Exploring Non-Surgical Treatments for Pelvic Organ Prolapse: What Does the Evidence Says?

Sonthidetch SivilaikulThailand Speaker Exploring Non-Surgical Treatments for Pelvic Organ Prolapse: What Does the Evidence Says?Pelvic organ prolapse (POP) is a prevalent condition among women, particularly in the postmenopausal population, and it significantly impacts quality of life. While surgical intervention remains a definitive treatment for moderate to severe cases, non-surgical management has garnered increasing attention as a viable alternative, especially for women who are asymptomatic, medically unfit for surgery, or prefer conservative options. This review explores current evidence regarding non-surgical therapies for POP, focusing on pelvic floor muscle training (PFMT), pessary use, lifestyle modifications, and emerging modalities such as vaginal estrogen therapy and electrical stimulation. Clinical trials and meta-analyses suggest that PFMT can improve prolapse symptoms and halt progression in early-stage POP, while pessaries offer an effective mechanical solution for symptom relief and support. However, the quality of evidence varies, with many studies limited by small sample sizes and heterogeneity in outcome measures. Ultimately, non-surgical treatments serve as an important component of personalized care strategies for managing POP.