What an amazing video!!! Very engaging, thorough, and informative. 38 minutes well spent. I am 63 y/o and 1 week post pelvic floor prolapse repair surgery. I have learned so much from this video than the few minutes I spent with my surgeon. Now, when l go for my follow-up visit, I will be equipped with a million educated questions. I will also be requesting pelvic floor PT and possibly estrogen cream. Thank you so much for sharing your knowledge!!❤

I can't tell you how many videos I watched before this one. I felt so annoyed and frustrated because NONE of them answered the questions I had. YOU ARE ABSOLUTELY AMAZING! Thank you so much. I am certain you are helping more women than you could possibly know, even just by posting this video, and in your practice, you are an angel. :). I might move to Washington state just so I can come to Pacific Northwest Urology Specialists! :)

This was absolute perfection. You are what we hope all of our doctors can be. Thank you. Bless you.

I’m a med/surg/orth nurse and float to OB occasionally, this doctor is a gem and rare !!! Wow, well presented….to the point, articulate and in understandable language ! Gods bless you and keep doing what your doing !!!!!

You are so special. Women need more doctors like you who really explain things so thoroughly. I wish you lived in my town. I would pick up the phone and get an appointment just to talk to you. God bless you for sharing your knowledge and expertise with everyone. Thank you so very much. 😊🙏❤️

This is absolutely the best video on this subject I have seen. I feel like I just had the most comprehensive education on POP and I am deeply grateful. It takes a woman to explain to other women about this common occurrence in approximately 30% of us.

37 minutes and I listened to every single one, because I just went to the urologist I was referred to by an absolutely NON EXAMINING nurse practitioner, a urologist that specializes in prostates. The staff didn’t even know what to do with me. I literally thought that I’m irreparably broken with no hope of ever being able to be healthy again. Now to find an amazing doctor like you.

THANK YOU!! So...Having babies causes this crapola. I had 5 children. Been having mild/mod prolapse for years! (More that women have to endure in our lives. 😩). Thank you soooo very much! You’ve given me all I need to know! Stay strong, ladies!!!💪

That's about 36 more minutes than my Doctor discussed with me prior to my recent hysterectomy with a cystocele bladder fix tossed in for good measure. I was only told why the mesh could not be used due to insurance regulations and risk factors. Here I am, almost 6 months after surgery, dealing with my bladder again. I think it must like living in the basement! I wish women had been given better educations regarding this phase of our lives when we were given our sex ed courses in school and college! THANK YOU for this very educational video!

Bless you. Forever grateful. I’m 78, just had vaginal/uterine prolapse surgery. Just had two week check up. No one mentioned the estrogen cream. I will be getting that on Monday. This information was so helpful. This video ought to be in every doctors office.

Thank you very much for sharing your wisdom and educating us. It's amazing how many women are affected by POP but are embarrassed to talk about it. Even worse, it's a shame how many doctors won't address it when needed. So, THANK YOU for taking the time to empower us to make good decisions regarding our medical care!

OH SO HELPFUL !!!! I was scared silly 37 minutes ago & now I'm back to normal. THANK YOU SO MUCH !!!

Thank you Doctor! Women, please keep talking about what is going on with your body. Sharing helps all of us! I'm scheduling my surgery for stage 4. I can't believe it has taken this long for me to figure this out, talk about it, and deal with it.

Thank you for 37 minutes of prolapse talk! I am the mom of eight children, all vaginal deliveries. I’m in my early 60’s, not on an Estrogen cream, had a sudden weight gain of fifty (50) pounds six years ago due to a three year treatment with steroids, (I’ve since lost twenty pounds, yay!), and currently I have a bulging bladder and uterus. Thanks to this video, I now have a better idea of what decisions I want to make when I visit my GYN next week. I definitely feel more empowered. Thanks. (Even so, the Foley still scares the heck out of me!🤣) Peace out. ✌🏽

THANK YOU FOR THIS AMAZING CHAT!! I'm a mom of 5. My last baby was born when I was 40 (!) --from your description, I have a stage 4 prolapse. You have given me the info I was looking for.... Thank you again for taking the time to talk to us!

This was a great explanation. The Doctor I had did not help me understand anything he said. Its too bad there aren't more women Doctors like you. After seeing him I was petrified. I am now seeing a female doctor for a pessary and she has been great. Thank you so much!!!!

