Cystocele

A prolapsed/ dropped baldder is known as a ’cystocele.’ It is the bulging/ dropping of the urinary bladder into the vagina. It is the weakening and expansion of the supportive tissue located between a woman’s bladder and vaginal wall,thus resulting in the prolapse of the bladder into the vagina.

Beware:

Some of the known Causes of Cystocele:

  • Obesity.
  • Process of aging.
  • Pregnancy.
  • Tissue/ nerve damage during childbirth.
  • Vaginal delivery.
  • Excessive strenuous activity.
  • Repetitive lifting of heavy weights.
  • Chronic constipation.
  • History of hysterectomy.
  • Bronchitis- Chronic or temporary.

When to approach your doctor?:

  • Frequent sudden urges to urinate.
  • Leakage of urine and pain while having sexual intercourse.
  • Tissue bulging out through the vaginal opening.
  • Stress in the pelvis/ vagina, when in standing position for a long time.
  • High discomfort during sneezing, coughing, strenuous activity, or lifting heavy weights.
  • Feeling of incomplete urination.
  • Recurring bladder infections.

Diagnosis Tests:

  • Pelvic exam.
  • Urine test.
  • Bladder test.
  • X-rays of bladder during urination using voiding cystourethrogram

Stages & Treatment:

  • Mild Cystocele: Bladder slightly dropped into the vagina.
  • Moderate Cystocele: Bladder noticeably dropped into the vagina.

Treatment:

  • Avoid lifting heavy weights and strenuous activity.
  • Peassary surgery- a regularly replaced device placed in the vagina to hold the bladder in appropriate position.
  • Estrogen therapy (only for post menopausal women)– Pill for estrogen intake or vaginal cream containing estrogen to strengthen pelvic muscles.
  • Severe Cystocele: Bladder slightly sunk down till the vaginal opening.
  • Acute Cystocele: Bulging of the bladder through the vaginal opening.
  • Reccurence of Cystocele: The percentage of recurrence of the prolapse of the bladder is about 20%.
  • Avoid strenuous activity and lifting of heavy weights.
  • Peassary surgery- a regularly replaced device placed in the vagina to hold the bladder in appropriate position.
  • Estrogen therapy (only for post menopausal women)– Pill for estrogen intake or vaginal cream containing estrogen to strengthen pelvic muscles.
    In addition to above treatments:
  • Pelvic Floor Reconstruction Surgery- Shift and hold the bladder in original position.
  • Vaginal Surgery.

Risks involved in the Treatment:

  • Bladder injury/ infection.
  • Urinary incontinence.
  • Pain during intercourse.
  • Undesired retention of urine.
  • Fistula formation.
  • Vein thrombosis.

Post-Surgery Care:

  • Hospitalization for 1 to 2 days.
  • Avoid strenuous activity.
  • Avoid standing for a long time.
  • Avoid heavy weight lifting.
  • Rest for 6 weeks.
  • Avoid sexual intercourse upto 6 weeks.

Prevention & Precaution is Better than Cure:

  • Water intake- 8 to 10 glasses every day.
  • Healthy balanced meals.
  • Avoid fatty foods.
  • High intake of fibrous foods.

All above, treatments are finalized taking into consideration the overall health, severity, age and other ailments of the patient.