Treatment depends on whether you have symptoms, how severe your anterior prolapse is and whether you have any related conditions, such as urinary incontinence or more than one type of pelvic organ prolapse. Avoid hospitals with lower than expected (1 star) results. Certain risk factors, including heavy physical work, being overweight, and constipation, can be controlled, while risk factors such as family history cannot. In: Current Diagnosis & Treatment: Obstetrics & Gynecology. This feeling may get worse when the person is standing, lifting, coughing, or as the day goes on. Then you will lie on an examination table and the doctor will insert a thin, flexible catheter into your bladder. Please contact your insurance company to verify medical coverage and to obtain any needed authorization prior to your visit. When you discuss bladder prolapse with your doctor, they may call it by another name: cystocele. When this happens, your bladder presses on your vaginal wall, which is called a prolapsed (or cystocele) bladder. Ted Lombard gave his daughter, Denice, one of his kidneys a half-century ago. We use cookies to make wikiHow great. While obstetrician-gynecologists (Ob/Gyns) commonly perform pelvic prolapse surgeries, female pelvic medicine and reconstructive surgeons (urogynecologists) specialize in these types of surgeries. If you are a Mayo Clinic patient, this could Learn more about appointments at Mayo Clinic. Kegel exercises to strengthen the openings of the urethra, vagina and rectum. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. The problem is most common in older women, but it can also occur in . Ask your family, friends, and other healthcare providers for recommendations. The bladder is repaired with an incision in the vaginal wall. If it is not treated at all, the condition can continue to get worse. Vaginal prolapse surgery includes various procedures to correct weak or damaged muscles, ligaments and tissues that hold a woman's pelvic organs in place. The type of bladder surgery depends on what's being treated. Harvard Medical School Grade 1 prolapses are mild. Pain is common for several days following any pelvic prolapse surgery. Related to Incontinence & Overactive Bladder, Uterine Prolapse: Stages, Causes, Symptoms, Treatment, and Surgery. By using our site, you agree to our. aging. Go to source A cystocele (sis-tuh-seal), also called a prolapsed bladder, is when your bladder shifts and pushes on the outside wall of your vagina (see Figure 1). It might make you feel like youre sitting on an egg. You should always contact your doctor or other qualified healthcare professional before starting, changing, or stopping any kind of health treatment. Specific treatments for a prolapsed bladder will vary depending on a variety of factors, including the severity and . This will help her determine the strength of your muscles. During the surgery, your doctor . During sacrocolpopexy, your surgeon uses surgical mesh to lift your organs back into place. Policy. At University of Utah Health, our urogynecology specialists treat patients and conduct extensive research to better understand pelvic floor conditions. Talk to your surgeon about why one procedure might be better for you than another, what the surgical approach will be and what materials will be used. Sex might become uncomfortable, and you might feel pain in your pelvis. All rights reserved. A device called a pessary might help support your bladder. What is the most likely cause of my symptoms? Advertising on our site helps support our mission. If you have a Grade 2 cystocele, the entire bladder descends into the vagina. WebMD does not provide medical advice, diagnosis or treatment. If you are postmenopausal, estrogen replacement therapy is also a consideration. Doctors call this bladder prolapse. (If this is too difficult, start by holding for two seconds and relaxing for three seconds.). The treatment of cystocele may vary depending on various factors such as the severity of the disease and the presence of symptoms or any underlying medical conditions. Try to do 20 . There is a problem with During anterior vaginal wall repair, a surgeon will lift your bladder back into its place using stitches and then remove excess vaginal tissue. Urinary incontinence & pelvic floor disorders. Depending on what the surgeon plans to do, they may work through a cut in your abdomen. When sitting down, you might feel like theres a small egg underneath you. Pelvic Prolapse Repair. When surgery is necessary. What Can I Do to Take Care of My Pelvic Organ Prolapse? Last medically reviewed on October 11, 2022. However, if it remains a problem, you might need to take medication or undergo another surgery. To do them, you squeeze and release the muscles that cut off the flow of urine. Therefore, its not usually the first choice for many people. The surgeon might: Close off or narrow the vagina to create support for the bladder. Potential complications include a UTI, incontinence, bleeding, infection, and in some rare cases, damage to the urinary retract that requires surgery to repair properly. } Accessed Jan. 31, 2020. The pelvic