Cystocele Surgery

When the wall between a woman's bladder and her vagina weakens allowing the bladder to droop into the vagina is called cystocele and requires cystocele surgery. This condition causes discomfort and problems with emptying the bladder.

Problems that may occur:

• Unwanted urine leakage when you

o Coughs

o Sneezes

o Laughs

o Or moves in any way that puts pressure on the bladder

• Incomplete emptying of the bladder

Cystocele grades

• Grade 1-mild-when the bladder droops only a short way into the vagina.

• Grade 2-severe-when the bladder sinks far enough to reach the opening of the vagina.

• Grade 3-advanced-when the bladder bulges out through the opening of the vagina.

Causes

• Muscle straining while giving birth

• Heavy lifting

• Repeated straining during bowel movements

• Menopause - estrogen helps to keep the muscles around the vagina strong. When your body stops producing estrogen, the muscles around the vagina and bladder can become weak.

Cystocele can be treated with an anterior repair. During surgery your surgeon reaches your pelvic organs through the vagina or the abdomen. An incision may be made in the vaginal wall. If incisions are made on the abdomen, they can be vertical or transverse. The prolapsed bladder is moved back into its normal position. Stitches are placed in the tissue between the bladder and the vagina. In some cases, another type of surgery is done to correct weakness in the front wall of the vagina. The vagina is attached to strong tissues in the side wall of the pelvis.

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