Worsening protrusion of the bladder into the vagina indicates that a dropped, or prolapsed, bladder has gotten worse, according to eMedicineHealth. Prolapsed organs do not heal on their own, and medical attention is necessary as soon as a woman notices symptoms of a prolapsed bladder. These symptoms include a feeling of pressure in the vagina or bladder, pelvic pain or discomfort, difficulty with urination, and tissue protrusion from the vagina.
Many women do not notice symptoms from a mild bladder prolapse, explains eMedicineHealth. When symptoms do become noticeable, women should seek medical treatment to prevent the prolapse from worsening. Prolapse of other pelvic organs often accompanies a bladder prolapse, and timely medical care can prevent additional complications. A doctor may suggest the use of a pessary, which is a device that fits inside the vagina and holds the bladder and other organs in place. Another common treatment is estrogen replacement therapy, since estrogen strengthens and maintains the vaginal muscles.
The front wall of the vagina holds the bladder in place within the pelvis, according to eMedicineHealth. As women age, especially during menopause, this wall can weaken or loosen, allowing the bladder to descend into the vagina. There are four grades of severity to a bladder prolapse, the most serious of which involves the bladder protruding completely outside of the vagina.