Non-Surgical and Minimally Invasive Pelvic Organ Prolapse Treatment

A “fallen bladder,” medically known as cystocele, or uterine prolapse occurs when the pelvic floor muscles and supportive tissues weaken, allowing pelvic organs to shift downward into the vaginal canal. This condition can range from mild to severe and often develops gradually over time due to childbirth, aging, hormonal changes, chronic coughing, or heavy lifting.

Patients at The OB-Gyn & Incontinence Center often describe prolapse as a sensation of pelvic pressure, heaviness, or fullness, especially after standing for long periods. Some may feel or notice a bulge or tissue protruding from the vaginal opening, particularly during physical activity. Others report lower back discomfort, difficulty emptying the bladder, urinary leakage, or a feeling that something is “falling out” internally.

The symptoms may worsen throughout the day and improve when lying down. Because prolapse can affect bladder, bowel, and sexual function, early evaluation is important for accurate diagnosis and effective treatment planning.

At The OB-Gyn & Incontinence Center, diagnosing pelvic organ prolapse begins with a comprehensive pelvic examination performed by a specialist in urogynecology. During this exam, the provider evaluates the strength of pelvic floor muscles and the position of the bladder, uterus, and rectum. Patients may be asked to cough or bear down to assess how the organs shift under pressure.

Severity is typically graded using a standardized system such as the POP-Q (Pelvic Organ Prolapse Quantification) system, which measures how far the pelvic organs have descended. Additional diagnostic tools may include:

● Bladder function testing (urodynamics)
● Ultrasound imaging, when needed
● Evaluation of urinary and bowel symptoms
● Assessment of pelvic floor muscle strength and coordination

This detailed evaluation helps determine whether the prolapse is mild, moderate, or advanced, and guides the most appropriate treatment approach—whether conservative or surgical.

A pessary device is a highly effective non-surgical option for many patients with pelvic organ prolapse. A pessary is a soft, medical-grade silicone device inserted into the vagina to provide structural support to the pelvic organs, helping to reduce symptoms such as pressure, bulging, and urinary difficulties.

Pessary fitting is performed with careful customization. The provider selects the correct size and shape based on anatomy, comfort, and degree of prolapse. Once fitted, many patients experience immediate relief from symptoms and improved daily comfort.

Pessaries are especially beneficial for:

● Patients who want to avoid or delay surgery
● Individuals who are not surgical candidates due to medical conditions
● Women seeking temporary or long-term symptom management
● Patients who prefer a reversible, low-risk treatment option

Regular follow-up visits are important to ensure proper fit, prevent irritation, and maintain vaginal health. For many patients, pessary therapy offers a safe, effective long-term management solution without surgical intervention.

At The OB-Gyn & Incontinence Center, pelvic organ prolapse care is delivered through a comprehensive, patient-centered approach. Each patient begins with a detailed evaluation that assesses the type and severity of prolapse, urinary and bowel symptoms, and overall pelvic floor function.

Based on findings, the clinic develops a customized treatment plan that may include pelvic floor therapy, pessary management, lifestyle modifications, or minimally invasive surgical repair. The goal is to restore both function and quality of life while minimizing discomfort and recovery time.

The clinic places strong emphasis on education and shared decision-making, ensuring patients fully understand their condition and all available treatment options. Whether managing symptoms conservatively or proceeding with robotic surgery, patients receive continuous support, follow-up care, and long-term monitoring.

By combining specialized urogynecologic expertise, advanced diagnostic tools, and minimally invasive treatment options, our team at the OB-Gyn & Incontinence Center helps patients achieve lasting relief from prolapse symptoms, improved pelvic support, and restored confidence in daily life. For more information, contact us today or book an appointment online. We are conveniently located at 622 W Duarte Rd Ste 305 Arcadia, CA 91007. We serve patients from Temple City, CA, East San Gabriel CA, San Marino CA, Rosemead CA, Monrovia CA, North El Monte CA, Alhambra CA, Pasadena CA and surrounding areas.