A prolapsed bladder (also known as a dropped bladder or cystocele) occurs when the wall between a woman's bladder and her vagina weakens, stretches, and lets the bladder droop into the vagina.
Most women will present to the physician with the complaint of a vaginal bulge. The bulge is the bladder itself drooping through the vaginal opening. This can be associated with other symptoms such as the inability to urinate, recurrent urinary tract infections or urinary urgency and frequency. The vaginal bulge is rarely painful. It can, however, cause pressure in the lower abdomen or below, in the region of the vagina.
The most common cause of bladder prolapse is vaginal delivery. Other causes include previous hysterectomy, menopause and obesity. In some cases the prolapse is an inherited condition.
Treatment includes observation, a pessary or surgical repair. The pessary is a rubber ring that can be inserted in the vagina to reduce or lift the bladder. It has to be removed and cleaned periodically. When women want neither the pessary nor surgical repair, they can sometimes be followed closely as long as they do not develop urinary tract infections, urinary retention or incontinence.
Surgery for vaginal prolapse involves repairing an existing weakness in the pelvic floor. This can be accomplished with sutures alone in most cases. In some cases, when tissue is very weak, synthetic mesh is used. In all cases patients can be sent home the same day or may spend one night in the hospital. A catheter remains in the bladder over night and is removed the next day. When a prolapsed bladder repair occurs without other surgery (hysterectomy), the recuperation is 10 to 14 days. This means you may be physically active but must not lift heavy objects (greater than ten pounds) for 10 to 14 days following surgery.
For more information Please call 516.320.7040 for an appointment.
Urology Associates, P.C.
535 Plandome Rd.
Manhasset, NY 11030
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