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Doctor insights on: Cystocele Surgery Recovery Time

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My family dr. Said I have a hernia and"cystocele with prolapse". I am a 51 year old female. What needs to be done? What type of dr do I need to see, and what needs to be done. How many surgeries will it take to fix the problem? How long would my recovery

My family dr. Said I have a hernia and"cystocele with prolapse". I am a 51 year old female. What needs to be done? What type of dr do I need to see, and what needs to be done. How many surgeries will it take to fix the problem? How long would my recovery

You: You should be evaluated by a urogynecologic surgeon who has experience with repairing these type of hernias which can be quite complicated. If you are over weight, then losing weight is perhaps the most important thing that you can do. In addition, avoid constipation and straining when you urinate. ...Read more

Dr. Robert Harris
157 Doctors shared insights

Prolapsed Bladder (Definition)

An outpouching of the bladder into the vagina, due to a weakness in the tissue wall separating ...Read more


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Supposing I have surgery to correct my cystocele (mild prolapse), will this be a sure fix and correct it?

Supposing I have surgery to correct my cystocele (mild prolapse), will this be a sure fix and correct it?

No.: I would only recommend surgery to repair a cystocele if it is causing you significant problems. There really is no such thing as a sure fix. All procedures used to repair cystocele have a failure rate. If your problem happens to worsen over time it can be repaired later. Their is no danger in waiting. ...Read more

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What happens if I have surgery to correct my cystocele (mild prolapse), will this be a sure fix and correct it?

20 % relapse: There is no sure fix for a cystocele and recurrence rates of as high as 20 % after two years have been reported in the medical literature. The rate increase as time progresses. ...Read more

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I'm having a surgery where the dr told me I'm having my rectocele and cystocele fixed, they didn't tell me what the op is called? Is it a vaginoplasty?

I'm having a surgery where the dr told me I'm having my rectocele and cystocele fixed, they didn't tell me what the op is called? Is it a vaginoplasty?

Probably not...: The medical term for this surgery is "Anterior and Posterior Colporrhaphy". You might also hear it called an "Anterior and Posterior Repair", or "A&P Repair". Vaginoplasty usually refers to cosmetic vaginal surgery, sex reassignment surgery or fixing birth defects of the vagina. Best wishes! ...Read more

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I have a grade 3 cystocele & rectocele I'm having repaired on the 27/11/15, how long after my surgery can I lift up my 15mth old, 12kilo daughter again?

I have a grade 3 cystocele & rectocele I'm having repaired on the 27/11/15, how long after my surgery can I lift up my 15mth old, 12kilo daughter again?

Surgeon preference: Specific recommendations for lifting after this type of surgery will need to be made by the surgeon who knows exactly what was done during the procedure. A good role is to let your body be your guide. If it hurts don't do it ...Read more

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Gyn confirmed cystocele & rectocele w/ symptoms. Estrogen cream prescribed for 1 month then recheck. How likely is surgery?

Gyn confirmed cystocele & rectocele w/ symptoms. Estrogen cream prescribed for 1 month then recheck. How likely is surgery?

It depends on stage: If the two "celes" are second or third degree then surgery is likely. Additional surgical intervention causes are repeated urinary tract infections from incomplete bladder emptying, fecal retention/constipation with need for manual removal, extrusion to the outside of the body or intercourse "blocking". ...Read more

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I'm supposed to have cystocele surgery and my dr. Also wants to remove my uterus. Is this necessary? I'm 52 and have not had a period in 15 months.

I'm supposed to have cystocele surgery and my dr. Also wants to remove my uterus. Is this necessary? I'm 52 and have not had a period in 15 months.

No: Not necessary, but may be in your best interest. If you will not be using uterus any longer for procreation, there is no benefit to keeping it. Risk of taking it out is low. Downside of keeping it is that you could develop disease or cancer of uterus. Risk and benefit ratio is different for everyone. Have this frank discussion with surgeon. ...Read more

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Which surgery should I have done 1st and why? Surgery in spine to replace disk at l5-s1 (bone on bone now) or surgery to correct cystocele & rectocele.

