Symptoms
A Grade 2 or Grade 3 cystocele can be diagnosed from a description of symptoms and from an examination of the vagina. The doctor may also perform certain tests, including the following:
Causes
A cystocele can affect women of any age, but your chances of developing a cystocele increase with age because muscles and tissues often become weaker over time. Other factors that increase your risk of having a cystocele include
Prevention
A moderate or severe cystocele may require reconstructive surgery to move the bladder into a normal position. There are a number of ways to perform this surgery, including an anterior repair. In an anterior repair, an incision (cut) is made in the wall of the vagina and the tissue that separates the bladder from the vagina is tightened.
Complications
Although not life-threatening, a cystocele can have a negative impact on a woman’s quality of life. If it is not treated at all, the condition can continue to get worse. In the worst cases, the woman may be unable to urinate, which can cause kidney damage or infection.
How is a Grade 2 or Grade 3 cystocele diagnosed?
What are the chances of developing a cystocele with age?
How is a moderate or severe cystocele treated?
Is a cystocele life-threatening?
What happens if cystocele is not treated?
Although not life-threatening, a cystocele can have a negative impact on a woman's quality of life. If it is not treated at all, the condition can continue to get worse. In the worst cases, the woman may be unable to urinate, which can cause kidney damage or infection.
Does Stage 2 cystocele require surgery?
Grade 2 Cystocele This type of cystocele causes major discomfort and severe urinary incontinence. The treatment for this type of cystocele is usually some form of cystocele repair surgery but the cystocele may also be treated with a pessary device.
How can I stop my cystocele from getting worse?
Avoiding certain activities, such as heavy lifting or straining during bowel movements, that could cause the cystocele to worsen. Kegel exercises. Regular, daily exercises of the pelvic muscles to make them stronger.
Can stage 2 prolapse be fixed without surgery?
The two non-surgical options for prolapse are pelvic floor muscle training (PFMT) and a vaginal pessary. PFMT can be effective for mild prolapse but is usually not successful for moderate and advanced prolapse. The main alternative to surgery for prolapse is a vaginal pessary.
Can you leave a prolapsed bladder untreated?
If prolapse is left untreated, over time it may stay the same or slowly get worse. In rare cases, severe prolapse can cause obstruction of the kidneys or urinary retention (inability to pass urine). This may lead to kidney damage or infection.
Can a Grade 2 cystocele be reversed?
Can Pelvic Prolapse be Reversed? Yes! Pelvic organ prolapse can be treated and improve without surgery in some women.
Can you live with a cystocele?
Many women contend with pelvic floor problems, including urinary incontinence and pelvic organ prolapse -- when pelvic organs drop due to weakened muscles and tissues.
How do I know if my prolapse is severe?
Signs and symptoms of moderate to severe uterine prolapse include:Sensation of heaviness or pulling in your pelvis.Tissue protruding from your vagina.Urinary problems, such as urine leakage (incontinence) or urine retention.Trouble having a bowel movement.More items...•
Can cystocele heal itself?
Prolapsed organs cannot heal themselves, and most worsen over time. Several treatments are available to correct a prolapsed bladder.
Can you live with prolapse without surgery?
Prolapse generally does not improve without surgery, but symptoms can be managed with less invasive treatment options.
Why is prolapse worse some days?
After a hysterectomy, when the uterus has been removed, the top of the vagina (known as the vault) can bulge downwards. Prolapse symptoms are often worse at the end of a day, with prolonged standing or at times of increased intra-abdominal pressure e.g. heavy lifting, coughing or straining to go to the toilet.
Can you live with a prolapsed bladder?
A prolapse is not life threatening, but it can cause pain and discomfort. Symptoms can usually be improved with pelvic floor exercises and lifestyle changes, but sometimes medical treatment is needed.
How to make cystocele worse?
