Stage 4 pelvic floor dysfunction is the most advanced stage of pelvic organ prolapse (POP). It occurs when one or more pelvic organs such as the bladder, uterus, or rectum, descend so far that they protrude outside the vaginal opening. This condition is often painful, disruptive to daily life, & requires medical intervention.
Understanding the Stages of Pelvic Organ Prolapse
Pelvic organ prolapse is graded on a scale from Stage 0 (no prolapse) to Stage 4 (complete prolapse). These stages help healthcare providers evaluate the severity of the condition and determine the best treatment plan.
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Stage one – Mild descent of pelvic organs; often asymptomatic
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Stage two – Organs descend to the opening of the vagina
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Stage three – Organs bulge outside the vaginal opening
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Stage four – Full protrusion of one or more organs beyond the vaginal opening
What Causes Stage 4 Pelvic Floor Dysfunction?
This condition develops gradually & may result from a combination of factors, including…
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Childbirth trauma (especially vaginal births or multiple deliveries)
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Chronic straining from constipation or heavy lifting
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Menopause, due to reduced estrogen levels weakening tissues
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Genetic predisposition to weak connective tissue
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Previous pelvic surgery
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Obesity or chronic coughing
How Is It Treated?
Stage 4 pelvic floor dysfunction typically requires more advanced medical or surgical intervention, though conservative treatments may offer temporary relief.
Pessary Use
A vaginal pessary is a removable device inserted into the vagina to support the prolapsed organs. It’s often used by those who can’t or don’t want to have surgery.
Pelvic Floor Physical Therapy
While therapy alone may not fully correct Stage 4 prolapse, it can…
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Improve muscle support
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Relieve associated pain
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Strengthen surrounding structures
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Help prevent worsening
Therapy is also useful before and after surgery to aid recovery & improve outcomes.
Surgical Repair
Surgery is the most effective long-term solution for Stage 4 prolapse. Options include…
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Vaginal or abdominal prolapse repair
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Hysterectomy (if the uterus is involved)
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Mesh procedures (used with caution)
A pelvic floor specialist or urogynecologist can help you explore the best surgical approach based on your health, age, & lifestyle.
Get Expert Support in Springfield, MO
At Physical Therapy by Phoenix, we provide compassionate, expert care for every stage of pelvic floor dysfunction. If you’re experiencing pelvic pressure, pain, or a visible bulge, don’t wait. We’ll guide you through your options with dignity & respect, regardless if you need strengthening, symptom relief, or pre/post-surgical care.
Address – 1839 E. Independence, Ste R, Springfield, MO 65804
Phone – (417) 708-5174
Website – https://ptphoenixspringfield.com
