If pelvic prolapse is symptomatic, medical and surgical treatments exist. A combined regimen of estrogen supplementation and pelvic floor exercises is effective for many mild cases. For severe cases surgery is usually the best option. Repair of the vagina by anterior and posterior colporrhaphy has a high success rate with minimal risk of complications. Vaginal hysterectomy is usually required if the patient's uterus is still present.
Several techniques exist for repair of enterocele and vaginal vault prolapse.
These problems can be repaired by a suspension procedure using a vaginal approach. In rare instances where recurrent prolapse exists, an excision and closure of the vagina or colpocleisis can be performed. Problems with pelvic prolapse often require a multi-specialty approach. This is particularly so in cases where urinary incontinence exists. If so, most experts agree that a full urologic evaluation take place before treatment is begun.