floor tissues become stretched and weaken with straining. National Institute of Diabetes and Digestive and Kidney Diseases. This provides support to your pelvic organs, including the bladder, and keeps them in place. There are two types of surgery for bladder prolapse. The surgeon also removes excess tissue. You might develop urinary incontinence -- urine leaking out without your control. Biofeedback involves using monitoring devices that help ensure you're tightening the proper muscles with optimal intensity and length of time. Surgery may have side effects, but theyre usually mild and resolve quickly. Conditions that may need surgery include: Bladder cancer. Pelvic floor dysfunction. The "top" or "cuff" of the vagina is sewn to two strong ligaments, called the "uterosacral ligaments," deep in the pelvis.". Suggestions may include: avoiding any lifting; avoiding constipation; walking - this is the best exercise during bladder prolapse surgery recovery You can unsubscribe at any You may opt-out of email communications at any time by clicking on 1. Advanced treatment. Educational website from one of the world's leading hospitals Your general health. Lose weight. If you do not experience symptoms there is often no need for treatment. Reconstructive surgery moves your pelvic organs back into their original position and supports them there. Here are some questions to ask the doctor: How many pelvic prolapse surgeries and what types have you performed? 4th ed. Do you experience constipation and straining during bowel movements? information submitted for this request. Build back the tissue that holds up the bladder. Other symptoms of a prolapsed bladder include the following: Discomfort or pain in the pelvis, lower abdomen, and when sitting. Robotic-assisted sacrocolpopexy is one type of surgery to repair this problem. Your urine may leak out unexpectedly. Harvard Medical School's Educational Site for the Public You will also receive Mayo Clinic. When surgery is performed for more serious cases, some women will eventually need another surgery because the first surgery failed, the cystocele returned or another pelvic floor problem developed. In most urodynamics tests, your doctor will place a thin, flexible catheter into the bladder, which will remain in place as you urinate. Obstetrics & Gynecology. Talk to your doctor, and weigh the pros and cons for your particular case. Your doctor might suggest that you just wait and see if the symptoms get worse. Kegel exercises or a pessary can treat it, but in more severe cases bladder prolapse surgery is necessary. Mild cases those with few or no obvious symptoms typically don't require treatment. Bladder prolapse, also known as pelvic organ prolapse or cystocele, is a condition that affects people with a vagina. Intense straining or heavy lifting can sometimes trigger a prolapse. There are two main alternatives to bladder prolapse surgery: pelvic floor exercises and pessary. We therefore conducted a retrospective study . She completed Pharmacy Practice Residency training at the University of Pittsburgh/VA Pittsburgh Healthcare System. The surgery sounds horrible, the doctor said it is sometimes not 100% effective. ; Most of the time, pelvic organ prolapse is the result of . In most cases, Mayo Clinic doesn't require a physician referral. Although not life-threatening, a cystocele can have a negative impact on a womans quality of life. privacy practices. For the first few weeks of recovery, you will need to avoid strenuous exercise and vaginal intercourse. Recovery from surgery takes about six weeks. Bladder prolapse surgery complications and risks, Recovery time for bladder prolapse surgery. We do not endorse non-Cleveland Clinic products or services. This content does not have an English version. If you have a prolapsed bladder, you may also feel like something is falling out of your vagina. Be prepared to give your doctor as much information as possible, including a complete medical history and a detailed description of your symptoms. How successful is bladder prolapse surgery? If you still have noticeable, uncomfortable symptoms despite the treatment options above, you may need surgery to fix the prolapse. Surgical decision making for symptomatic pelvic organ prolapse: Evidence-based approach. Lacy Windham, MD, is a Board-Certified Obstetrician & Gynecologist in Cleveland, Tennessee. Aging and a drop in the hormone estrogen. Note that your physician may recommend that you back off certain activities, like weight lifting or other activities that put strain on your pelvic muscles. Urodynamics is a set of tests. So you will likely go home on a narcotic pain reliever. Your provider or a physical therapist can give you instructions for how to do these exercises and can help you determine whether you're doing them correctly. It occurs when the tissues supporting a woman's bladder and vagina get stretched and weakened due to certain stresses like pregnancy, childbirth, post-menopausal hormonal changes after menopause, obesity, and severe coughing. If you also have a prolapsed uterus, your doctor may recommend a hysterectomy to remove it.