Cystocele repair





Definition

A cystocele is the protrusion or prolapse of the bladder into the vagina. A number of surgical interventions are available to treat cystoceles.


Purpose

A prolapse occurs when an organ falls out of its normal anatomical position. The pelvic organs normally have tissue (muscle, ligaments, etc.) holding them in place. Certain factors, however, may cause those tissues to weaken, leading to prolapse of the organs. A cystocele may be the result of a central or lateral (side) defect. A central defect occurs when the bladder protrudes into the center of the anterior (front) wall of the vagina due to a defect in the pubocervical fascia (fibrous tissue that separates the bladder and vagina). The pubocervical fascia is also attached on each side to tough connective tissue called the arcus tendineus; if a defect occurs close to this attachment, it is called a lateral or paravaginal defect. A central and lateral defect may be present simultaneously. The location of the defect determines what surgical procedure is performed.

Factors that are linked to cystocele development include age, repeated childbirth, hormone deficiency, menopause, constipation, ongoing physical activity, heavy lifting, and prior hysterectomy . Symptoms of bladder prolapse include stress incontinence (inadvertent leakage of urine with physical activity), urinary frequency, difficult urination, a vaginal bulge, vaginal pressure or pain, painful sexual intercourse, and lower back pain. Urinary incontinence is the most common symptom of a cystocele.

Surgery is generally not performed unless the symptoms of the prolapse have begun to interfere with daily life. A staging system is used to grade the severity of a cystocele. A stage I, II, or III prolapse descends to progressively lower areas of the vagina. A stage IV prolapse descends to or protrudes through the vaginal opening. Surgery is generally reserved for stage III and IV cystoceles.

Demographics

Approximately 22.7 out of every 10,000 women will undergo pelvic prolapse surgery. The rate is highest among women between 60 and 69 years of age (42 per 10,000); the mean age of patients is 54.6. White women undergo pelvic prolapse surgery at a rate of 19.6 per 10,000 and a mean age of 54.3, while 6.4 per 10,000 African American women have surgery at a mean age of 49.3.

A 2002 study indicated cystocele repair accounts for 8% of all prolapse repair surgeries; in 1997, approximately 18,500 cystocele repairs were performed. Cystocele repair was combined with rectal prolapse repair in 10% of prolapse surgeries, with hysterectomy (surgical removal of the uterus) in 6%, and with both procedures in 16%.


Description

The goals of cystocele repair are to relieve a patient's symptoms, to improve or maintain urinary and sexual function, to return pelvic structures to their original position, and to prevent the formation of new defects. The anatomical structures involved in a cystocele may be approached vaginally, abdominally, or laparoscopically.


Vaginal repair

Anterior colporrhaphy is the most common procedure to repair a central defect. The patient is first given general or regional anesthesia. A speculum is inserted into the vagina to hold it open during the procedure. An incision is made into the vaginal skin and the defect in the underlying fascia is identified. The vaginal skin is separated from the fascia and the defect is folded over

In this cystocele repair by anterior colporrhaphy, a speculum is used to hold open the vagina, and the cystocele is visualized (A). The wall of the vagina is cut open to reveal an opening in the supporting structures, or fascia (B). The defect is closed (C), and the vaginal skin is repaired (D). (Illustration by GGS Inc.)
In this cystocele repair by anterior colporrhaphy, a speculum is used to hold open the vagina, and the cystocele is visualized (A). The wall of the vagina is cut open to reveal an opening in the supporting structures, or fascia (B). The defect is closed (C), and the vaginal skin is repaired (D). (
Illustration by GGS Inc.
)
and sutured (stitched). Any excess vaginal skin is removed and the incision is closed with stitches.

Lateral defects may be repaired vaginally or abdominally. During a vaginal paravaginal repair, the approach and initial incision are similar to anterior colporrhaphy. The defect to the fascia is located and reattached to the arcus tendineus using sutures. The incision may then be stitched closed.


Abdominal and laparoscopic repair

A cystocele caused by a lateral defect may be treated through an abdominal incision made transversely (from side to side) just above the pubic hairline. The space between the pubic bone and bladder is identified and opened and the pubocervical fascia reattached to the arcus tendineus using methods similar to the vaginal paravaginal repair. In some cases, a retropubic colposuspension is performed during the same surgery. Also called a Burch procedure, colposuspension treats urinary incontinence by suspending the bladder neck to nearby ligaments with sutures. Other surgical treatments for incontinence may be combined with paravaginal repair.

