Treatment Obstetrics & Gynecology

Pelvic Organ Prolapse

The main treatments for pelvic organ prolapse include pelvic muscle exercises, vaginal inserts and surgery.

Pelvic Muscle Exercises

Pelvic muscle exercises, also known as Kegels, can strengthen and tone the muscles that support the pelvic organs. To get good results, you must perform them regularly and use correct technique.

Vaginal Inserts

Vaginal inserts and pessaries are frequently used to treat bladder and pelvic support problems. These devices are placed into the vagina to provide support for the uterus, bladder, urethra and rectum. A number of types are available, and the inserts are fit to meet your needs and anatomy.


Surgery attempts to restore the prolapsed areas to their normal anatomic position and to improve symptoms. The choice of surgical procedure depends on the individual patient. Factors that may influence this choice include examination findings, previous surgery, age, other medical illnesses and the preference of the patient or doctor.

The surgery typically includes repair of tears in the fascia — a sheet of connective tissue that covers or binds structures in the body — or suspension of the prolapsed tissues to stronger structures in the pelvis. In some cases, a graft may be used to help strengthen the area. The surgery may be performed through a vaginal or abdominal incision or a combination of both.

UCSF Health medical specialists have reviewed this information. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.

Recommended reading

Biofeedback for Incontinence

Biofeedback takes information about something happening in the body and presents it in a way that you can see or hear and understand. Learn more here.

Bladder Training

Bladder training is an important form of behavior therapy that can be effective in treating urinary incontinence. Learn more here.

FAQ: Incontinence

Urinary incontinence is the involuntary loss of large or small amounts of urine, and it is thought to affect 13 million Americans. Learn more here.

Pelvic Muscle Exercises

Pelvic muscle exercises, also known as kegels, are an essential part of improving incontinence and preventing it from worsening. Learn more here.


The pessary is a device (firm ring) that is placed into the vagina to support the uterus or bladder and rectum. Learn more here.

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