Look for signs of infection or skin breakdown if prolonged<unk> 
Reduction may be as simple as pushing<unk>  back inside
If difficult reduction due to edema:
Provide analgesia, and place copious granulated sugar
Wait 15 minutes for edema to subside and re-attempt reduction
If reduction fails, consult gynecology
Provide analgesia, and place copious granulated sugar
Wait 15 minutes for edema to subside and re-attempt reduction
If reduction fails, consult gynecology
Treatment includes:
Expectant management
Conservative (vaginal pessary,<unk>  floor muscle exercises)
Surgical
Pelvic organ prolapse
Vulvovaginitis
Rectal prolapse
Atrophic vaginitis
Hydrocele 
Infectious 
Hydrocele
Allergic