Cystocele Treatment
Identification
A voiding cystourethrogram is a test that involves taking X-rays of the bladder during urination. This X-ray shows the shape of the bladder and lets the doctor see any problems that might block the normal flow of urine. Other tests may be needed to find or rule out problems in other parts of the urinary system.
General Treatment
Treatment options range from no treatment for a mild cystocele to surgery for a serious cystocele. If a cystocele is not bothersome, the doctor may only recommend avoiding heavy lifting or straining that could cause the cystocele to worsen. If symptoms are moderately bothersome, the doctor may recommend a pessary - a device placed in the vagina to hold the bladder in place. Pessaries come in a variety of shapes and sizes to allow the doctor to find the most comfortable fit for the patient. Pessaries must be removed regularly to avoid infection or ulcers. Large cystoceles may require surgery to move the bladder back into a more normal position and keep it there. This operation may be performed by a gynaecologist, a urologist, or a urogynecologist. The patient should be prepared to stay in the hospital for several days and take 4 to 6 weeks to recover fully.
Cystocele Repair
A cystocele repair is an operation that lifts and tightens the tissue around the bladder so that it no longer pushes against the vagina. Such surgery is done to relieve bulging into the vagina that may be caused by a cystocele. Surgery is usually used only after you have tried other treatments such as muscle-strengthening exercises, or placing a pessary in the vagina.