Which surgery should I have done 1st and why? Surgery in spine to replace disk at l5-s1 (bone on bone now) or surgery to correct cystocele & rectocele.

Depends: Neither is an emergency, so which you have done really depends on which one bothers you more. I don't believe either surgery will affect the other procedure in any negative way, but you should discuss with both your spine and general surgeon. ...Read more

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Can past cyctocele surgery cause pain in the groin and lower pelvic area?

Can past cyctocele surgery cause pain in the groin and lower pelvic area?

Mot likely: If the surgery was a while ago, it is unlikely to be causing problems now. If it was recent, then it may be related, especially if mesh was used. ...Read more

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Is recovery from cystocele longer if the uterus is removed as well?

Is recovery from cystocele longer if the uterus is removed as well?

No: Not generally if the hysterectomy was done vaginally. I usually tell patients they may drive & return to light work in 10 to 14 days. No intercourse for 6 to 8 weeks. ...Read more

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Scheduled to see a urogyn. In a month about possible mild cystocele (just looks odd with a mirror), would horseback riding be ok in the mean time?

Scheduled to see a urogyn. In a month about possible mild cystocele (just looks odd with a mirror), would horseback riding be ok in the mean time?

Here are some. ..: Horseback riding will not affect what does already exist; so enjoy horseback riding. But, what you saw in the introitus as described could have no clinical significance. To make the upcoming urogyn visit more sense, collect the info on the onset, degree, duration, Hx of pregnancy & childbirth if any, current voiding, etc. Over time, and bring those to her/him for analysis + physical exam + tests? ...Read more

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Does estrogen cream stop or slow the progression of cystocele or is it just a matter of time before it falls out completely?

Does estrogen cream stop or slow the progression of cystocele or is it just a matter of time before it falls out completely?

Can help: Depends on severity of cystocele, the stage of the cystocele. For example, early cystocele, mild stage I, may be greatly improved by transvaginal estrogen. ...Read more

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Can a general surgeon remove my gallbladder and fix my rectocele/cystocele all at the same time?

Can a general surgeon remove my gallbladder and fix my rectocele/cystocele all at the same time?

Not usually.: Although these procedures can be done at the same time, it would be unusual for a general surgeon to perform cystocele or rectocele repair. More commonly these procedures would be performed by a gynecologist, urogynecologist or a urologist. Just be sure that whoever does your surgery has a lot of experience performing these types of procedures. Never hesitate to get a second opinion. ...Read more

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It happens that a general surgeon remove my gallbladder and fix my rectocele/cystocele at the same time?

It happens that a general surgeon remove my gallbladder and fix my rectocele/cystocele at the same time?

Usually not: A general surgeon does gall bladder surgery on a regular basis. Rectocele and cystocele surgery is usually performed by a gynecologic surgeon. At some hospitals the two surgeons can coordinate their schedule so that they can both do their respective procedures during the same anesthesia. ...Read more

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Will estrogen cream stop/slow progression of moderate cystocele or is it just a matter of time before it totally falls out now that I am post menopause?

Unclear: It is unclear as to whether estrogen will affect progression of a cystocele. Kegals, losing weight (if needed), not being constipated, staying active without putting repetitive pressure to pelvic floor all will help ...Read more

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Is it normal to get a cystocele on first pregnancy at 27w? Not overweight. Stand and sit for long periods of time. Is there harm to baby?

Is it normal to get a cystocele on first pregnancy at 27w? Not overweight. Stand and sit for long periods of time. Is there harm to baby?

No harm...: Cystocele rarely occurs in your described scenario, but not impossible. If it's, it would be very minimal or marginal. Clinically, it bears no harm to baby during pregnancy, but be aware that more vaginal deliveries may worsen the degree of existing cystocele over time. This is life and that is what we know about it. More? Ask doc timely. Best wish... ...Read more

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How are you diagnosed with a cystocele?

How are you diagnosed with a cystocele?

Visually: If during a female exam the dr asks you to "bear down-as if having a bowel movement" we are looking for any weakness in the "pelvic floor"which is the area from the bottom of your pubic hair to your tail-bone. A bulge here suggests to us where the weakness is. ...Read more

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Can you b fisted with a cystocele? Is it safe?