Paraneoplasty deserves more airtime, IMHO. The lack of sensation a woman can feel because of vaginal muscles stretching from childbirth is incredibly depressing. And some doctors do not take it seriously at all. I had one female doctor practically scoff in my face about it, insinuating that it is for the male partner's enjoyment only. Not so. I left the doctor's office feeling disheartened. And so your mention of it is appreciated, doctor.

Excellent talk.. thank you so much.. I’m 50 and have been wondering about the changes I’m experiencing especially with the menopause and no one talks about it.. Ty for sharing your knowledge with us and in such a clear and easily Understood manner, I’m sure there are a lot of women out there like me who very much appreciate you taking the time to inform us on this subject.. 😊

Thank you. You explained everything in simple layman terms. You answered all my questions without me asking any. I was so upset, my anxiety is now gone!!!

My gnat-sized attention allotment stayed with you for 37 minutes. Great job! Thank you.

You are a Godsend! You answered soo many questions and shredded light on things I needed to know; THANK YOU FOR CARING!!

Thank you. I have struggled with this for a while and just thought those was my new normal. Recently, it has gotten worse, which led me to seek treatment. This makes me feel less anxious about my situation.

Thank you 🙏 from the UK. In the 3 years I have been under my doctor for POP, I have never received this amount of information. I feel now I can move forward. So grateful for this video.

I had the surgery after my 4th baby and it has been amazing. I can now be active without feeling like my bladder is about to fall out . That was 25 years ago now, and I. Still good. If it’s affecting your lifestyle adversely, as mine was, then go for it.

I am a family medicine doctor in Australia. This overview is fantastic. Thank you so much for posting.

Thank you for this video. I didn't actually want to tell anyone about what was going on with my prolapse. I had a total hysterectomy at 27 and I am 42 now. I just started looking this up because I have major bladder/kidney problems. I have had many surgeries to put stents in because I can't urinate properly which of course led to kidney infections and stones. I have noticed for over 2 years this bulging out of my vagina. Now I can't urinate or get my stool out properly. I decided to take care of this myself and research as much as I can. I found a lot about these different types of prolapse. I have seen so many different doctors and absolutely NO ONE noticed this!? I don't understand. Women are overlooked. All anyone wanted to diagnose me with is having bladder and kidney infections as well as a problem they want to leave. I am so incredibly happy I noticed this myself because I am not in a great situation now. I am going to have to have surgery. I am so scared. Watching you and the way you are so calm has made me feel more calm myself. You are a great doctor! Amazing woman! It is obvious that this is your passion. You have made me understand what the heck the drs are saying and that there are options. I need to start speaking out and being my own advocate. Thank you for the great video ❤️

What a great explanation of all this. Thank you so much.

I absolutely loved your video. Thank you for being straight up and explaining what doctors dont seem to have time to do. Please continue to educate us. Thank you so very, very, much.

Wow! Spectacular ;) I appreciate the concise and clear information. I’m 66 and on the fence, the is gave me clarity. Thank you much!

Thank you so much for this video. It made me feel so much better about my situation and gave me a sense of what to ask and talk about with my Urogynecologist who I was just referred to. I have never had surgery before and this took away a lot of fear. So appreciated! I also love your down to earth personality and compassion, I hope that my surgeon has your character.

Thank you for presenting this information. You have a very easy practical ability to explain details without freaking a woman out. Very informative.

THANK YOU SO VERY MUCH for this very informative video on prolapse..67 and just discovered I have something going on..this helped me calm down and not freak out. Had no idea this was part of life and the life cycle of the vagina. So much wonderful information. Was clueless, now informed !!! Great presentation 👏

