The main treatments for prolapse include pelvic muscle exercises, vaginal inserts and surgery.
Pelvic muscle exercises, also known as Kegels, can strengthen and tone the muscles that support the pelvic organs. To get good results, you must perform them regularly and use correct technique.
Vaginal inserts and pessaries are frequently used to treat bladder and pelvic support problems. These devices are placed into the vagina to provide support for the uterus, bladder, urethra and rectum. A number of types are available, and the inserts are fit to meet your needs and anatomy.
Surgery attempts to restore the prolapsed areas to their normal anatomic position and to improve symptoms. The choice of surgical procedure depends on the individual patient. Factors that may influence this choice include examination findings, previous surgery, age, other medical illnesses and the preference of the patient or doctor.
The surgery typically includes repair of tears in the fascia — a sheet of connective tissue that covers or binds structures in the body — or suspension of the prolapsed tissues to stronger structures in the pelvis. In some cases, a graft may be used to help strengthen the area. The surgery may be performed through a vaginal or abdominal incision or a combination of both.
Reviewed by health care specialists at UCSF Medical Center.