Repair of Bladder Prolapse (Cystocele) or Urethra Prolapse (Urethrocele)

Repair of Bladder Prolapse (Cystocele) or Urethra Prolapse (Urethrocele)

Surgery Overview

Two common forms of pelvic harmonium prolapse are bladder prolapse ( cystocele ) and urethral prolapse ( urethrocele ). A cystocele occurs when the wall of the bladder presses against and moves the wall of the vagina. A urethrocele occur when the tissues surrounding the urethra sag down into the vagina. Both conditions are easy for your doctor to see during a physical examination. They frequently occur at the lapp time and are normally caused by damage that happens when a baby is delivered through the mother ‘s parturition duct ( vagina ) .
While many women have some degree of bladder and urethral prolapse, few ever have any symptoms. Or the symptoms do not appear for years. When symptoms do appear, they may include difficulty make, involuntary release of urine ( urinary incontinence ), and pain during intimate sexual intercourse. Surgery is not necessitate unless your symptoms interfere with daily activities .
Unless another health trouble is award that would require an abdominal incision, the bladder and urethra are normally repaired through an incision in the wall of the vagina. This surgery pulls together the easy or pluck tissue in the sphere of prolapse in the bladder or urethra and strengthens the wall of the vagina. This prevents prolapse from recurring.

There are several types of surgery to correct stress urinary incontinence. These surgeries lift the urethra and/or bladder into their normal position. To learn more about these surgical procedures, see the subject Urinary Incontinence in Women .

  • Pelvic Organ Prolapse: Should I Have Surgery?

What To Expect After Surgery

General anesthesia normally is used during haunt of the bladder and urethra. You may stay in the hospital from 1 to 2 days. You may go home with a catheter in place. You can most probably come back to your convention activities in about 6 weeks. Avoid strenuous activity, such as clayey raise or farseeing periods of stand, for the inaugural 3 months, and increase your natural process level gradually. Straining or lifting after you have resumed normal activities may cause the problem to recur .
Most women are able to resume sexual intercourse in less than 6 weeks. urinary affair normally returns to convention in 2 to 6 weeks .

Why It Is Done

repair of the bladder and urethra is done to manage symptoms such as blackmail on the vaginal wall from the motion of those organs, trouble urinate, urinary dissoluteness, and painful sexual intercourse. If you are experiencing involuntary passing of urine ( urinary dissoluteness ), promote screen may be needed to find out what operation is needed .
Bladder and urethral prolapse much occur with the prolapse of other pelvic organs, therefore tell your doctor of the church about any other symptoms you have. If your doctor finds a uterine prolapse, rectocele, or small intestine prolapse ( enterocele ) during your act pelvic examen, that problem can besides be repaired during operation.

How Well It Works

not much is known about how good the surgery works over fourth dimension. Some experts report that up to 20 out of 100 women have another prolapse ( recurrence ) of the bladder or urethra after surgery. footnote 1

Risks

Risks of cystocele and urethrocele repair include :

  • Urinary incontinence.
  • Urinary retention.
  • Painful intercourse.
  • Infection.
  • Bladder injury.
  • Formation of an abnormal connection or opening between two organs ( fistula).

What To Think About

Pelvic organ prolapse is often caused or made worse by undertaking and vaginal rescue, so you may want to delay surgical repair until you have finished having children.

surgical repair may relieve some, but not all, of the problems caused by a cystocele or urethrocele. If pelvic trouble, low back pain, or annoyance with intercourse is give earlier surgery, the annoyance may calm occur after operating room. Symptoms of urinary dissoluteness or memory may return or get worse following operating room .
You can control many of the activities that may have contributed to your cystocele or urethrocele or made it worse. After operating room :

  • Avoid smoking.
  • Stay at a healthy weight for your height.
  • Avoid constipation.
  • Avoid activities that put strain on the lower pelvic muscles, such as heavy lifting or long periods of standing.

References

Citations

  1. Lentz GM (2012). Anatomic defects of the abdominal wall and pelvic floor. In GM Lentz et al., eds., Comprehensive Gynecology, 6th ed., pp. 453–474. Philadelphia: Mosby Elsevier.

Credits

author : Healthwise Staff
Medical Review :
Sarah Marshall MD – family Medicine
Martin J. Gabica MD – family Medicine
Kathleen Romito MD – family Medicine
Femi Olatunbosun MB, FRCSC – Obstetrics and Gynecology

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