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:
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
- kegel exercises (which help strengthen pelvic floor muscles)
- pelvic floor physical therapy
- a pessary (a vaginal support device)
- Estrogen replacement therapy
- Our urologists also work closely with other pelvic surgeons when surgery is chosen as a treatment.