Diagnosis

An experienced physician usually can diagnose uterine or bladder prolapse with a pelvic examination. Occasionally, an X-ray video (called fluoroscopy) may be needed to confirm the diagnosis. This test is done after a dye that is visible on X-rays is placed in your rectum, your vagina and your bladder so that the outline and position of the uterus can be seen clearly.

In some cases, especially if you are having frequent urinary infections or if you are having difficulty holding your urine, your doctor may order one or more tests to evaluate your bladder function. An X-ray video taken after dye is inserted through your urethra to fill your bladder can show whether your bladder empties completely and whether its shape is distorted. This test is known as a voiding cystourethrogram. Other tests may be done to view the bladder or to test the pressure inside the bladder during urination, depending on the symptoms you are having.

Expected Duration

Sometimes you can reverse a mild case of prolapse by doing exercises that strengthen the pelvic muscles. In other cases, the degree and severity of the prolapse can increase over time as the woman ages. This can occur more rapidly in some women than in others. Advanced or severe cases of prolapse usually do not respond to exercise or hormonal therapy. Surgery often improves or cures pelvic organ prolapse.