A lateral defect may also be repaired by laparoscopy , a surgical procedure in which a laparoscope (a thin, lighted tube) and various instruments are inserted into the abdomen through small incisions. A patient's recovery time following laparoscopic surgery is shorter and less painful than following a traditional laparotomy (a larger surgical incision into the abdominal cavity).


Diagnosis/Preparation

Physical examination is most often used to diagnose a cystocele. A speculum is inserted into the vagina and the patient is asked to strain or sit in an upright position; this increase in intra-abdominal pressure maximizes the degree of prolapse and aids in diagnosis. The physician then inspects the walls of the vagina for prolapse or bulging.

In some cases, a physical examination cannot sufficiently diagnose pelvic prolapse. For example, cystography may be used to determine the extent of a cystocele; the bladder is filled by urinary catheter with contrast medium and then x rayed. Ultrasound or magnetic resonance imaging may also be used to visualize the pelvic structures.

Women who have gone through menopause may be given six weeks of estrogen therapy prior to surgery; this is thought to improve circulation to the vaginal walls and thus improve recovery time. Antibiotics may be administered to decrease the risk of postsurgical infection. An intravenous (IV) line is placed and a Foley catheter is inserted into the bladder directly preceding surgery.


Aftercare

A Foley catheter may remain for one to two days after surgery. The patient is given a liquid diet until normal bowel function returns. The patient also is instructed to avoid activities for several weeks that cause strain on the surgical site; these include lifting, coughing, long periods of standing, sneezing, straining with bowel movements, and sexual intercourse.


Risks

Risks of cystocele repair include potential complications associated with anesthesia, infection, bleeding, injury to other pelvic structures, dyspareunia (painful intercourse), recurrent prolapse, and failure to correct the defect.


Normal results

A woman usually is able to resume normal activities, including sexual intercourse, in about four weeks after the procedure. After successful cystocele repair, symptoms recede, although a separate procedure may be needed to treat stress incontinence.


Morbidity and mortality rates

The risk of cystocele recurrence following surgical repair depends on the procedure used to treat it. Anterior colporrhaphy is associated with a 0–20% rate of recurrence; this rate is higher when colporrhaphy is combined with other surgical procedures. Abdominal paravaginal repair results in a 5% chance of recurrence, while vaginal paravaginal repair has the highest recurrence rate (7–22%).

Alternatives

Surgery is generally reserved for more severe cystoceles. Milder cases may be treated by a number of medical interventions. The physician may recommend that the patient do Kegel exercises, a series of contractions and relaxations of the muscles in the perineal area. These exercises are thought to strengthen the pelvic floor and may help prevent urinary incontinence.

A pessary, a device that is inserted into the vagina to help support the pelvic organs, may be recommeded. Pessaries come in different shapes and sizes and must be fitted to the patient by a physician. Hormone replacement therapy may also be prescribed if the woman has gone through menopause; hormones may improve the quality of the supporting tissues in the pelvis.


Resources

BOOKS

Ryan, Kenneth J., et al. Kistner's Gynecology and Women's Health. 7th ed. St. Louis, MO: Mosby, Inc., 1999.

Walsh, Patrick C., et al. Campbell's Urology. 8th ed. Philadelphia: Elsevier Science, 2002.


PERIODICALS

Brown, Jeanette S., L. Elaine Waetjen, Leslee L. Subak, David H. Thom, Stephen Van Den Eeden, and Eric Vittinghoff. "Pelvic Organ Prolapse Surgery in the United States, 1997." American Journal of Obstetrics and Gynecology 186 (April 2002): 712–6.

Cespedes, R. Duane, Cindy A. Cross, and Edward J. McGuire. "Pelvic Prolapse: Diagnosing and Treating Cystoceles, Rectoceles, and Enteroceles." Medscape Women's Health eJournal 3 (1998).

Viera, Anthony, and Margaret Larkins-Pettigrew. "Practice Use of the Pessary." American Family Physician 61 (May 1, 2000): 2719–2726.


ORGANIZATIONS

American Board of Obstetrics and Gynecology. 2915 Vine Street, Dallas, TX 75204. (214) 871-1619. http://www.abog.org .

American Urological Association. 1120 North Charles Street, Baltimore, MD 21201. (410) 727-1100. http://www.auanet.org .


OTHER

"Cystocele (Fallen Bladder)." National Kidney and Urologic Diseases Information Clearinghouse. March 2002 [cited April 11, 2003]. http://www.niddk.nih.gov/health/urolog/summary/cystocel .

Miklos, John. "Vaginal Prolapse Relaxation." OBGYN.net . 2002 [cited April 11, 2003]. <http://www.obgyn.net/urogyn/urogyn.asp?page=/urogyn/articles/mik os-vagprolapse> .


