Prolapse and Pessary Fittings

At Rome Physical Therapy, we specialize in the comprehensive assessment and treatment of pelvic organ prolapse, providing individualized care to help you feel supported, confident, and strong. Pelvic organ prolapse can cause a wide range of symptoms—from pelvic pressure to vaginal heaviness—and our team is here to guide you through every step of recovery.

We also offer pessary fittings to provide extra pelvic support when needed. During your fitting, we help determine the correct size and type, teach you how to insert and remove your pessary, and make sure you feel confident doing daily movements—walking, lifting, exercising, or caring for your family—while wearing it.

Common Symptoms of a Prolapse

Many individuals with pelvic organ prolapse describe symptoms such as:

  • Vaginal heaviness

  • Pelvic pressure

  • A feeling like “something is falling out”

  • A bulging sensation in the vagina

  • Feeling like you're sitting on a golf ball

  • Dragging or pulling sensations in the pelvis

  • Difficulty with bowel movements

  • Urinary leakage or urgency associated with prolapse

  • Discomfort during exercise or long periods of standing

We address all of these symptoms with targeted pelvic floor therapy, education, and individualized care.

At Rome PT, we empower you with practical tools, deep strength, and body awareness to confidently manage pelvic organ prolapse. We proudly serve West Ashley, Charleston, Mt. Pleasant, and Summerville, offering expert pelvic floor therapy for women at every stage of life.

We begin with a detailed pelvic floor evaluation, assessing the level and type of prolapse, your breathing strategies, core coordination, hip strength, and how effectively you manage intra-abdominal pressure. Many prolapse symptoms stem from a combination of pelvic floor weakness, overactivity, or poor pressure management. By identifying the root cause, we create a customized treatment plan that helps you safely improve function and reduce discomfort.

Our prolapse treatment approach includes:

  • Deep pelvic floor strengthening and coordination

  • Breathing and pressure-management strategies

  • Core stabilization and hip strengthening to support the pelvis

  • Education on lifestyle and movement modifications

  • Guidance on safe lifting, exercise progressions, and bowel habits

  • Symptom management techniques for daily activity

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