Some people can manage a prolapsed bladder, or cystocele, with conservative treatments and without surgery. If a prolapse does not cause problems or block urine flow, it is unlikely to require surgery.
Nonsurgical treatments include:
- Pelvic floor exercises: In mild to moderate cases, strengthening the pelvic floor muscles through methods such as Kegel exercises can help support the bladder and may
improveTrusted Source symptoms. It is important to do the exercises regularly, according to a physical therapist’s advice. - Lifestyle strategies: Avoiding heavy lifting, managing chronic cough, eating a high fiber diet to avoid constipation, and managing one’s weight as needed can help reduce strain on the pelvic organs.
- Vaginal pessary: A vaginal pessary is a small device made of silicone or rubber that a person inserts into the vagina to support the pelvic organs. It helps keep the organs in their natural position. A pessary can be helpful when pelvic floor exercises are not effective enough.
- Estrogen therapy: For those who are postmenopausal, estrogen therapy may help ease symptoms such as vaginal dryness and discomfort during sex.
When recommending treatment, a doctor will consider the severity of a person’s symptoms and their prolapse, the person’s age and health, and whether they would like to have children in the future. Surgery may be the most effective treatment for some people and can help prevent a prolapse from worsening.
Medically reviewed by Kelsey Nank, PA-C
Kelsey Nank is a certified physician assistant who practiced in rural medicine in Iowa for over a decade before transitioning to the Smeltzer-Kelly Student Health Center at the University of Dubuque. Kelsey’s emphasis is on brain health and wellness.
