21 Nov 2019 BY Katrina Tarrant POSTED IN Women's Health Tweet Prolapse and pessaries Pessaries can save the day! by Carrie Seow, women's health physiotherapist Prolapse and surgery has been in the news recently with the legal class action in Australia against Johnson&Johnson. With the horrific stories from many women of their pain and suffering after surgical mesh implant treatment of prolapse, surgery sounds like something to well and truly avoid. Conservative or non-surgical management of prolapse is very successful and often prevents the need for surgery for women living with pelvic organ prolapse (POP). POP is the term to describe the sitting of a woman's bladder, uterus or bowel lower in the pelvis than should be. Pregnancy, child birth, menopause, much heavy lifting and age are all factors that can contribute to this very common issue. Did you know that 50% of women have a degree of POP, with many asymptomatic? This sagging of the organs can create pain, incontinence, heaviness and sometimes presentation of the organ outside of the vagina. Conservative management for POP can include pelvic floor exercises and the prescription of pessaries. Surprisingly, not many women may have heard of these options in managing the symptoms of POP. What is a pessary?