Stephanie Dionne Sherk

WHO PERFORMS THE PROCEDURE AND WHERE IS IT PERFORMED?


Cystocele repair is usually performed in a hospital operating room by a gynecologist, urologist, or urogynecologist. A gynecologist is a medical doctor who specializes in the areas of women's general and reproductive health, pregnancy, and labor and childbirth. A urologist is a medical doctor who specializes in the diagnosis and treatment of diseases of the urinary tract and genital organs. A urogynecologist studies aspects of both fields.

QUESTIONS TO ASK THE DOCTOR


  • What defect is causing the cystocele?
  • What surgical procedure is recommended for treatment?
  • Will other procedures be performed to treat urinary incontinence (e.g. Burch procedure)?
  • What nonsurgical alternatives are available?
  • How soon after surgery may normal activities be resumed?


User Contributions:

Joseph Pawlik
Report this comment as inappropriate
Mar 28, 2006 @ 11:11 am
What is the expected blood loss from this surgery?
julie
Report this comment as inappropriate
May 10, 2007 @ 1:13 pm
thank you for this insightful article. it explained what i needed to know and understand about my situation and the surgery. my only suggestion is the diagram. it needs to be bigger. i couldnt read the words. i also wanted a up-close look at what was being done.
thank you
Marcia Feeley
Report this comment as inappropriate
Oct 1, 2008 @ 9:21 pm
I HAVE A CYSTOCELE SITUATION-FOR OVER 23 YRS. SOMETIMES IT CAUSES PAIN, AND I TRY NOT TO CARRY HEAVY ITEMS. BUT IT DOES INTERFER WITH MY HUSBAND AND MY SEX LIFE. IT IS BASICALLY A TURN OFF FOR MY HUSBAND-AND THEN I TOO GET DISGUSTED. I REALLY DO NOT WANT AN OPERATION BUT WONDER IF THERE ARE ANY OTHER PROCEDURES THAT CAN TAKE CARE OF THIS SITUATION. I'M 62 YRS. OLD, THANK YOU
SHARI LAMB
Report this comment as inappropriate
Jan 19, 2009 @ 4:04 am
I URGE YOU TO SEE A DR ASAP/PLEASE DO NOT WAIT , THIS IS VERY VERY SERIOUS
iriss swiss
Report this comment as inappropriate
Jan 21, 2009 @ 9:09 am
Did kegels most of my adult life, but 13 years after having kids, firefighting and possibly squatting with weights, prolapse got the best of me. 2nd degree, according to the OB.
Because I am still "young" and do not have a significant other, a pessary was not what I was interested in. I wanted to get "fixed".
I had cystocele/urethocele surgery last Friday. The OB/GYN said it was pretty bad, I guess as far as the stretching. Nothing was really trying to come out of me, it was just a huge "tube" anteriorly. Bleeding was MINIMAL. Bled maybe a total of 1/4, if that, of a cup the first two days, light spotting afterwards. I'm post surgery 5 days. Pain was so light, I wondered if I even had HAD the surgery. Had to home with a catheter, as I couldn't even pee a drop during recovery. My bladder was the size of a large grapefruit and still couldn't get anything out. The pain of not being able to pee with a swollen bladder was more intense than the surgery. I am 36 years old, still got a long way to see how the outcome will be.
Emily
Report this comment as inappropriate
Feb 17, 2009 @ 9:21 pm
I'm 25 years old. Approximately 6 mths ago I went to an ER for a bulge that came through my vaginal opening. That was when I was told I had a cystocele. I had to be straight cathed b/c I wasn't emptying my bladder. My urine test was good but was having so much pain. My WBC count was elevated so I was put on atb's and sent home. I had several F/U appt's with the doctor who treated me at the ER. I expressed concerns re: occ. leakage of fluid upon sitting down and painful intercourse with my husband. I felt kind of blown off. I've had 2 episodes where the bulge has come back thru my vaginal opening. The second episode was yesterday. I can tell I'm not emptying my bladder once again and sex in not een an option now. This page has helped me understand this condition better. I hope to find an OB doctor who will take this seriously. Thank you
mavis
Report this comment as inappropriate
Mar 11, 2009 @ 12:12 pm
I urge anyone who has been advised to have a cystocele operation to go ahead and have it. I did, and it was nowhere near as bad as i would have imagined it to be. I took lots of cranberry juice into hospital with me, and I am sure it helped. I actually came out of hospital the day after the operation, and felt fine. I also could have resumed my normal housework, but followed the advice not to do anything for two weeks, certainly no lifting. Hope these comments will give patients confidence.
Teresa
Report this comment as inappropriate
Mar 21, 2009 @ 2:14 pm
I had a cystocel repair in Oct. 02 and since then I have had to go into surgery. My Dr. said the first time my body rejected the mesh, the next time, which is #3 the sutures would not heal. I've had drainage for all this time. Has anybody else out there had any trouble with the mesh or suturing? Please let me hear from you. Since I had the initial repair I have not been able to do anything (lifting, sweeping,intercourse (which would be impossible). I am 63 y.o. Thanks, Teresa
Rose
Report this comment as inappropriate
Jul 3, 2009 @ 7:19 pm
Useful information ... and I thought I was the only one in the world with this condition! I have an appt next week with my urologist and hope to get on the surgical calendar ASAP as I have constant urinary urgency when standing.
glenda
Report this comment as inappropriate
Jul 6, 2009 @ 11:11 am
Interesting information to read for MMH. This should be posted for alot of other women to see.
Linda
Report this comment as inappropriate
Jul 29, 2009 @ 4:16 pm
I want to know what kind of exercises i will be able to do?
I guess sit-ups ar out totally, period, meaning never again?
what to do to strenghten my lower palvic and ever my stomace,
besides creaglys? that not good enought to work for stomace.
Plus if any one can mail me papers on the rehab they went to
My insurance dom't pay for it. 9790 ogle rd.#3 Brem.Wa.98311
THANKS ,Also my Doc. said I can only have this done twice, what
after that? Am I going to have to carry a bag on my side?
I am totally freak
Nancy D. Elder
