Bladder Prolapse


Bladder prolapse, also known as a cystocele (SIS-toe-seel), occurs when the supportive tissue between a woman’s bladder and vaginal wall weakens and stretches, allowing the bladder to bulge into the vagina. Anterior prolapse is also called a prolapsed bladder.

Signs & Symptoms

The most common symptom is the feeling of a vaginal bulge. A bulge in the vagina is something you can see or feel.
Other signs and symptoms that may be related to prolapse are:

  • frequent voiding or the urge to pass urine
  • urinary incontinence (unwanted loss of urine)
  • not feeling relief right after voiding
  • frequent urinary tract infections
  • pain in the vagina, pelvis, lower abdomen, groin or lower back
  • heaviness or pressure in the vaginal area
  • sex that is painful
  • tissue sticking out of the vagina that may be tender and/or bleeding
  • Some cases of prolapse may not cause any symptoms

Diagnosis & Treatment

At Urology Associates of Central Missouri we offer conservative management of bladder prolapse:


No treatment

Some women have bladder prolapse and do not have bothersome symptoms. You do not need to treat your prolapse if it is:

  • not causing you problems
  • not blocking your urine flow


Behavior Therapy

  • kegel exercises (which help strengthen pelvic floor muscles)
  • pelvic floor physical therapy
  • a pessary (a vaginal support device)


Drug therapy

  • Estrogen replacement therapy
  • Our urologists also work closely with other pelvic surgeons when surgery is chosen as a treatment.