrence.
You are not alone — and you deserve to feel strong and supported.

Resources Mentioned:

AUGS (American Urogynecologic Society): www.augs.org
Pelvic floor PT locator: www.pelvicrehab.com

Chapters

00:00 Introduction to The Double Scrub Podcast
08:15 Understanding Pelvic Organ Prolapse
10:23 Symptoms and Diagnosis of Prolapse
23:20 Treatment Options for Pelvic Organ Prolapse
27:59 Understanding Pessaries and Their Role in Treatment
32:29 The Importance of Pelvic Floor Physical Therapy
36:34 Surgical Options for Pelvic Organ Prolapse
46:01 Innovative Surgical Techniques and Their Benefits
48:23 Recurrence Rates and Post-Surgery Considerations
57:57 dive-in-abbynoise-main-version-33798-02-15.mp3
58:07 Engagement with the Audience

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