Cystocele/Rectocele Repair

Pelvic organ prolapse (POP), including bladder prolapse (cystocele) is a major health concern, especially for the elderly. A cystocele occurs when the wall of the bladder moves against, and pushes, the walls of the vagina.  A cystocele most commonly occurs from the damage that happens during vaginal birth.

While many women have some degree of bladder prolapse, many do not have symptoms that occur right away.  When they do appear, they can include urinary incontinence, difficulty urinating, and pain during sexual intercourse. 

The most common cystocele repairs are done through an incision in the vaginal wall.  During this surgery, your surgeon pulls together the loose or torn tissue in the area of the prolapse, and strengthens the wall of the vagina.  This will help prevent the prolapse from reoccurring. 

What to expect after surgery

A stay in the hospital of one to two days may be required.  You may need a catheter for a short time.  After six weeks, you will more than likely be able to return to regular activities.  Urinary function usually returns to normal between two to six weeks after the procedure.

Rectocele:  A rectocele occurs when the tissues and muscles that hold the end of the large intestine—rectum—in place are stretched or weakened.  This could allow the rectum to move until it presses against the wall of the vagina, potentially causing it to bulge.