![]() ![]() The shape of the bladder is dependent on the amount of dilatation and its attachments. In cases of retention of urine it may reach up to the umbilicus and contain a quart or more, while if its walls are thickened it may be contracted and hold only a few ounces. Its capacity varies much, and it is capable of great distention without rupture. Women who are older, who smoke, have diabetes, or who have had a hysterectomy, may be at higher risk for complications.When fully distended the normal bladder contains approximately 500 c. 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 mild cases, non-surgical treatments may be all that is needed to successfully deal with a cystocele. What can be expected after treatment for a cystocele? Complete recovery typically takes four to six weeks.įor women who never plan on having sexual intercourse again, surgeries that sew the vagina shut and shorten it so it no longer bulges are nearly 100 percent effective. ![]() The patient usually goes home the day of the surgery. This method may give more support to the tissue and help prevent the condition from happening again. Another option, for more severe prolapse, is to place a synthetic material with a robotic or laparoscopic approach through the abdomen. 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. There are a number of ways to perform this surgery, including an anterior repair. What happens during and after surgery for a cystocele?Ī moderate or severe cystocele may require reconstructive surgery to move the bladder into a normal position. A pessary has to be removed and cleaned on a regular basis in order to avoid infection or ulcers. ![]() Pessaries are available in a number of shapes and sizes to ensure a proper fit. If symptoms are modest, a device called a pessary may be placed in the vagina to hold the bladder in place.These exercises involve tightening the muscles that are used to stop the flow of urine, holding for 10 seconds, and then releasing. Kegel exercises to strengthen the openings of the urethra, vagina and rectum.Other potential treatment options include the following: If it is not bothersome, a mild cystocele may not require any treatment other than avoiding heavy lifting or straining that could cause the problem to get worse. Problems inserting tampons or applicators.The bladder bulging into or out of the vagina.This feeling may get worse when the person is standing, lifting, coughing, or as the day goes on. Feeling of fullness, heaviness, or pain in the pelvic area or lower back.Having to run to the bathroom frequently to pass water, or just a feeling as if you have to go a lot.Difficulty emptying the bladder (urinating).Feeling or seeing something bulging through the vaginal opening.Estrogen helps keep muscles around the vagina strong, but women produce less estrogen as they enter menopause (the end of menstrual periods). Aging and a drop in the hormone estrogen.Constipation and/or repeated muscle straining during bowel movements.Intense physical activity, including lifting heavy objects.Vaginal births, which may involve straining the muscles of the floor of the pelvis. ![]()
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