There are several surgical approaches to correct weak or damaged muscles, ligaments and tissues that hold a womans pelvic organs in place. 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. Sexual Intercourse: The act of the penis of the male entering the vagina of the female. Lacy Windham, MD, is a Board-Certified Obstetrician & Gynecologist in Cleveland, Tennessee. Estrogen helps the muscles in the pelvis stay strong, but the body produces less of it after menopause. Talk to your doctor, and weigh the pros and cons for your particular case. A strengthened pelvic floor provides better support for your pelvic organs and relief from symptoms associated with anterior prolapse. Mayo Clinic doctors might use vaginal approaches or other minimally invasive (laparoscopic) surgery, including robotic surgery, to treat some types of pelvic organ prolapse. Reduce your risk of prolapse worsening. If you have a Grade 1 cystocele, only part of your bladder is descending into your vagina. So uncomfortable and very tender most of the time. Pain, pressure, and/or discomfort in the lower abdomen, pelvic area, or vagina may indicate a prolapsed bladder. https://www.niddk.nih.gov/health-information/urologic-diseases/cystocele-prolapsed-bladder. Treatments range from watchful waiting to surgery. Cystocele is a condition characterized by slipping of the bladder down into the vaginal canal causing a bulge at the vaginal opening. You may feel cramping or pressure in your bladder area after your surgery. These exercises involve tightening the muscles that are used to stop the flow of urine, holding for 10 seconds, and then releasing. The surgery sounds horrible, the doctor said it is sometimes not 100% effective. If you have a heart condition, diabetes, or breathing difficulties, any of these things could make an operation riskier. Feb. 14, 2022. Even if you have surgery now, you may end up needing another operation down the road. Surgical Options for Bladder Prolapse - Urogynecology in Plano 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. Reconstructive surgery moves your pelvic organs back into their original position and supports them there. This will help her determine the strength of your muscles. You can learn more about how we ensure our content is accurate and current by reading our. Your doctor will ask you to urinate into a container that is connected to a computer, which will take some measurements. Work up to holding the contraction for 10 seconds at a time. Strengthen your core. The success of bladder prolapse surgery depends on its type. During colpocleisis, a surgeon will make an opening in your vagina and sew the front and back walls of your vagina together. (If this is too difficult, start by holding for two seconds and relaxing for three seconds.). A nephrostomy tube is a catheter thats inserted through your skin and into your kidney to drain urine from your body. The American College of Obstetricians and Gynecologists. Does he or she respect your opinions and answer your questions in a way you understand? We offer women's health services, obstetrics and gynecology throughout Northeast Ohio and beyond. .st3 { Pelvic organ prolapse surgery in elderly patients - PubMed These are the muscles used to stop the flow of urine when urinating.