Cystocele - Fallen Bladder - Symptoms & Treatment

Cystocele appears as the bladder droops into the vagina, it’s so called “fallen bladder“. Cystocele occurs because the wall between a woman’s bladder and her vagina weakens and allows the bladder to droop from its normal position into the vagina. It only happens on women.


What causes Cystocele?

Cystocele is caused from muscle straining, while muscle straining can be caused by several possible reasons, including giving birth, heavy lifting, reapted straining during bowel movements. Menopause can be another cause. When women go through menopause, their bodies stop making estrogen, which is a type of hormone to help keep the muscle around the vagina strong. So the muscles around the vagina and bladder may grow weak.

Symptoms & Grades

Common symptoms of Cystocele include unwanted urine leakage especially when cough, sneeze, laugh or move, and incomplete emptying of the bladder.

For grade 1 cystocele, which is mild, the bladder droops only a short way into the vagina.  Grade 2 cystocele is more severe, the bladder sinks far enough to reach the opening of the vagina. Grade 3 is the most advanced stage, cystocele occurs when the bladder bulges out through the opening of the vagina.

How to treat Cystocele?

Treatment for grade 1 is usually no treatment. Doctors will recommend avoiding heaving lifting or straining.If the symtomes are bothersome but moderate doctors may recommend a pessary, which is a device placed in the vagina to hold the bladder in place. Pessaries must be removed regularly to avoid infection or ulcers.

Grade 3 cystoceles may require surgery, the surgery will keep the bladder on a normal position. This surgery could be performed by a gynecologist, a urologist, or a urogynecologist. Large cystoceles may require surgery to move and keep the bladder in a more normal position. This operation may be performed by a gynecologist, a urologist, or a urogynecologist. The patient may stay in hospital for less than a week, and take 4-6 weeks to recover fully at home.



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* The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.