Report this comment as inappropriate
Sep 7, 2009 @ 11:23 pm
Please send me more information on the surgery for Cystocele repair. I am 82 years old and hesitate having such invasive surgery. Also Have had a titainium ball put in my shoulder several years ago and am fearful of an infection. Please advise. Thank you.
corinne traynor
Report this comment as inappropriate
Dec 3, 2009 @ 4:16 pm
I am awaiting cystocele repair surgery. Now I have another condition called bladder sphincter dysenergia. Are these related? My urologist said that my dysenergia may get better or go away after I get the cystocele repair, but who knows. He wanted to put me on this anti-depressant for the dysenergia but I refused. I hate taking pills unless absolutely necessary. I also have hyperparathyroidism, which the endocrine doc said he can't do anything for cause my blood calcium levels are okay now..any suggestions! Other than that I am healthy and take care of myself! And yes.,.I have been doing kegels for years now! Thanks!
Report this comment as inappropriate
Mar 21, 2010 @ 4:16 pm
I am day 3 post surgery, sat at home on the computer so it can't be too bad. I had a cystocele, rectocele repair and they repositioned my uterus which had also prolapsed, along with having a hysteroscopy and d and c as I had polyps, joy!
However amazingly not too bad so far, obviously not sure how much of a difference it is going to make to my symptoms as so early, but the surgery was fairly easy, felt like a painful period, or how tender you feel just after childbirth, not great but very bearable.
I am only 36 and apparently things were pretty bad, I had tried kegels, and trainers to help with them and nothing helped, my gynaecologist said I could have done a million a day and it was never going to put my bladder back where it was and that surgery was pretty much the only option, particularly being so young he didn't think it was a good idea to continue like I was. But just wanted to say that if anyone is worried about the surgery, it is really not too bad, my children are still young so getting others to help as don't want to undo things, but otherwise feel fine.
vikki
Report this comment as inappropriate
Apr 28, 2010 @ 10:22 pm
Today is Wednesday and I had surgery on Monday. I waited for years because I didn't want to go through the surgery part. I've found out it, that I should have had it done sooner! I agree with Michelle, it feels like I just gave birth or bad menstrual cramps. I have had some spotting, but I'm trying to keep that to a minimum by keeping myself rested. Since I don't feel as bad as I thought I would, it's hard to sit down and not do anything! No lifting anything though, that's a definite NO! If you're on the fence about having the surgery, do yourself a favor, find a good urologist and have it done.
Report this comment as inappropriate
Jul 5, 2010 @ 3:15 pm
I just had a cystocele, rectocele, and tension taping for the urethra and I have to say, I the recovery isn't that bad. My discomfort is mostly with the inflammation and regaining bowel function after general anesthesia. Not comfortable but do-able. I was told to eat whatever I wanted, high fiber, but after 2 bowel movements and having to hold pressure on the perineum to void without ballooning...I'm going to a liquid diet and small amounts. I will not want to do this again, and need to scar and heal so the ballooning will no longer happen. I advise anyone having this done to do this, as this may be more comfortable and let your body heal properly. Just get enough calories. And don't do too much!! No lifting, light walking and relaxation as those muscles have hypertonicity and need to learn to relax and let go before building strength.
Therese
Report this comment as inappropriate
Jul 6, 2010 @ 10:22 pm
I had surgery May 6. Cystocele, rectocele and pro-lapse bladder repair (I'm 56)...went to the dr. today for the 2nd post-opp check up and he cleared me to continue with all my activities I did before surgery. My husband and I were so happy. As we have followed the drs. directions to the letter. We knew to be careful having intercourse and use Vaseline the first time, but something was terribly wrong. It did hurt a little for me (which I expected) but it was extremely painful for him! He said something was scratching him on the inside of me where the stitches were. He got cut and was bleeding! The dr. cleared me and said I was all healed, but now I'm hoping that I'm not healed completely and maybe the stitches are what is cutting my husband. Because otherwise it means that I have healed with the edges being jagged or something that is sharp. I use an estrogen creme just like the dr. suggested and it did hurt (just a little and nothing like it did for my husband!)me when we had sex for the first time, but nothing like the bleeding that he had. Why and what could be hurting my husband like that?! How can I fix this?
Report this comment as inappropriate
Jul 18, 2010 @ 7:19 pm
I am due for an Cystocele in 3 weeks, I have had to wait and take a blood building pill since I am Anemic. I am concerned, since this really got serious about 6 months ago, I have gained weight, or swollen, something to the effect of about 20 lbs. I seem to be blowing up more everyday. Has anyone else experienced this? and will the whatever bloating go away after I have the surgery. ?? I have put it off for some time now because I just recently got married and do I need to say more? I was doing ok except for the bulge, until at work one day terrible pain began in the lower region of my pelvis, unbearable. also burning and frequent bathroom visits. I felt like everything inside me was falling out. I found a surgeon and he said it had to be done. But not until the blood comes up to a normal level. Someone please tell me the weight will go away.
Report this comment as inappropriate
Aug 8, 2010 @ 4:16 pm
this is valuable information regarding the above operation.
explains a lot regarding the whole procedure...especially how
to take care of oneself
Report this comment as inappropriate
Aug 16, 2010 @ 9:09 am
