Performing kegel pelvic floor exercises, eating a diet high in fiber and maintaining a healthy weight are initial lifestyle changes used to treat pelvic organ prolapse, according to WebMD. Medications, such as estrogen, biofeedback and minimally invasive laparoscopic surgery are additional treatment options, but surgical repair may be necessary, adds Mayo Clinic.
Because low estrogen levels weaken vaginal muscles, estrogen replacement therapy is often used to strengthen them in prolapse-related conditions, states Mayo Clinic. Combining Kegel exercises with biofeedback monitoring helps to ensure that the targeted pelvic floor muscles are being contracted. The progression of prolapse can often be slowed, and for many women a removable device made of plastic, silicone or rubber, called a pessary, relieves symptoms entirely, explains WebMD. A custom-fit pessary is inserted into the vagina to support and tighten the pelvic muscles.
Surgical intervention may be required if pelvic organ prolapse causes pain or interferes with bladder or bowel functions, reports WebMD. A cystocele surgery repairs the bladder, an urethrocele surgery treats urethral prolapse, and a rectocele surgery repairs the rectum. Surgical closure of the vagina, called vaginal obliteration, or hysterectomy, the removal of the uterus, may be performed. Frequently, more than one of these procedures is used, but in some cases, prolapse returns after surgery.