I know this video is 4 years old but the information you’ve provided was absolutely essential to me. You’ve helped me not be so freaked out about what’s going on with me. I’m 53, had a hysterectomy at 42 where they left my tubes and ovaries because I had a pulmonary embolism when my youngest daughter was born in 2004. They didn’t want to put me into early menopause at 42 since they felt HRT was not an option for me. Now, I have a solid 5cm mass in the center/left side of my pelvis near my ovaries that was found incidentally during an ER and hospital stay due to a horrible UTI/kidney infection, sepsis, and kidney abscess. One radiologist thinks the mass may actually be a residual fibroid that is attached to my vaginal cuff area or maybe a broad ligament fibroid/mass. I’m scheduled for surgery to remove the mass in a couple weeks. I’ve been experiencing tailbone pain for about 5 months that I keep getting told is just aging. I’ve had no injuries or an accident to explain the pain. This week, I noticed a lump at the entrance of my vagina on the back/posterior. It’s worse later in the day or if I’ve been on my feet a long time. I’m curious if the solid mass near my ovary could be contributing to the lump/rectocele or if this is completely a separate issue. They sent me to a gyno oncologist for review and surgery on the solid mass, as a precautionary measure. I’m trying to figure out if I should let my surgeon know about the rectocele issue, before she takes out the mass or let it go and see if the solid mass being removed helps fix the issue. It wasn’t something I wasn’t even aware of during my initial consultation and physical exam with her. She likely didn’t see it during the exam because I was on my back. I don’t want extra surgery if I don’t need it, but I also don’t want two surgeries if I can avoid it.

Thank you for explaining the 4 stages of prolapse and surgical treatments. It was useful to hear the correct medical terms and to learn about the many options. Giving much needed hope and guidance. Thank you x

All the way from Australia,I am sending my gratitude for this fantastically informative video. Along with your extensive knowledge comes your ability to explain things in layman's terms. Your warmth and humour to help us prolapse gals feel comforted and understood. After 5 big babies and twenty years of doing weights at the gym, I think I have given my pelvis a thrashing - hence, bladder and uterine prolapse!!!! I have confidence in my urologist but if I lived in the US I would definitely be your patient :D

I’m in PT for bladder prolapse & you have given so much positive information. I now feel confident the kegels,bridges, therapy bands will eventually minimize the heaviness in the pelvic area. You were very professional & thorough. Thank you for sharing your expertise!

Thanks so much for your video information!! I am having prolapse surgery next week at Mayo Clinic for pelvic floor reinforcement due to grade 3 rectocele and cystocele. You have answered so many of my questions and helped me prepare mentally for surgery. Thank you for doing this video!

Thank you for this! I just discovered my prolapse yesterday. I was FREAKING OUT!! This was very informative

Boy - are you interesting. Well spoken and informative with a great personality. A delight to watch - thank you!

Thank you! Started following you 6 mos ago after going to my obgyn and while up in stirrups she tells me I have prolapse and she will refer me to a surgeon for hysterectomy! I didn’t hear anything she said after that and realized when I got home that she hadn’t even done my Pap smear that I went in for. Dr. Just said it was normal with aging. I am 63 yr very healthy, active, LHS resistance training, clean eating, supplements etc. never expected this. Researched on internet for hours daily and now on estrogen cream, pelvic floor physio, estradiol gel, progesterone. Changed dr. Prolapse better, work in progress. Now Following you, dr Rachel Rubin, dr Mary Claire Haver, Dr Louise Newson, Dr V. Wright and others. Thank god for all that you do and social media

I just noticed a anterior prolapse today while I was at work (as a CMA) I knew immediately what I was feeling because of my previous obgyn experience, and it scared me to death. You're the first video I landed on after coming home, and you have helped calm me a bit. I'm guessing I'm a 3 or 4 so I'm somewhere between starting a keagle program and running to a surgeon. Thanks for making this video.

This is by far the most informative and comprehensive video on pelvic prolapse that I have seen and I am so glad I found it. Thank you!

I began to suspect a prolapse last week when I took a „look“ due to an itching feeling. I was shocked…but then when you aren`t always looking nor feeling anything unusual, it could be that this is something normal. Anyway, found your video and I feel sooo much better, even if it is the beginning of a prolapse - also suspected because I have a chronic cough. Will talk to my Dr on my visit in April …..you made me feel like it wasn`t an emergency nor would I need invasive treatment. I`ve come away from this video very well informed. Thank you for all the good info!!!!

