Good Morning, I believe I have a dropped bladder. I do n

Good Morning, I believe I have a dropped bladder. I do not have any leakage or urinary problems. Is there anything I can do to strength or pull up the bladder so it is not protruding. I have seen a gyn but he did not recommend any treatment. Thanks

You can try to do pelvic floor muscle exercises which support the bladder. But if you bladder is significantly dropped you may need a device called a pessary. A pessary is an attractive treatment for supporting pelvic organ prolapse in women. It has been found that by placing a pessary into the vagina, incontinence symptoms can be relieved. A pessary is a device that looks like a diaphragm, but the outside rim is hard. Like a diaphragm, it is put into the vagina and rest against the cervix, lifting or supporting the pelvic organs. More than 200 different types of pessaries have been invented but only a few are used toady. Pessaries come in many shapes, but are usually round. Cube or 'U' shaped are also available. You should not be able to feel the pessary when it is placed inside you. When first inserted, a pessary must be frequently removed, at least during the first month of use. This can be done by your doctor, nurse or yourself. An estrogen cream should always be prescribed for use with a pessary. Cooperative patients may be instructed about pessary removal, cleansing, and reinsertion. In the past, the pessary was used to treat not only pelvic relaxation but also malposition of the uterus, incompetent (weak) cervix, dysmenorrhea (difficult and painful menses) and menstrual irregularities. Most complications associated with pessaries are minor. Improper fit is common; it takes time and patience to fit pessaries, particularly in older woman. Chronic irritation, erosion of the vagina, ulceration of the vagina, and vaginal fistulas (openings in the walls of the vagina) can occur in women who do not properly care for the pessary or who do not go for regular follow-up visits with their doctor or nurse. If ulceration and abrasion of the vaginal wall occur, the pessary should be changed to a smaller size. Adverse effects include back pain, foul-smelling vaginal discharge, or bleeding. Leukorrhea (white discharge from the vagina) is probably the most common problem associated with pessary use, related to the presence of an device in the vagina. Urinary retention can result if the pessary compresses the urethra into the pubic bone.