The herniation of the bladder into the vagina is called a cystocele. This problem, also called bladder prolapse, occurs when the urinary bladder adjacent to the anterior wall of the vagina bulges into the uterus. This problem, which is encountered in women who have had a lot of difficult and many deliveries, who have given birth to large babies, is the sagging of the genital organs, the sexual organs move downwards to the vagina due to the loss of their function in the ligaments that fix these organs in the abdomen. It develops when the anterior wall of the vagina loses its support to the bladder. In the early stages, it may not be asymptomatic, but it is important to observe the symptoms well before cystocele treatment is applied.
The method to be preferred for cystocele treatment depends on the degree of the problem. Slight sagging in this area may not always give symptoms. In case of moderate sagging, a feeling of heaviness may appear in the lower parts of the abdomen. It can cause pain and discomfort in the lower back and lower abdomen. These complaints may increase if you stand for a long time. During sexual intercourse, pain may be felt and urinary incontinence may occur. In severe prolapse, it is possible to see the uterus from the outside and it may cause a feeling of a large mass in the vagina. Its symptoms are as follows:
Cystocele can be easily diagnosed with a simple gynecological examination. The strength in the pelvic floor muscles is checked and the status of bladder prolapse is evaluated in cases such as coughing and straining.
The method of treatment depends on the age of the patient, the progress of the disease, the general health condition of the person, and whether he / she wants pregnancy later. Treatment can range from simple pelvic floor muscle strengthening exercises to surgical interventions.
Peser application: The pessary used in the treatment of problems such as urinary incontinence are silicone rings placed in the vagina. It can be preferred in cases where surgery is not required.
Estrogen therapy: It is possible to keep pelvic floor muscles strong with this treatment method used for cystocele. It is the most ideal treatment for women who have gone through menopause and experience a decrease in estrogen levels.
Another method used for cystocele treatment is surgical intervention. It can be performed vaginally in a short time such as 30 minutes, using general or spinal anesthesia method. The tissues in the vagina are separated from the bladder and the hanging parts are corrected. It is sufficient to stay in the hospital for 1 day after the operation. Performing the surgery after the menstrual period prevents the risk of infection.
Sexual intercourse should be avoided for about 1 month after bladder prolapse surgery. Since the risk of infection is quite high in these areas where moisture is intense, such as baths and pools, it should be avoided for 30 days. Avoid contact with hot water for the first few days after surgery. Cleaning after the toilet should be done from front to back. A bath should not be taken for a few days following the operation. Taking a standing shower is ideal after surgery. It is strictly not recommended to bathe in the hammam, to swim in the pool or to bathe in the bathtub after the operation.