Thank you for posting this video. You answered my questions. I have had a pessary for seven years, which helped with my prolapse (at 3-4). But over the past two years, I have been experiencing bladder leakage with constipation. I have recently met with an OBGYN specialist and neuro surgeon to discuss bladder repair and a partial hysterectomy (remove the uterus) due to polyps and fibroids. A mass was found in my ultrasound. I feel constant pressure in my pelvic floor. I’m tired, bloated, and struggle to have bowel movements. Sex is not painful… but when I lay on my back, my uterus is enlarged and feels like a rock to touch. I don’t want mesh products in my body so I asked about the natural biological tissue to ligaments for the repairs. The sling was suggested but I have another meeting with both surgeons to pose my question about the natural biological tissue to use for the repair. I’m premenopausal and plan to keep both my ovaries for hormone balance. Do you recommend estrogen cream with keeping both ovaries after a partial hysterectomy? I know prolapse is your specialty, but perhaps you can speak to the benefits of the estrogen cream post- surgery. I’m not sure if I want to keep my cervix due to breakthrough bleeding down the road. I want to be completely done with periods and breakthrough bleeding. I want to be healthy and feel normal again. Thank you for your video and expertise in the medical field. I want to make a well informed decision over my body before consenting to surgery.

I have a 3rd stage prolapse to my rectum, bladder, and uterus and this has been amazing! I will be having surgery and I feel so much more informed! Thank you!!!

I had a vaginal prolapse operation coming up three years ago next month. I had it since the birth of my second child at age 33 doing too much exercise. It gradually got worse while I ran myself to death the following twenty years. It was the best thing I ever did and haven’t looked back since. I’m from England and it’s one thing I can thank the NHS for.

Thank you. I have robotic surgery (stage 4) scheduled for next month and this explained a lot. The Dr told me most of what you said but it didn’t register at the time. You’ve given me more detail than I remember so it was really helpful. Thanks again. Shirley

You can't even imagine the relief I feel now after I watched your video. You are AMAZING. Can't thank you enough:):)

I’m scheduled for colpocleisis in April and I will be 82 in April. My prolapse is stage 4. I had a hysterectomy when I was younger. I did wear a pessary for years until it began to hurt me. I’m quite anxious about all this and wish I could still use a pessary. Was not using an estrogen cream so probably should have. I do understand better after hearing you and thank you so much.

Thank you so much . I have a mild prolapse and you just put everything into perspective. I will continue to see my pelvic floor therapist and continue with my exercises and estrogen cream. I have so much more clarity.

Thank you for taking the time to explain much of what happens when one has a prolapse. Great content!

Thank you so much for this information. I have had this problem for several years. It is uncomfortable and challenging. I am considering the robotic surgery and hearing you explain it in detail has helped me understand it better. I needed to hear this and knowing I'm not alone in this helps. Thank you for sharing your knowledge.

My prolapse appeared last year and I was so scared... I am 73 years old, 3 children, hysterectomy...I saw my Gynecologist/ Specialist and was fitted with a peasantry to use if I wanted to. She explained that because of kids and hysterectomy that was what caused my problem. She said I looked fine and assured me that a lot of women actually had a prolapse but no surgery needed...& this this issue was hardly talked about.. I have no urinary or bowel movement problems.. Sometimes it seems to go away and sometimes I can see this pink buldg. (My bladder)I don’t panic anymore.... I don’t think I need surgery, but I did purchase a pelvic organ brace from a company called “BRACEABILITY”.. cost $60.00. I might wear it once every 2 weeks when I feel the bulge more.. Thank You so much for this video.. I will continue to follow you.. Sandy P

Extremely helpful. I have not had a sexual partnerfor five years because I thought I was doomed for life. You have given me hope.

thank you for the great information. i had a full hysterectomy 20 years ago and have now discovered a prolapse. you answered all my questions and i now don't feel as anxious. good info and good timing!

About to fix my prolapse surgery and I’m so glad I came across you you have given me the confidence to say yes yes yes

Thank you this very informative video. I have a prolapse also. Haven’t had an appointment with a hospital Doctor yet. Our local nurse could see what the problem was, referred me and instantly gave me oestrogen cream. Immediate relief from the dryness. Your video answered all the questions I have wondered about. Thank you explaining this to us. X

thank you so much. I also just realised I have a prolapse and was freaking out. this makes me feel so much less worried about it.

Thank you so much for making medical information accessible!! I wish there were resources like this for every condition.

Thank You !! Thank You!! You're still sharing your expertise & knowledge and helping women, myself included , in 2022 💖

thank you so much for taking the time to make this post. i'm having surgery on May 18th and have a lot of anxiety, as i'm sure most women do. you make me feel more prepared and knowledgeable which helps a lot. Thank you!