Yes: It is as safe as being fisted without a cystocele. Might cause stretching and make the cystocele worse ...Read more

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What risk factors are associated with cystocele repair?

Any surgery has risk: Risks of cystocele repair include but are not limited to: bleeding, infection, injury to surrounding tissue, organs, nerves, urinary incontinence, inability to empty bladder, constipation, erosion or exposure of sutures or implanted graft materials, sexual dysfunction, extended hospitalization, anesthesia or medicine reactions, recurrence of prolapse, diasbility and death..... ...Read more

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What is the definition or description of: cystocele repair?

What is the definition or description of: cystocele repair?

Bladder tack.: Commonly referred to as a "bladder tack " a cystocele repair is a variety of procedures that are used to fix a prolapsed or dropping bladder. Typically sutures are used to repair the damaged supportive tissue between the bladder and the vagina. Sometimes a graft is used to reinforce this repair. The surgery can be performed through a vaginal or laparoscopic approach. ...Read more

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Can a Cystocele grade 2 actually be reduced to a grade 1 with kegels and exercise?

Can a Cystocele grade 2 actually be reduced to a grade 1 with kegels and exercise?

May be: In my 42 years of obgyn practice I surprised by few cases that they were completely reduced after 5+ years and no surgery was necessary As you age the tissue lost its blood supply and turn fibrotic If your genetics is on your side and not to bare down for few years, it may improve Hate to say I can't recall any patient improved much with the kegels! High HRT worsen it ...Read more

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What methods are being used for cystocele repair since mesh was found to have problems?

Most repairs can use: Your own tissue and stitches. Mesh is still appropriate in some cases. When used by an experienced gyn surgeon or urogynecologist it has reasonable risks. ...Read more

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Stage 2 cystocele when bearing down. Does that mean I am stage 0-1 until I bear down or am I stage 2 all day long?

Stage 2 cystocele when bearing down. Does that mean I am stage 0-1 until I bear down or am I stage 2 all day long?

Cystocele: Their is some subjective interpretation of degrees of pelvic organ prolapse. The doctor doing your exam or an experience Urogynecologist can give you a POP-Q score. This a more precise system for delineating degrees of pelvic organ prolapse. It applies more objective criteria for prolapse description. ...Read more

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What is the medical treatment associated with cystoceles?

What is the medical treatment associated with cystoceles?

Pessary or surgery.: A pessary is a device that is inserted into the vagina to support the pelvic organs. It is often used to treat cystocele. Another alternative would be to have surgery. For a simple cystocele the mist common procedure is called an anterior repair. Sutures are used to repair the damaged tissue that is allowing the bladder to drop. ...Read more

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What is a cystocele?

What is a cystocele?

Dropped Bladder: A cystocele is one category of pelvic organ prolapse. Childbirth, obesity & smoking are risk factors but it can happen to anyone. As we age our connective tissue weakens and various body parts begin to dropp and sag. A cystocele is when the tissue holding up the bladder weakens allowing the bladder to dip into the vagina. Some will notice a bulge or increased pressure feeling requiring surgery. ...Read more

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How do you diagnosis a cystocele?

Exam: A cystocele is a weakening of the supporting tissue between a woman's vagina and bladder. I will cause a bulge in the superior aspect of the vagina. During the exam you may be asked to cough or bear down to further evaluate the extent of the problem. ...Read more

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How would I know if I have cystocele?

Exam: A cystocele occurs when there is a weakness of the support tissue between the bladder and vagina. Some patients don't ever know this is happening until they have an exam. Others will feel pressure and actually see or feel something hanging out of vagina.
A good resource is: www. Voicesforpfd. Org ...Read more

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What are the symptoms of a cystocele?

What are the symptoms of a cystocele?

Varied: A lot of the symptoms are related to the bladder....Frequency, recurrent uti, pressure, urgency, and incomplete emptying. Additionally, you might feel pelvic pressure and pain with intercourse. You might struggle with tampon placement or the feeling of something against your clothes. ...Read more