Doctor insights on:
What Does Cystocele Feel Like
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
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
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
Prolapsed bladder: Sometimes acalled a prolapsed or "fallen" bladder and is a cyst-like swelling on front wall of vagina, due to poor pelvis muscle support. Caused by difficult vaginal birth deliveries or prolonged straining or coughing. Mild to moderate cystocele may be controlled by kegel exercises + Estrogens in post-menopausal women. Pessaries (temporary) or surgery? Required for more severe or symptomatic cases. ...Read more
Yes, it can:
Currently, "native tissue repair" is preferred for most women with cystocele. Other prolapse should be ruled out. It is best to go to an experienced vaginal surgeon such as a urogynecologist.
I hope this helps ...Read more
Seeing a bulge:
At the entrance of the vagina. Need for frequent urination. feeling of needing to urinate when not much is in the bladder. difficulty emptying the bladder
none of these are 100% proof of a cystocele. You need to see a gynecologist or urogynecologist for further evaluation.
hope this helps
Dr. Morse ...Read more
Can be treated: Best to consult an experienced gynecologist. Can usually be corrected via a vaginal incision. Surgery pulls together tissue on either side of vagina. This pushes bladder neck back into it's correct position plus strengthens vaginal wall. Best treatment 4U ishould B discussed with your gynecologist. A vaginal pessary might be a satisfactory temporary solution 4 Ur problem. Temporary Bcos UR young ...Read more
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
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
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
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
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
Lots of options: The treatment is really based on your expectations and desires. Options include, pessaries, pelvic floor physical therapy, behavioral modifications such as weight loss and smoking cessation, and surgery. The great news is cystoceles are not life threatening and you can work through lots of different options if you desire. ...Read more
Many options.: Observation - a cystocele does not necessarily need to be treated. Pessary - a pessary is a device that can be inserted into the vagina to support the bladder or any other organ that is dropping. Surgery - there are a variety of surgeries that can be used to repair cystocele. Consult with your doctor to determine which procedure would be best suited for your particular problem. ...Read more
Higher risk: Cystocele or any form of pelvic organ prolapse is like a hernia. The number one risk factor is genetics. Factors such as shape of our pelvic bones, strength of our collagen are inherited. Other lifestyle factors are number of pregnancies and vaginal deliveries. Factors you can modify are: keep pelvic muscles healthy by doing kegels, avoid chronic constipation, maintain normal weight. ...Read more
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
Bladder mesh problem: The incidence of bladder mesh complications (infection/pain/erosion/retention/....) is actually very "low" if properly applied/implanted. One should be careful and ascertain the physician's expertise in these specific surgical procedures: obviously, I would trust a reputable individual that is experienced and can demonstrate his/her expertise...... ...Read more
Not always: Sometimes mild cystoceles don't bulge out unless you're bearing down. Severe cystoceles bulge out at rest. Sometimes it's an enterocele or rectocele that bulges out. You have to have a pelvic exam to really tell the difference between those three. Sometimes you can have all three bulging out. ...Read more
Separate: Try this can occur from variety of reasons including hormonal. The cystocele is a different type of process with tissue slippage. It is not related to the dryness ...Read more
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
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
I had a total diVinci hyster 11/14. I now have gr 3 rectocele and 3 cystocele. Could they have happened from the hyster? When should I have it repaire
Here are some. ..: The cystorectocele to a degree after hysterectomy is nothing uncommon, but indicates you have weak pelvic supporting muscles & tissues, which may in turn predispose its recurrence although surgical repair may be inevitable. As to when and how to repair it, that should be decided after proper evaluation & counseling though collaborating with surgical specialist of such procedures. Best wish. .. ...Read more
It varies.: The most common symptoms are a mass bulging into the vaginal opening, pelvic pressure or discomfort, and difficulty with bowel or bladder function. Many women can feel something bulging through the vaginal opening. To check, place fingers at the vaginal opening while seated on a toilet and bear down as if you are trying to have a bowel movement. ...Read more
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