Treatment options for cystocele may depend on your age, overall health and medical history, as well as the severity of the condition. In very mild cases, behavior or activity modification exercises such as Kegel exercises, which help strengthen the muscles of the pelvic floor, or avoiding activities that cause straining may suffice. For some cases, especially those involving women whose cystocele has been caused by a lack of estrogen after menopause, hormone replacement therapy may help strengthen the muscles around the bladder and vagina.
In more advanced cases, a vaginal support device called a pessary may be used to help hold the vagina in place. Pessaries come in a variety of sizes, but most be removed frequently to avoid ulcers of infection. In addition, electrical stimulation or biofeedback may be used, in which small doses of electric pulses are used to strengthen the pelvic muscles.
If all of that fails, or for large cystoceles, surgery may be required to move the bladder back into its correct position. This operation is performed by a gynecologist, urologist or urogynecologist, and may require the patient to stay in the hospital for several days. Full recovery may take up to four to six weeks.