I had anterior/posterior cystocele surgery 7 days ago and since then I have no bladder control whatsoever and no feeling of when I need to void. I am wearing huge pads which I change often and swear I now have diaper rash. Is this normal? I had no incontinence prior to surgery and now it is awful? Will it heal and pass?
Report this comment as inappropriate
Aug 22, 2010 @ 10:22 pm
I am Barbara I had the repair work I spoke of. Surgery not too bad, just teribly sore inside, and the first bowel movement Horrible. But I have begun to leak, just a few drops at a time, mostly when I stand. I never had this before surgery, and a light tinge of blood. Has anyone had this and what was the outcome, I had surgery8-10. Please contact me by E-Mail. Barbhugueley@comcast.net. I pray I will not need surgery again. I have to see the Dr. on 8-31. Please contact me. Thank you.
Report this comment as inappropriate
Sep 24, 2010 @ 6:06 am
I have had cystocele repair surgery this week. I only stayed in the hospital one night. The catheter was removed the next morning and after being able to empty my bladder twice that morning I was able to go home. I didn't get a whole lot of information about the recovery at home. Only that, I wasn't to lift anything for 4 weeks until I saw the surgeon again. What my question is: Is walking, something I should not be doing? I would appreciate any comments.
Marsha
Report this comment as inappropriate
Sep 25, 2010 @ 10:22 pm
I'm having cystocele repair in two weeks and I selected a doctor who was the head of the urology dept. at a world-known hospital in the New Orleans area. By using the internet, I found a capable doctor who is a urogynecologist. Still, I feel somewhat guily about not choosing my urologist or gynecologist; but I want the BEST available to me!
This site, especially the comments by women who've had this surgery successfully has relieved me a bit. I've had a bad experience with a catheter, so I'm dreading that part. I happened upon a site that scared me a lot, all doom and gloom.
Thanks, folks, for sharing your SUCCESS stories!
Marsha
April
Report this comment as inappropriate
Oct 16, 2010 @ 10:10 am
My urogynecologist has suggested several options for repair of a cystocele and rectocele as well as the primary problem which is stress incontinence, and I am considering surgery as a permanent solution. She wants to do a TVT procedure and repair the cystocele and rectocele. I am tired of living with the incontinence issues, but am a bit afraid of the surgery proposed. My doctor said I'd have to go home after outpatient surgery with a cathedar and bag for a whole week. This is the part that has me nervous. I thought I'd be able to empty my bladder right away. The alternative to surgery is a pessary, which seems even grosser (the maintenance and cleaning). Don't know what to do. Not ready to live with bladder accidents at 41...
Report this comment as inappropriate
Oct 27, 2010 @ 5:17 pm
I had this surgery done 2 years in England and had minimal problems with not being able to pee afterwards but a week of a catheter and chance for my bladder to relax soon sorted this out. Since then I have had no problems but about a month ago I had a chest infection that has lasted for 2weeks and caused my bladder to prolapse again. I now live in France and yesterday went to visit a Urologist who examined and explained that my prolapse is between a grade 2/3 and therefore I cannot be considered for surgery as it has to be grade 4 or over. He also I am too young to be considered for this surgery in France (even though I would have to pay for it) as I am only 25. I'm not sure if people all over the world view this site, but I was just wondering if anybody knew anything about medical treatment in France that could suggest somewhere I could go that would be more understanding? I know for the doctor it may be seen as serious enough but for me it is. It affects my sex life and seen as I have only been with my boyfriend for 4months you can imagine this is not good. I also hate the incontinence and dread leaving the house.
Tricia
Report this comment as inappropriate
Nov 19, 2010 @ 8:20 pm
I had my cystocele and rectocele surgery October 26th and went shopping on the way home from the hospital, on the 27th. According to what I'd heard it was a piece of cake for me! A dear friend my age (63) had only the cystocele surgery two years ago and STILL doesn't pee properly - she said "you know, you're not going to bounce right back from this" - well guess what - I BOUNCED!!! I'm doing really well - back to work, but not back on the tennis court yet. Also, no intercourse yet, but there are other things in the meantime . . . ; - )
So if you need the surgery, don't hesitate to get it. Yes, we are all different, but I think a strong mental attitude will overcome anything!!
Tricia
Report this comment as inappropriate
Nov 19, 2010 @ 8:20 pm
I had my cystocele and rectocele surgery October 26th and went shopping on the way home from the hospital, on the 27th. According to what I'd heard it was a piece of cake for me! A dear friend my age (63) had only the cystocele surgery two years ago and STILL doesn't pee properly - she said "you know, you're not going to bounce right back from this" - well guess what - I BOUNCED!!! I'm doing really well - back to work, but not back on the tennis court yet. Also, no intercourse yet, but there are other things in the meantime . . . ; - )
So if you need the surgery, don't hesitate to get it. Yes, we are all different, but I think a strong mental attitude will overcome anything!!
Also, the catheter came out it the hospital before being discharged - AND I went home with permission to have a regular diet - no restrictions.
The blood loss was minimal (1/4 pad or less, changing about every 3 hours) and has stopped as of this week.
artistdfm
Report this comment as inappropriate
Nov 21, 2010 @ 4:16 pm
would it be better to use a urologist who specializes in pelvic floor prolapse issues or a gyno/urologist? has anyone used a doctor in the baltimore area they can recommend and have been happy with their results for badder prolapse.

