In mild cases, Kegel exercises to strengthen the muscles of the pelvic floor may be effective. Sometimes a pessary can be placed into the vagina to help support the organs; this procedure is usually just temporary to relieve symptoms while the patient waits for surgery. Definitive treatment requires surgery to replace prolapsed organs and to repair the damage to the pelvic floor. Failure to correct this situation can lead to worsening of the symptoms and serious complications due to retained stool and prolapsed organs.
The type and extent of surgery depends on which organ(s) are prolapsed and the extent of the dysfunction. In many cases, the surgery can be performed via the vagina, meaning no incision is made in the abdominal wall, but in other cases, small incisions need to be made in the abdominal wall to allow access to the tissues and organs that need repair. If the uterus is badly prolapsed, it will usually be removed during the procedure. Sometimes a mesh is placed to help support the tissues.
Recovery is usually straightforward, but patients need to refrain from straining, lifting heavy objects, and prolonged standing for up to three months after the procedure.