A cystocele, also called anterior prolapse, occurs when the wall between your vagina and bladder weakens, allowing your bladder to slip. It’s an uncomfortable condition that affects your urinary tract and causes pain during sex. But the gynecologists at Century Medical and Dental Center in Brooklyn have solutions that range from strengthening exercises to surgery, depending on the severity of your condition. Call today for an assessment.
Between a woman’s vagina and her bladder lies a wall of muscle called the pelvic floor. This supportive tissue helps hold your bladder in the correct position within the abdomen wall. As a result of age, natural childbirth or other conditions, this wall of muscle can weaken over time, allowing the bladder to slip down into your vagina. This condition is called a prolapsed bladder or an anterior prolapse.
Any event that causes severe straining can weaken your pelvic floor muscles. Natural childbirth, chronic constipation or lung conditions that lead to violent coughing fits are known causes. Lower estrogen levels after menopause may also contribute to weakening these muscles.
A pelvic prolapse involves multiple organs because it’s not unusual to have more than one organ involved in prolapse conditions. For example, both a cystocele and rectocele prolapse involve fallen pelvic organs, but a rectocele prolapse affects your posterior or behind, resulting in a bulging rectum, while a cystocele prolapse affects your anterior or front, resulting in a fallen bladder.
Mild cases of a cystocele prolapse often exhibit few symptoms. Sometimes, you won’t experience any symptoms. If your pelvic floor muscles continue to weaken, however, you may notice:
As the prolapse progresses, you may notice a bulge or ball protruding from your vagina that’s often painful. Additionally, standing for long periods of time increases the severity of your symptoms.
As you age, your pelvic floor muscles can be strained and weakened. Injury or trauma may compromise these muscles as well. Other causes of anterior prolapse include:
You may be more likely to develop anterior prolapse or other pelvic prolapse conditions if you had a hysterectomy or have a family history of prolapse conditions. Your chance of developing a cystocele prolapse increases as you age.
Your gynecologist at Century Medical and Dental Center performs a thorough exam and then discusses your symptoms with you to determine the severity of your discomfort. If you’ve experienced frequent bladder infections, your doctor may suspect an anterior prolapse. The earlier you catch your condition, the more options your Brooklyn specialist has for treatment.
Treatment options always start conservatively, although if your symptoms are severe enough, surgery may benefit you. Your treatment may include:
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Severe anterior prolapse symptoms may require cystocele surgery. If you’re past childbearing age and your condition also involves a prolapsed uterus, your doctor may suggest a hysterectomy. Otherwise, your doctor tightens muscles and ligaments, lifts the bladder back in place, and may use a tissue graft by accessing your abdomen vaginally.
Your doctor usually performs this surgery on an outpatient basis with pain and bleeding resolving within two weeks. Normal daily activities and intercourse may resume after six to eight weeks’ recovery time. But you should postpone surgery if you’re planning on becoming pregnant. A hysterectomy removes your uterus so you can’t conceive, and cystocele surgery may interfere with getting pregnant.
If you’re susceptible to a prolapse or have recovered from a previous prolapse incident, you must do what’s necessary to prevent another episode. Reduce your risk of further prolapse conditions by:
While an anterior prolapse isn’t usually a life-threatening condition, symptoms make life uncomfortable and possibly embarrassing. Your Downtown Brooklyn clinician offers effective treatment options to manage, treat and prevent prolapse concerns. Contact Century Medical and Dental Center today to make an appointment.
Century Medical and Dental Center is an accredited healthcare facility in NY that operates in accordance with Article 28, a public health law. This law regulates and recognizes accreditation for public healthcare facilities, ensuring they are licensed and operated correctly. By undergoing the Article 28 process and achieving accreditation, Century Medical and Dental Center demonstrates its commitment to meeting the highest standards of care.
As a multidisciplinary medical center, we have highly qualified doctors, nurses, and support staff who are working hard to provide the best medical care to patients in Midtown Manhattan, NY, Downtown Brooklyn, NY, including Brooklyn Heights, Dumbo, Prospect Heights, Park Slope, Clinton Hill, Boerum Hill, Red Hook, and Bedford-Stuyvesant.