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.
For some women, symptoms of stress incontinence don’t respond to conservative treatment. When you have tried conservative measures and urinary incontinence continues to disrupt your life, your provider at Urology Care P.C. may suggest surgery. A urethral sling procedure corrects stress incontinence by placing a small strip of material under the urethra. The sling provides backboard support for the urethra during straining maneuvers and other stressful activities. Hence preventing leakage from occurring.
The sling is similar to a hammock under the urethra. You and your provider will decide whether or not you are an appropriate candidate for a sling.
When persistent pain disrupts your quality of life, our team at Urology Care P.C. is here to provide you with high-quality personalized care to ensure your long-term health. Our expert providers will provide you with an accurate diagnosis and a personalized comprehensive treatment plan.