Do I require surgery for a prolapsed bladder?

Not necessarily. Prolapsed bladder treatment relies on the severity the the condition and whether a woman has symptoms. If a woman’s prolapsed bladder does not bother her, a healthcare provider might recommend only that she avoid heavy lifting or straining, which might worsen her prolapsed bladder. If a woman has symptoms that bother her and also wants treatment, the health care provider may recommend pelvic muscle exercises, a vaginal pessary, or surgery.

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Below is an informational overview about the condition.


What is a prolapsed bladder?

A prolapsed bladder, also called a cystoceleor reduce bladder, is the bulging or dropping that the bladder into the vagina. The bladder, located in the pelvis in between the pelvic bones, is a hollow, muscular, balloon-shaped organ that expands as it fills with urine. During urination the bladder empties through the urethra, located at the bottom the the bladder. The urethra is the tube that carries urine outside of the body.

What reasons a prolapsed bladder?

A prolapsed bladderoccurs when the muscles and supportive tissues in between a woman’s bladder and vagina weaken and also stretch, letting the bladder sag indigenous its regular position and also bulge into the vagina or v the vaginal opening. In a prolapsed bladder, the bladder tissue remains covered by the vaginal skin. A prolapsed bladdermay result from damages to the muscles and also tissues that hold the pelvic offal up inside the pelvis. A woman’s pelvic organs encompass the vagina, cervix, uterus, bladder, urethra, and little intestine. Damage to or weakening the the pelvic muscles and also supportive tissues may happen after vaginal childbirth and also with conditions that consistently strain or rise pressure in the pelvic area, such as

recurring straining because that bowel activities constipation chronic or violent coughing heavy lifting being overweight or obese

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Normal bladder position

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Prolapsed bladder

A woman’s opportunities of emerging a prolapsed bladderincrease through age, possibly due to the fact that of weakening muscles and also supportive organization from aging. Whether menopause rises a woman’s opportunities of arising a prolapsed bladderis unclear.

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What are the symptoms of a prolapsed bladder?

The symptoms of a prolapsed bladdermay include

a quality bulge the feeling that other is falling the end of the vagina the sensation of pelvic heaviness or fullness an obstacle starting a urine stream a emotion of incomplete urination regular or immediate urination

Women who have actually a prolapsed bladdermay additionally leak part urine together a an outcome of movements that put push on the bladder, dubbed stress urinary incontinence. These activities can include coughing, sneezing, laughing, or physics activity, such as walking. Urinary retention––the i can not qualify to empty the bladder completely––may happen with more severe prolapsed bladderif the cystocele creates a kink in the woman’s urethra and blocks pee flow.

Women through mild prolapsed bladdersoften carry out not have any type of symptoms.

How is a prolapsed bladderdiagnosed?

Diagnosing a prolapsed bladderrequires medical tests and also a physical exam of the vagina. Clinical tests take ar in a health care provider’s office, an outpatient center, or a hospital. The healthcare provider will ask about symptoms and also medical history. A medical care provider offers a grading mechanism to determine the severity the a woman’s prolapsed bladder. A cystocele receives one of three grades relying on how much a woman’s bladder has dropped into her vagina:

great 1—mild, when the bladder drops only a short way into the vagina grade 2—moderate, when the bladder drops far enough to with the opened of the vagina class 3—most advanced, once the bladder bulges out through the opening of the vagina

If a mrs has an obstacle emptying her bladder, a healthcare provider might measure the amount of to pee left in the woman’s bladder ~ she urinates. The remaining urine is referred to as the postvoid residual. A health care provider deserve to measure postvoid residual through a bladder ultrasound. A bladder ultrasound offers a device, dubbed a transducer, that bounces safe, painless sound waves turn off the bladder to create picture and display the lot of continuing to be urine. A specially trained technician performs the procedure, and also a radiologist—a physician who specialization in medical imaging—interprets the images. A woman does not require anesthesia.

A health care provider can also use a catheter—a thin, functional tube—to measure a woman’s postvoid residual. The medical care provider inserts the catheter through the woman’s urethra into her bladder to remove and measure the lot of continuing to be urine after the woman has urinated. A postvoid residual that 100 mL or much more is a authorize that the mrs is not completely emptying she bladder. A mrs receives neighborhood anesthesia.

A healthcare provider may use a voiding cystourethrogram—an x-ray exam of the bladder—to diagnose a prolapsed bladderas well. A mrs gets a voiding cystourethrogram while urinating. The x-ray images display the shape of the woman’s bladder and also let the health treatment provider see any kind of problems that could block typical urine flow. One x-ray technician performs a voiding cystourethrogram, and also a radiologist interprets the images. A mrs does not need anesthesia; however, some women might receive sedation. A health care provider may order additional tests to rule out problems in various other parts of a woman’s urinary tract.

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How is a prolapsed bladdertreated?

As stated earlier, prolapsed bladdertreatment counts on the severity that the cystocele and also whether symptoms are present. If symptoms room not bothersome, a healthcare provider might recommend only preventing heavy lifting or straining, which could worsen the cystocele. If a woman has actually symptoms that stroked nerves her and also requires treatment, the healthcare provider might recommend pelvic muscle exercises, a vaginal pessary, or surgery.

Pelvic floor, or Kegel, practice involve increase pelvic floor muscles. Solid pelvic floor muscles more effectively hold pelvic organs in place. A woman does not require special devices for Kegel exercises.

The exercises involve tightening and relaxing the muscle that support pelvic organs. A health care provider can help a mrs learn ideal technique.

A vaginal pessary is a small, silicone medical machine placed in the vagina that supports the vaginal wall surface and hold the bladder in place. Pessaries come in a variety of shapes and also sizes. A healthcare provider has actually many alternatives to select from to uncover the most comfortable pessary for a woman.

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Pessary device

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Pessary placed in the vagina

A medical care provider may recommend surgical procedure to repair the vaginal wall support and reposition the woman’s bladder to its regular position. The most usual prolapsed bladderrepair is an anterior quality repair—or anterior colporrhaphy. The surgeon makes an scratch in the wall of the woman’s vagina and also repairs the defect by folding over and also sewing with each other extra donate tissue between the vagina and bladder. The fix tightens the class of organization that different the organs, creating much more support because that the bladder. A surgeon who specializes in the urinary tract or woman reproductive device performs an anterior vaginal fix in a hospital. The woman receives either local or basic anesthesia. The woman might stay overnight in the hospital, and full recovery might take up to 4 come 6 weeks.

Eating, Diet, and also Nutrition

Researchers have actually not discovered that eating, diet, and also nutrition pat a function in bring about or staying clear of a prolapsed bladder.

Points to Remember

A prolapsed bladder, additionally called a cystocele or to reduce bladder, is the bulging or dropping of the bladder into the vagina. A prolapsed bladderoccurs when the muscles and supportive tissues between a woman’s bladder and also vagina weaken and stretch, letting the bladder sag indigenous its normal position and bulge right into the vagina or with the quality opening. Diagnosing a prolapsed bladderrequires medical tests and a physical test of the vagina. Prolapsed bladdertreatment depends on the severity the the cystocele and whether a woman has actually symptoms.

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This info originally showed up at the nationwide Institute the Diabetes and also Digestive and Kidney diseases web site.