Do I require surgery because that a prolapsed bladder?

Not necessarily. Prolapsed bladder treatment depends on the severity of the condition and whether a woman has symptoms. If a woman’s prolapsed bladder does no bother her, a health care provider may recommend only that she avoid hefty lifting or straining, which might worsen her prolapsed bladder. If a woman has symptoms that stroked nerves her and also wants treatment, the health care provider may recommend pelvic muscle exercises, a quality pessary, or surgery.

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Below is an informational overview about the condition.

What is a prolapsed bladder?

A prolapsed bladder, also called a cystoceleor to reduce bladder, is the bulging or dropping the the bladder into the vagina. The bladder, situated in the pelvis in between the pelvic bones, is a hollow, muscular, balloon-shaped organ that broadens as the fills v urine. Throughout urination the bladder empties v the urethra, located at the bottom of the bladder. The urethra is the tube that carries urine external of the body.

What reasons a prolapsed bladder?

A prolapsed bladderoccurs when the muscles and also supportive tissues between a woman’s bladder and vagina weaken and stretch, letting the bladder sag indigenous its regular position and bulge into the vagina or v the vaginal opening. In a prolapsed bladder, the bladder tissue stays covered through the quality skin. A prolapsed bladdermay result from damage to the muscles and also tissues that organize the pelvic organs up within the pelvis. A woman’s pelvic organs encompass the vagina, cervix, uterus, bladder, urethra, and tiny intestine. Damage to or weakening of the pelvic muscles and supportive tissues may occur after vaginal childbirth and also with problems that consistently strain or rise pressure in the pelvic area, such as

repeated straining for bowel motions constipation chronic or violent coughing heavy lifting gift overweight or obese

Normal bladder position

Prolapsed bladder

A woman’s chances of arising a prolapsed bladderincrease with age, possibly due to the fact that of weakening muscles and also supportive tissues from aging. Even if it is menopause boosts a woman’s possibilities of occurring a prolapsed bladderis unclear.

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What space the symptom of a prolapsed bladder?

The symptom of a prolapsed bladdermay include

a quality bulge the emotion that other is falling out of the vagina the emotion of pelvic heaviness or fullness challenge starting a pee stream a feeling of incomplete urination frequent or urgent urination

Women who have a prolapsed bladdermay additionally leak part urine together a result of movements that put press on the bladder, dubbed stress urinary incontinence. These motions can include coughing, sneezing, laughing, or physical activity, such together walking. Urinary retention––the i can not qualify to north the bladder completely––may take place with much more severe prolapsed bladderif the cystocele creates a kink in the woman’s urethra and blocks urine flow.

Women through mild prolapsed bladdersoften carry out not have any symptoms.

How is a prolapsed bladderdiagnosed?

Diagnosing a prolapsed bladderrequires medical tests and also a physical test of the vagina. Medical tests take location in a health treatment provider’s office, an outpatient center, or a hospital. The healthcare provider will ask about symptoms and medical history. A healthcare provider uses a grading mechanism to identify the severity of a woman’s prolapsed bladder. A cystocele receives among three grades depending on how much a woman’s bladder has dropped right into her vagina:

grade 1—mild, once the bladder drops just a short way into the vagina great 2—moderate, when the bladder fall far enough to reach the opened of the vagina class 3—most advanced, as soon as the bladder bulges out through the opening of the vagina

If a woman has challenge emptying she bladder, a healthcare provider might measure the amount of urine left in the woman’s bladder after ~ she urinates. The staying urine is called the postvoid residual. A health care provider deserve to measure postvoid residual through a bladder ultrasound. A bladder ultrasound supplies a device, called a transducer, the bounces safe, painless sound waves off the bladder come create picture and show the lot of staying urine. A especially trained technician performs the procedure, and a radiologist—a doctor who specialization in clinical imaging—interprets the images. A woman does not require anesthesia.

A medical care provider can also use a catheter—a thin, versatile tube—to measure up a woman’s postvoid residual. The healthcare provider inserts the catheter v the woman’s urethra into her bladder to remove and also measure the lot of continuing to be urine after ~ the woman has urinated. A postvoid residual of 100 mL or an ext is a authorize that the mrs is not fully emptying her bladder. A mrs receives regional anesthesia.

A health care provider may use a voiding cystourethrogram—an x-ray test of the bladder—to diagnose a prolapsed bladderas well. A woman gets a voiding cystourethrogram while urinating. The x-ray images present the form of the woman’s bladder and also let the health treatment provider see any type of problems that could block common urine flow. One x-ray technician performs a voiding cystourethrogram, and also a radiologist interprets the images. A mrs does not need anesthesia; however, some women may receive sedation. A healthcare provider might order additional tests to dominion out problems in other parts the a woman’s urinary tract.

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How is a prolapsed bladdertreated?

As mentioned earlier, prolapsed bladdertreatment depends on the severity of the cystocele and whether symptoms space present. If symptoms room not bothersome, a health care provider may recommend only preventing heavy lifting or straining, which can worsen the cystocele. If a woman has actually symptoms that stroked nerves her and requires treatment, the medical care provider may recommend pelvic muscle exercises, a quality pessary, or surgery.

Pelvic floor, or Kegel, exercises involve strengthening pelvic floor muscles. Strong pelvic floor muscles more effectively host pelvic offal in place. A mrs does not need special tools for Kegel exercises.

The exercises involve tightening and also relaxing the muscle that support pelvic organs. A health care provider can assist a woman learn proper technique.

A vaginal pessary is a small, silicone medical machine placed in the vagina that supports the vaginal wall surface and hold the bladder in place. Pessaries come in a variety of shapes and sizes. A medical care provider has actually many choices to pick from to find the many comfortable pessary for a woman.

Pessary device

Pessary inserted in the vagina

A medical care provider might recommend surgery to repair the vaginal wall support and also reposition the woman’s bladder to its regular position. The most common prolapsed bladderrepair is an anterior quality repair—or anterior colporrhaphy. The surgeon provides an scratch in the wall surface of the woman’s vagina and repairs the defect through folding over and sewing together extra supportive tissue in between the vagina and also bladder. The repair tightens the layers of organization that separate the organs, creating much more support because that the bladder. A surgeon who specializes in the urinary street or woman reproductive device performs one anterior vaginal fix in a hospital. The mrs receives either regional or general anesthesia. The woman may stay overnight in the hospital, and also full recovery might take approximately 4 to 6 weeks.

Eating, Diet, and also Nutrition

Researchers have actually not found that eating, diet, and also nutrition beat a function in causing or staying clear of a prolapsed bladder.

Points to Remember

A prolapsed bladder, likewise called a cystocele or dropped bladder, is the bulging or dropping of the bladder into the vagina. A prolapsed bladderoccurs once the muscles and supportive tissues between a woman’s bladder and also vagina weaken and stretch, letting the bladder sag native its typical position and also bulge into the vagina or with the quality opening. Diagnosing a prolapsed bladderrequires medical tests and a physical test of the vagina. Prolapsed bladdertreatment counts on the severity of the cystocele and also whether a woman has actually symptoms.

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This details originally showed up at the nationwide Institute of Diabetes and also Digestive and Kidney illness web site.