thank you
Report this comment as inappropriate
Nov 24, 2010 @ 11:11 am
It's the day before Thanksgiving. I'm 60yrs old and scheduled for a laparoscopic sacral colopexy in Jan 2011 to repair a cystocele/rectocele prolapse. Most of what I've read is encouraging, some quite scary. Has anyone had their surgery performed at the Washington Hospital Center. It's one of the top hospitals next to Johns Hopkins to perform this type of surgery. Please respond here for all to see as well as to me personally my email address (forrestmc@verizon.net). Looking forward to your response. To all reading these comments I wish you the merriest of holidays and God bless you all with the speediest recoveries.
Report this comment as inappropriate
Dec 8, 2010 @ 9:09 am
I was diagnosed with a cystocele in 1990...at which time of course it was a small bulge...now at age 73, it has dropped out of the vaginal area and is a little larger than a tennis ball...I have opted not to have surgery...and have tried to use a pessary, which makes me more incontinent when in place...so I removed it. For the past month, I have been noticing blood spots, and sometimes, not often, blood in the toilet bowl. After checking with a mirror from behind...I can see a small dot on the cystocele wall in back that seems to be the spot where the blood spots are coming from. Is this normal?..Should I be doing something to prevent this and will it eventually get infected, if there is a hole there?..I am going to go to my gyno, but I would like to know the severity of it now. Thanks
Report this comment as inappropriate
Dec 18, 2010 @ 10:10 am
HOW MUCH and how long after vaginal cystocele,rectocele surgery should u have bleeding
Cindy
Report this comment as inappropriate
Dec 21, 2010 @ 7:07 am
I am currently recovering from a cystocele surgery (vaginal). There was minimal blood loss, most of it being the first day. The recovery for me is 6 weeks; no driving for 1 week; no lifting, no sneezing, no coughing (yeah right), no sex, etc. The pain is minimal because the incision is inside of the body (vagina). I highly recommend the surgery. Mine was done by a Urologist at a local hospital. I had no catheter when I woke, and I went home the same day.
Report this comment as inappropriate
Dec 28, 2010 @ 8:08 am
I need help. I am 63, thin and physically fit and active. Eight weeks ago on November 1, 2010, I had surgery for pelvic prolapse. I was stage III with a cystocele, rectocele, small entrocele. Surgery included a hysterectomy and urethral sling. Prior to surgery I had minimal discomfort with stress incontinence when lifting heavy objects but it seldom was an issue. I was told incontinence might be a problem after surgery without a sling. On December 13, six weeks after surgery, still unable to urinate I had a second surgery to release the sling. I am still left with an indwelling catheter through my abdomen and my progress is very slow, always leaving 100 plus cc's of urine in my bladder. Has anyone else experienced this issue and can you give me some encouragement.
Thank you
Report this comment as inappropriate
Jan 17, 2011 @ 10:22 pm
i had this procedure about 10-wks ago my husband and i tried to have sex and i had tears in my eyes it was so painful, my question is does this pain go away i mean will i enjoy it ever again or is this not normal because i had so much done?
Report this comment as inappropriate
Jan 18, 2011 @ 4:16 pm
I'M 54 YEARS OLD AND WENT TO HAVE A PAP SMEAR AND THAT IS WHEN I WAS TOLD THAT I HAD THIS PROBLEM!! I DIDN'T EVEN KNOW SO RIGHT NOW I'M JUST SO VERY VERY SCARED BUT NOW I'M JUST WAITING FOR AN APPOINTMENT WITH A SPECIALIST AND THIS PAGE WAS VERY VERY INFORMATIVE!!GOOD LUCK TO EVERYONE OF YOU THAT THAT PLACED A COMMENT. MY PRAYERS ARE WITH ALL OF YOU AND PLEASE SAY ONE FOR ME WOULD YOU CAUSE LIKE I SAID, I'M SCARED OF THE UNKNOWN!!
THANKS,
MARY
Report this comment as inappropriate
Jan 27, 2011 @ 1:01 am
what is the recovery time for vaginal surgery for a cystocele & rectocele & to lift my uterus? I am 52 years old and wondering how long I will be off work for the procedure? I would appreciate any info you could give me. Also I just had a 4 level fusion on my lower back 2 months ago and experiencing a lot of leg & back pain lately & wonder if this female problem could be contributing to my increased pain lately ?
MC
Report this comment as inappropriate
Mar 3, 2011 @ 9:09 am
Please read Sherrie Palms book "Pelvic Organ Prolapse The Silent Epidemic" and go to the APOP Association for Pelvic Organ Prolapse website to get hands on information you need to help you get answers to your questions about bladder, vaginal, rectal and intestinal prolapse. I searched for over a week trying to find information about my condition (Stage III Pelvic Organ Prolapse). I had a cystocele, rectocele and mid-urethral sling procedure on Jan 21 at the Washington Hospital Center and I'm 5 weeks in recovery and doing well. I stumbled upon Sherrie Palm's book by accident (or divine intervention) and she has become a dear friend, though I have never met her. She has published several YouTube videos that you will find very helpful and comforting too. I wish you well with your medical situations.
Report this comment as inappropriate
Mar 5, 2011 @ 11:23 pm
Theresa,

