Prolapsed Bladder

A prolapsed bladder, also known as a cystocele, is a type of pelvic organ prolapse that occurs when the bladder bulges into the vagina. This happens when the muscles and tissues that support the bladder are weakened, causing it to sag or droop.

Causes

The causes of a prolapsed bladder include:

• Childbirth: Vaginal delivery can weaken the muscles and tissues that support the bladder.
• Aging: Weakening of the muscles and tissues with age can contribute to a prolapsed bladder.
• Menopause: Decreased estrogen levels during menopause can cause the muscles and tissues to weaken.
• Obesity: Excess weight can put strain on the muscles and tissues that support the bladder.
• Chronic coughing: Persistent coughing can put strain on the muscles and tissues, leading to a prolapsed bladder.

Symptoms

The symptoms of a prolapsed bladder may include:

• A feeling of heaviness or pressure in the vagina
• A bulge or lump in the vagina
• Difficulty starting to urinate or emptying the bladder completely
• Frequent urination or urgency
• Stress incontinence (leaking urine during coughing, sneezing, or laughing)
• Painful intercourse

Diagnosis

A prolapsed bladder is typically diagnosed through a physical exam and medical history. The doctor may perform:

• Pelvic exam: To assess the position of the bladder and other pelvic organs.
• Urinalysis: To check for urinary tract infections or other abnormalities.
• Imaging tests: Such as ultrasound or MRI to visualize the bladder and other pelvic organs.

Treatment

Treatment options for a prolapsed bladder may include:

• Kegel exercises: To strengthen the muscles that support the bladder.
• Pessary: A device inserted into the vagina to support the bladder.
• Surgery: To repair or remove damaged tissue and restore support to the bladder.

Prevention

To prevent a prolapsed bladder, it is recommended to:

• Maintain a healthy weight
• Avoid heavy lifting and straining
• Practice Kegel exercises regularly
• Avoid smoking and manage chronic coughing