Avoiding certain activities, such as heavy lifting or straining during bowel movements, that could cause the cystocele to worsen. Kegel exercises. Regular, daily exercises of the pelvic muscles to make them stronger. Pessary. This is a device placed in the vagina to hold the bladder in place. Surgery.
How to tell if you have cystocele?
Symptoms of cystocele include: Feeling of pelvic heaviness or fullness. Bulge in the vagina that you can feel. Aching or a feeling of pressure in the lower belly or pelvis. Lower back pain. Frequent urinary tract infections. Need to urinate often or urgently. Leakage of urine. Incomplete emptying of the bladder.
What is a cystocele?
When the wall between the bladder and the vagina weakens, the bladder may drop or sag into the vagina. This disorder in women is called a cystocele.
What tests are done for cystocele?
Tests for a cystocele may include a pelvic exam and urodynamics, a group of tests to evaluate bladder function. Women with moderate to advanced symptoms may opt for a vaginal pessary, a support device that is inserted into the vagina, or cystocele repair surgery.
What is the best way to move the bladder back into a normal position?
May be used to move the bladder back into a more normal position. Hormone replacement therapy . This may help to strengthen the muscles around the vagina and bladder. If you are thinking about hormone replacement therapy , talk to your healthcare provider about the risks and benefits first.
What are the factors that increase the risk of cystocele?
Factors that increase your risk of a cystocele are childbirth, age, obesity, chronic constipation and heavy lifting. Signs and symptoms can include the feeling that something has dropped out of your vagina, leaking urine or a feeling of incomplete emptying of your bladder. In more advanced cases, the vaginal wall that supports ...
What is the test for bladder prolapse?
Other tests may include: Cystourethrogram (also called a voiding cystogram). This is an X-ray of the bladder taken while the woman is urinating and with the bladder and urethra filled with contrast dye. It shows the shape of the bladder and any blockages. MRI can be used to determine the extent of bladder prolapse.
Who is more likely to have a cystocele?
A cystocele can affect women of any age, but your chances of developing a cystocele increase with age because muscles and tissues often become weaker over time. Other factors that increase your risk of having a cystocele include
How common is a cystocele?
A cystocele is common. Experts estimate that nearly half of women who have given birth have some degree of pelvic organ prolapse. 1 However, many other women with the condition do not have symptoms or do not seek care from a health care professional. As a result, the condition is underdiagnosed, and it is not known exactly how many women are affected by cystoceles.
What is a cystocele?
A cystocele is a condition in which supportive tissues around the bladder and vaginal wall weaken and stretch, allowing the bladder and vaginal wall to fall into the vaginal canal.
What causes a cystocele?
Weakened or damaged muscles and connective tissues that support the bladder and vaginal walls cause a cystocele. Multiple factors may contribute to the stretching or weakening of these muscles and tissues, including
How do health care professionals treat a cystocele?
Your cystocele usually does not need treatment if you don’t have symptoms.
What is the procedure to repair a cystocele?
The most common surgical procedure to repair a cystocele is anterior vaginal repair, also called anterior colporrhaphy.
How does a cystocele surgery work?
During this procedure, a surgeon puts the bladder back in its normal position and tightens the muscles and tissues that hold the bladder in place using stiches. Your health care professional may perform a procedure to treat or prevent urinary incontinence at the same time as the surgery to repair the cystocele.
Why do women get cystoceles?
A woman’s chance of developing a cystocele increases with age, possibly because aging tends to weaken the muscles and supportive tissues of the pelvic floor. Whether menopause increases a woman’s chances of developing a cystocele is unclear.
Do cystoceles show symptoms?
Women with mild cystoceles often do not have any symptoms.
Can cystocele cause bladder infections?
If you are having trouble emptying your bladder or are experiencing heaviness or fullness of the bladder, contact your doctor. If you do have a cystocele, emptying your bladder can be difficult and can lead to bladder infections. If you are suffering from bladder or incontinence issues, Advanced Gynecology is here for you.
