Prolapse Surgery for a Cystocele
Prolapse surgery for a cystocele is a type of urologic surgery that may be necessary when a prolapsed bladder, or fallen bladder, has herniated into the vagina because the tissue between the bladder and the vaginal wall has stretched or become weak. A cystocele prolapse can happen as a result of childbirth, aging, or constant straining with constipation, chronic, hard coughing, or lifting heavy things. As women get older, a bladder prolapse can develop, especially after menopause, because estrogen levels have decreased.
Prolapse surgery for a cystocele, or fallen bladder surgery, can be done by making an incision through the abdomen or the vagina and strengthening the vagina by using stitches to tighten the tissue surrounding it. Laparoscopic colposuspension surgery through the abdomen or vaginal cystocele repair usually is less invasive with smaller incisions, allowing for less bleeding and tissue trauma, shorter recovery time, and less pain. Stitches will usually dissolve in 2-3 weeks, and you may need a catheter to help empty your bladder for a few days after surgery.
Our doctors can implant a prolapse mesh sling between the bladder and vaginal wall to elevate the bladder into its proper position. The mesh can be made of synthetic polypropylene or biologically grafted tissue. It is secured to the ligaments or muscles until your body generates tissue to grow around the attachments.
During the prolapse bladder surgery, our doctors may need to also perform another prolapse operation, depending if more than one organ has “fallen”. A pelvic organ prolapse surgery may include a uterine prolapse surgery or vaginal prolapse surgery. If several organs are affected, pelvic floor surgery for pelvic floor repair or pelvic floor reconstruction may be necessary. Some doctors may suggest you have a hysterectomy as well to avoid further prolapse of the uterus.
Prolapse surgery for a cystocele is not performed if you have a mild to moderate cystocele. However, cystocele surgery may be required with more severe cystoceles in order to lift the bladder and maintain it in place. Sometimes non-surgical prolapse treatment and behavioral changes, such as having set times to urinate, conducting bladder training, or performing some pelvic floor exercises called Kegels for strengthening muscles, will help instead. Some patients do well with the insertion of a pessary. A vaginal pessary is a small removable plastic or rubber device that is used to keep pressure on the urethra and hold a prolapsed organ in place. Other patients take estrogen to reduce further weakening of the muscles or tissues supporting the uterus.