I’ve had 3 children vaginally and at the end of last year had a hysterectomy. It was the perfect storm for my organs to begin to shift around. I’m grade one but I’m in some discomfort. Lower back pain, lower abdominal pain and some sexual dysfunction. I agree that my sexual dysfunction is more likely due to my preexisting pelvic floor issues (weak muscles, vulvodynia). I just started PT and am hoping I can prevent it from getting worse. Thank you for this information! I’m doing as much studying as I can.

Thank you SO much. Just diagnosed with anterior prolapse. Your video was so much more helpful than my family doctor in terms of information and “next steps”. “Do your kegels, refer to a surgeon”. I will be seeing a pelvic physiotherapist next month (my idea 😊

Extremely helpful video. Thank you so much for this! I was convinced I might need surgery, but I think exercise and following your tips may well be sufficient to avoid worsening.

Thank you Dr.Casperson for all your knowledge. I'm 63 with a rectocele but was informed last week a high one and a lower one. I was fitted for a pessary, I'm hurting from it 6 days now. I've tryed to take it out but no luck yet. So seeing a gynogolist next week. I'm not sure I can wait. Anyway I've decided not to have the surgery thus far. I think a smaller pessary might do the trick. Thank you again you certainly explained everything about prolaps.

Thank you so much for sharing your extensive knowledge. It’s great to have some understanding before seeing a health professional as it’s quite involved.

Thank you so much. I have a bladder prolapse diagnosed during early lockdown by the nurse at my surgery, I haven’t spoken to a doctor about it and I haven’t had my physio appointment yet, nearly 12 months later. This was a breath of fresh air. So informative and straightforward. My question is, at 55, how long can I use oestrogen cream for? It has relieved most of my symptoms but no one told me how long I can carry on with it for. I wish I could see you In person. Thank you for caring so much about a subject which is largely not spoken about.

Thank you that explained alot about what my symptoms are.You are a confident & informed doctor.I just pray I find one like you.Thank you so much for making this video.

This was awesome! I have had to have this done twice, no mesh. If I had all of this explained the way you did here, I don't think I would have had all this mess now. Now after six years it's partially back maybe a 2 as well as splinting and stress. Wish you had some charts to show what each thing looks like.

Great HELP FOR MYSELF .... I AM 81 years with Fractured Spine 😢 I developed Prolapse during stones in kidney 😢 HAD STENT OUT IN , BECAUSE STONE TOO BIG , AND UNUSUAL SHAPE 😢😢😢😢😢 YOUR INFORMATION VERY HELPFUL. BLESSINGS FROM AUSTRALIA 🇦🇺 🙏 ❤❤❤❤❤❤❤❤

I know you did this two hears ago. Thank you so much. Im in great discomfort and was really needed guidance. Good simple facts you can make informed decisions are hard to find.

My doctor told me yesterday that I have stage 2 bladder prolasp. Your video very helpful in understanding how to manage this. Thanks from Australia

This makes me feel sooo much better ! I just found out I’m between a 1-2 and I felt my life was over.

After watching your Video i feel at ease having my surgery in October 2022 being 79 years old yes iam a little worried but I have a nice Dr she walked me thru everything iam stage 3

Thank you so much! I've seen my ob/gyn and I'm stage 3 and I've been referred to a specialist I haven't seen yet, but I'm armed with a wealth of information -- thanks to you!✌🏾

Thank you. Owe you a Starbucks and then some!! You rock. I never even heard of splinting… good description. The whole thing has just come to light for me this week w pop diagnosis after an exam… and I have been completely freaked out. Peace to you.

I have watched this video multiple times and am still learning things I didn't catch when watching earlier. It as been the BEST, most helpful video in understanding my surgery, options after failure (anterior repairs and ligament suspension) and the importance of at home measures. I would give you the biggest hug if I could. Thank you!

Thanks! You prompted me to see my doctor about this and I felt very empowered and informed. 😊. Had my bloods done and booked for an ultrasound next week, then I’ll be referred to the specialist and we will see what happens. With a possible 30 years left to live I think the surgery might be worthwhile.