What is the grade of a cystocele?
Grade 1: This is also called mild cystocele. In this condition, the bladder sags only a short way into the vagina. Grade 2: This is a more severe condition in which the bladder slips down further to reach the opening of the vagina. Grade 3: This is the most severe condition in which the bladder sags so low that it comes out of the vagina.
How to tell if you have cystocele?
Other symptoms of cystocele may include. Frequent urge to urinate. Inability to empty the bladder. Loss of bladder control or urinary incontinence. Feeling pressure or fullness in the vagina. Discomfort or pain while passing urine. Discomfort or pain during sexual intercourse. Frequent urinary tract infections.
What are the symptoms of cystocele?
Some women with this condition may not have any symptoms or pain. The most common symptom is a bulge through the vagina that may be felt or seen. Other symptoms of cystocele may include
What is cystocele in a woman?
What is cystocele? Cystocele is the prolapse of the bladder. Cystocele, or bladder prolapse, is a condition in which the bladder sags down into the vagina due to the weakening of the supporting structure between the bladder and the vagina. Pelvic organ prolapse is a condition in which the structures that support the pelvic organs (the pelvic floor) ...
How often do women have urinary incontinence?
Millions of women suffer from urinary incontinence (UI). UI occurs twice as often in women as in men. There are many types of urinary incontinence: stress incontinence, urge incontinence, overactive bladder, functional incontinence, overflow incontinence, transient incontinence, and mixed incontinence.
What happens after a hysterectomy?
Following hysterectomy, the top of the vagina is repaired to form a vaginal vault. During vault prolapse, the vaginal vault drops down into the vaginal canal. Cystocele: In this condition, the bladder bulges into the vagina.
What are the treatment options for a syphilis?
Treatment options include. Watchful waiting: In the absence of symptoms, the doctor may suggest no treatment. They may keep the patient under observation for the development of any symptoms or complications. Conservative (nonsurgical) therapy: This may include.
What are the grades of cystocele?
There are three grades of cystocele: Grade 1 (mild): The bladder drops only a short way into the vagina. Grade 2 (moderate): The bladder drops into the opening of the vagina.
How long does it take to recover from a cystocele?
How Long Does It Take To Recover From Cystocele Repair? Center. Women typically recover from the cystocele repair in about 4-6 weeks. Women typically recover from the cystocele repair in about 4-6 weeks. They may resume their daily activities, including sexual intercourse, in about 4 weeks after the procedure.
What is a cystocele repair?
Cystocele repair is a surgery to lift and tighten the prolapsed tissue of the urinary bladder so that it doesn’t fall back against the vagina.
What is a cystocele?
Cystocele. A cystocele is also known as a fallen or prolapsed bladder. Heavy lifting and straining may cause a cystocele, which causes urine leakage and incomplete emptying of the bladder. Mild cystoceles may require no treatment, while large cystoceles may require surgery.
How long does Foley's catheter stay in place after cystocele surgery?
After the surgery, the Foley’s (urinary) catheter remains in place for 1-2 days after surgery. The woman may be asked to have a liquid diet until the bowel function returns to normal.
What are the complications of cystocele repair?
Coughing. Long hours of standing. Sneezing. Straining with bowel movements. Sexual intercourse. The complications of cystocele repair include: Infection.
What is the treatment for bladder cancer?
Options for treatment include surgery, radiation therapy, chemotherapy, and biological therapy.
What is cystocele in a woman?
In a cystocele, there is a defect in the fascia between the bladder and vagina. This allows a part of the bladder wall to bulge into the vagina. There are 3 grades of cystocele: Grade 1—mildest form, where the bladder drops only partway into the vagina.
How to help a rectocele?
Kegel exercises, which involve squeezing the pelvic floor muscles, may help to strengthen the muscles around the vagina and bladder. A diet that allows for easy passage of stools may help with a rectocele. The diet should include fiber, liquids, and a stool softener if advised.