Lifting Beyond Surgery: Conservative Management of Stage III Pelvic Organ Prolapse with Remote Pelvic Floor Muscle Training — Case Report and Nar rative Review
Abstract:
Introduction: Pelvic organ prolapse (POP) impairs daily function and quality of life in many women. Pelvic f loor muscle training (PFMT) is recommended as first-line conservative management, yet research on tele health-based interventions for moderate-to-severe POP remains limited.
Methods: This case report describes a 47-year-old woman with stage III POP who underwent an eight-week remotely supervised PFMT protocol, combined with systemic and topical hormonal therapy. A narrative re view was also conducted using studies and guidelines published between 2019 and 2025 addressing conserva tive POP treatment and telehealth-delivered PFMT.
Results: The patient demonstrated improvement in bulge sensation, pelvic pressure, and pelvic floor muscle control, maintaining clinical stability after reduction in session frequency. The literature consistently supports PFMT as effective for symptom improvement, with emerging studies indicating that remotely supervised PFMT may offer results comparable to traditional in-person care, provided that structured assessment, progression, and adherence monitoring are applied.
Conclusion: This case suggests that remote PFMT may be a feasible and effective conservative option for selected patients with stage III POP, potentially reducing the need for early surgical intervention. Future research with larger cohorts is needed to clarify the long-term impact of tele-rehabilitation on anatomical outcomes and to establish standardized protocols for remote assessment, exercise prescription, and follow-up.
