cystocele

DEAR MAYO CLINIC: I have been diagnosed with vaginal prolapse and am not sure where to begin with treatment. What is the best long-term treatment? I am only 53. ANSWER: Surgical and nonsurgical treatment options are available for vaginal prolapse. The treatment you choose usually depends on the severity of the condition, as well as how much the symptoms bother you. For long-term relief of vaginal prolapse that is causing persistent symptoms, surgery is often recommended to repair the vagina’s support. Vaginal prolapse happens when the muscles, connective tissue and ligaments that support the vagina weaken and stretch, causing the tissue to drop down, or prolapse, into the lower portion of the vagina or out the vaginal opening. Prolapse of the uterus, bladder (cystocele), and rectum (rectocele) can accompany vaginal prolapse and lead to a feeling of pelvic pressure or fullness, or a feeling of a bulge within the vagina. In some cases, these symptoms may be mild in the morning but get worse as the day goes on.