what is the best surgery for prolapsed bladder

The type of bladder surgery depends on what's being treated. Treatments range from watchful waiting to surgery. You will likely have a follow-up appointment with your surgeon a few weeks after the surgery to confirm that its healing well. It is intended for informational purposes only. A cystocele occurs when ligaments that hold the bladder up and the muscle between a womans vagina and bladder stretches or weakens. Or, you may remain awake and alert, with only the affected part of your body numb to reduce pain and discomfort. Women with cystoceles often wind up with frequent bladder infections, so it's worth paying attention to the frequency of your UTIs. Prolapse (when the organs inside your pelvis, such as your bladder, vagina, uterus, cervix, and rectum, drop or fall) is a common condition.However, many women are unaware that treatment options are available. This can be done along with the surgery. The Glickman Urological & Kidney Institute offers innovative treatments in urology and kidney medicine, including minimally invasive, scarless options for urologic procedures and medical management of kidney disease. Prolapse surgery usually improves or cures the symptom of 'something coming down below' or the lump in the vagina. How prolapse is named depends on which organ is affected: Cystocele is when the bladder protrudes into the vagina, creating a bulge. Obliterative surgery narrows or closes off the vagina to support the pelvic organs. % of people told us that this article helped them. To help keep an anterior prolapse from progressing, you can also try these lifestyle modifications: Make an appointment with your primary care provider or gynecologist if you have signs or symptoms of anterior prolapse that bother you or interfere with your normal activities. Your surgeon might perform corrective surgery through the vagina or abdomen. Sacrohysteropexy: A type of surgery to repair uterine prolapse. Pelvic floor exercises or a pessary may help relieve your symptoms in the meantime. A surgeon will explain the procedure and all of its risks and advantages and potential complications before the surgery. If you are postmenopausal, estrogen replacement therapy is also a consideration. Rectocele occurs as a result of thinning and weakening of the band of tissue that separates the vagina from the rectum. Bladder prolapse obliterative surgery is called colpocleisis. [2] A cystometric study measures how full your bladder is when you first feel the need to urinate, when your bladder feels "full," and when your bladder is actually completely full. privacy practices. Also, talk with your doctor about the chances that surgery could cause new problems. Click here for an email preview. For women who never plan on having sexual intercourse again, surgeries that sew the vagina shut and shorten it so it no longer bulges are nearly 100 percent effective. The patient usually goes home the day of the surgery. If a particular hospital falls short in quality, determine if the doctor also operates at a different facility. This type of surgery is called sacrospinous fixation. Pelvic organ prolapse. A strengthened pelvic floor provides better support for your pelvic organs and relief from symptoms associated with anterior prolapse. This feeling may get worse when the person is standing, lifting, coughing, or as the day goes on. If the cystocele is accompanied by stress urinary incontinence, a simultaneous urethral suspension procedure may be needed. A cystocele can be caused by: If the bulge doesn't bother you, surgery isn't needed. A pessary is a prosthetic device inserted into the vagina to support its internal structure. Many women can return home within one to three days post-operation and most patients can return to normal activity levels after about six weeks. The surgery attaches the cervix to the sacrum with surgical mesh. .st3 { Healthline Media does not provide medical advice, diagnosis, or treatment. If you plan to have pelvic prolapse surgery, youll want a highly qualified experienced doctor to perform the procedure. Avoid Straining and Constipation. It results from the weakening of muscles and connective tissues between the organs in your pelvis from: Treatment for bladder prolapse involves the following: However, if you still have symptoms after these treatments, you may need surgery to fix the prolapse. Thanks to all authors for creating a page that has been read 147,786 times. You may feel slight discomfort during the pelvic exam, but for many women this is just a routine exam much like having pap smears. Rogers RG, et al. Do you experience constipation and straining during bowel movements? If this is the case, be sure you mention it to your doctor. Your doctor will ask you to urinate into a container that is connected to a computer, which will take some measurements. How Do I Know If I Have Pelvic Organ Prolapse? Vaginal prolapse causes protrusion of the pelvic organs into the vagina, which can . Diagnosis of anterior prolapse may involve: Our caring team of Mayo Clinic experts can help you with your anterior vaginal prolapse (cystocele)-related health concerns All rights reserved. Anything you do to stop weakening these tissues can help your condition from getting worse or returning after a surgical repair, including: Mayo Clinic has major campuses in Phoenix and Scottsdale, Arizona; Jacksonville, Florida; and Rochester, Minnesota. At right, the bladder has dropped down into the pelvic cavity and is pressing on the vagina, causing the vaginal wall to protrude partially through the vaginal opening . Pessaries can be uncomfortable, and some women have trouble keeping them from falling out. A special sensor will gather data for your doctor to interpret. You don't need to prepare for this examination in any way and it should not take very long. They might rebuild the support for the bladder by using your bodys own tissue. So doctors generally restrict it to special situations -- if a woman had previous surgery that failed, or if their own tissue is too weak to rebuild. Its usually performed laparoscopically, with a few small incisions in the abdomen. .st2 { Your insurance coverage is a practical matter. other information we have about you. Recovery from surgery takes about six weeks. At left, from left to right, the bladder, vagina, and rectum as they would normally appear. Build back the tissue that holds up the bladder. During sacrocolpopexy, your surgeon uses surgical mesh to lift your organs back into place. How frequently do you encounter complications from the surgery? In: Clinical Obstetrics & Gynaecology. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. Surgery is generally done by taking a cut on the vagina or belly with basic three methods: Anterior colporrhaphy: In this, the prolapsed bladder is repaired by making a cut on the vaginal surface and stitching the internal surface to strengthen the area. You could talk with your doctor about a more aggressive approach. Educational website from one of the world's leading hospitals, Harvard Medical School's Educational Site for the Public, Recognizing the Symptoms of a Prolapsed Bladder, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/5\/51\/Diagnose-and-Treat-a-Prolapsed-Bladder-Step-1-Version-2.jpg\/v4-460px-Diagnose-and-Treat-a-Prolapsed-Bladder-Step-1-Version-2.jpg","bigUrl":"\/images\/thumb\/5\/51\/Diagnose-and-Treat-a-Prolapsed-Bladder-Step-1-Version-2.jpg\/v4-728px-Diagnose-and-Treat-a-Prolapsed-Bladder-Step-1-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"