Half way through this EXCELLENT video and it's so long I have to go pee now, after all this bladder talk. 😂 I'll be right back... Okay I'm back. Lots of info but every piece is truly a gem. I will be studying this closely. Grateful to this generous doctor sharing this with us, every single info-packed minute. A covid blessing in disguise, indeed. ☺️

What a brilliant informative talk from a top Lady. Thank you so much, really interesting. Much appreciated. Sandie (Sw London). You are amazing. Keep well. 👍🙏😘

This was the most informative prolapse video!! I wish you were my doctor!!

Thank you! I understand my previous conditions now. Had all three prolapses and had hysterectomy and prolapse repairs with the skinny mesh around 15 years ago. Never had this good an explanation.

I am 80 years old guite active and have prolapse surgery 17 years ago came back 6 weeks later am now using pessary not ideal but other than uti best I can do it has been the most information I have ever received on the subject thank you thank you so much

Why did no one tell me about this issue? I thought I was a freak. I gave the symptoms to multiple doctors. I said there was a pocket. I was finally told what a rectocele is in my mid 50s. Thank you for is video.

Thanks a million for sharing. this video you hv made my day, my doctor really scared me through your talks you hv really given me so much encouragement once again thanks a million. God bless you.

So glad I found this! I can’t tell you how many questions this has answered. Thank you!

Thank you so very much ,I feel so much more informed than anything else I have listened to.As a mother of ten natural born children the natural estrogen and physical therapy has been working wonderful. Keeping slim and exercising has really helped as a now 65 year young .

Thank you so much for this video... I’ve been freaking out since I got diagnosed 1 week ago and have been so confused with overloaded with information online, This explained a lot and had given me hope.

This helped me so much! Such a powerful presentation infused with your infectious personality! I feel armed to speak to my urogyno surgeon about all the options. Thank you for your time and desire to empower women who have to deal with this! I feel so blessed to have found this!

I am 82, had a hysterectomy at age 50,prolapsed uterus, eventually bladder hanging out, had the tie up for bladder, never stopped wearing pads, really not much bladder control ,but i dont want mesh ever,,,i am a mess....2 children not overweight, my mom had no problem.... just figure i will live with it,,,,,,,good blog !

Since 2011 I have been wearing a large cube pessary & V-Magic cream at night in place of Estrogen, it is all working great. I have full-prolapse. Thank You, you are doing a great work..

Thank you so much for this video. I’m 88 years old with a #3 prolapse.. I last saw a (male) urologist two years ago and he suggested surgery--. He spent all of five minutes with me and I felt very uncomfortable with him. My discomfort varies, at times I feel the prolapse and then will go for some time with no discomfort. I think at my age I would opt for the vagina to be closed. Thank you so much for all this information.

This has been soooo helpful! I watched all 37 minutes.

Thank you so much!!! You don’t understand how much you helped me!

Hi, I actually had a complete prolapse of the uterus with my 8-week old fetus inside. The uterus fell outside of the vagina into the toilet, after an afternoon of carrying my 20 lb toddler. My Ob-Gynecologist wanted to do a hysterectomy, but I refused. I saw seven more Ob-Gyns who told me the same thing. Finally, I found one who was willing to try to save my pregnancy. I was on bed rest until my Ob-Gyn found an Ob in London, UK who had designed a collapsible O-ring which, when inserted in the pelvis, would prevent the uterus from falling out. I kept this O-ring in until I was 32-weeks. My baby came early. I had postpartum reconstructive surgery of my vagina and rectum. I still have a vaginal mesh.

Thanks so much!! I understand everything that my doctor didn’t explain to me after listening to you. I know all the options now and I’ll have to weigh the pros and cons and see how I feel. Again thank you☺️

You have helped me soooooo soooooo much ! I’m going to my 1st appointment May 16 th and you’ve given me sooooo much clarity ! Thank you !

Thank you doctor for taking the time to speak on this subject

The best discussion on Bladder prolapse. Especially the 25 grams of fiber. I am using estrogen cream. And learning about physical therapy. Thank you 🙏🏻

It was an enjoyable 37 minutes! Very informative! Thank You for sharing your knowledge! I used your suggestion on finding a doctor that has done many prolapse surgeries, I even asked how many she has done. I did it in very respectful manner how I asked her:) she was very positive with all her answers.😁🙂