This may relieve symptoms and reduce the prolapse, thus avoiding surgery. However, some women may not tolerate pessary use and some prolapses, particularly the more severe forms are not relieved by pessaries. Pelvic floor exercises or kegel exercises can be done in conjunction with pessary use. This exercise strengthens the muscles in the pelvic floor, and may enhance the ability to retain the pessary in the vagina. Hormone replacement therapy improves the quality of the pelvic tissue to better support the pelvic organs.
Surgical options involve reducing the prolapse, and in many cases restoring normal anatomy.
There are many types of procedures available each addressing a specific prolapse or defect. This procedure is usually done in conjunction with a vaginal vault suspension either as a prophylaxis or treatment of concomitant vaginal vault prolapse. These procedures basically attach the vagina to strong ligaments toward the back of the pelvis to support the vagina. An anterior colporrhaphy is used when the cystocele is caused by a defect of strong tissue underneath the bladder. This procedure involves closing the defect beneath the bladder.