Yes, I've noticed irritation occasionally with my prolapse as well, especially when I decide to use some support ("maxi" pad; sling, etc.). So, generally, I try not to use anything, but that can be a weird sensation, too. Hard to win!
I've wondered, too, if I was doing the Kegels wrong. I read it's common, and it's good to work with a physiotherapist to let you know if you're doing them correctly. No physiotherapist near me, though! I do think it's probably easy to do Kegels incorrectly. The gals in the pelvic floor exercise videos give fairly good instructions on Kegels.
Would the cream you mentioned be Replens? My doctor suggested trying it for irritation and she said she feels that it's better than estrogen. I'll have to check out the ingredients and hopefully give it a try. It seems when the nerves in my body, especially legs/feet are kicking up, pretty soon my prolapse area gets in on the party.
I don't often have urine leakage unless I drank lots of fluids and took a little too long to go to the bathroom! I never thought about
urine irritation prolapsed tissue, but that's a good thing to consider. I do use the softest TP I can find--that does help a little.
My husband and I are feeling better, thanks, but it was sure a wild ride---whew!!