I hope you have had a reply from someone by now. My husand and I had the same experience. My was the anchor suture from the pro-lapse bladder repair. I went to my OBGNY and he was able to remove the piece of suture that was doing the damage. No more penis trama at our house.
Report this comment as inappropriate
Mar 14, 2011 @ 4:16 pm
I am 2 weeks out of having anterior/posterior cystocele surgery. I have had no complications. I do have to go more frequently and can not hold it as long as I did before but I am thinking this is because I need to train it. The urologist said this would happen. I thought this surgery was going to be tough especially since I have never had surgery before. I have had no pain. The only problem is just sitting around and not being able to do my normal daily activities for some time. I think being healthy before surgery has helped me heal faster than the average person. I also looked on line for a holistic broth that I made before surgery. I drank this for two days after surgery instead of hospital food. It is a bone broth that was awesome! I think this helped in my healing process as well. I also got off all pain meds the day I came home. I just took higher doses of tylenol. This helps you not be constipated. So researching and doing some homework on how to heal faster before and after surgery has benefited me greatly!
Report this comment as inappropriate
Mar 31, 2011 @ 7:19 pm
I had a anterior/posterior cystocele 8 days ago and went home on the third day with a Foley Catheter. I have been back to the Drs. twice and cannot pass the voiding test where they insert saline solution into the catheter and you have to have the catheter removed and void on your own. Very little is voided from my bladder and the Dr. said after 2 weeks if I can't void I have to go in as a out-patient and something done with the sling to make me void. I have been advised to clamp the catheter for 2 hrs/ then release to retrain my bladder. I am beginning to wonder if I did the right thing having this surgery.
lisa
Report this comment as inappropriate
May 5, 2011 @ 12:00 am
I am 61 years old and I need a cystocele and rectocele repair and a TOT mesh suspension; I just recently got this detail from a urogynecologist. I go for surgery Tuesday, in 5 days. I recommend each of you needing incontinence help and/or help for painful sex -- make an appt with a urogynecologist NOW. They are the best at repairing this. I have known I had a growing problem for over 3 years, but have been so afraid of the surgery and possible complications that I waited. In the past, I had both a urologist and more than one gynecologist offer to schedule me for surgery. They also said I could wait; so I have been waiting. But then I found out about the urogynecogist as a special problem-solver just for these issues. I also found a list of urogyn's in my state thru the "AMERICAN SOCIETY OF UROGYNECOLOGISTS" AND THE Society's website. Who knew such a society even existed! You should get a similar list for you. Then research every dr's website and patient comments as well as professional medical ratings you can find on each dr on the web. Then make your decision and call the top 3 you like near you. You will be very satisfied and you will be glad you did this. After knowing what I know now and hearing the horror stories; I highly recommend you do this research now. No way I should have let those urologists and more general GYN's near my cystocele or rectocele! Don't do it! Do the research and see the urogyn you like best. You will be in the right hands!
Report this comment as inappropriate
May 25, 2011 @ 4:04 am
Very informative presentation,i,m a gynae surgeon in india in amritsar.Helped me clear my doubts.Thanx.
Rhonda Summerlin
Report this comment as inappropriate
Jul 13, 2011 @ 2:14 pm
I had a cystocele as well as a rectacele done 2 yrs. ago and haven't been pleased at all. Today I went back to the Gyn who did the surgery and he is saying that the surgery is fine but that I need another surgery due to another area is protruding into the vagina! I don't think the procedure he did worked. He gave me a pill to take to reduce my urge to urinate but I don't think that is what I need as I nearly have to stand on my head to get the urine to stream out. Is it common to have to have this done more than once? His nurse said nothing lasts forever but for what my insurance co paid and the pain I had to endure during recovery, I would have thought would have had a better and longer result.
Jen
Report this comment as inappropriate
Jul 17, 2011 @ 8:20 pm
Greetings all,

I just found out 2 weeks ago that I have cystocele. I actually hadnt noticed anything at all until a week before that. Saw a Doc who said I need to see urologist to have surgery. He said it was stage 4 although there is nothing coming out of me, its a bulge at the vag opening. Anyway I have a question that is important to me. Is it ok to have sex while waiting for the surgery? I'm not in pain, I can urinate normally, Im just concerned that it will hurt. I feel bad for my hubby and myself for not having sex. Any advice or experiences anyone can share. Thank you. PS I will be 54 and the end of this month.
Linda
Report this comment as inappropriate
Aug 23, 2011 @ 2:14 pm
I will be having the cystocele surgery in a couple of months. Although it is not bulging out, it is next thing to it. What is the best way to clean the area daily so as to not damage or infect?
Linda
Report this comment as inappropriate
Aug 23, 2011 @ 5:17 pm
I will be having the cystocele surgery in a couple of months. Although it is not bulging out, it is next thing to it. What is the best way to clean the area daily so as to not damage or infect?
lynn
Report this comment as inappropriate
Sep 12, 2011 @ 4:16 pm
HAD TVT OP NERLY 3 YEARS AGO FOR MEDIUM SIZE CYSTOCELE. HAD 2 WEEKS OFF WORK, NO LIFTING ETC FOR A FURTHER 10 WEEKS AND HAS BEEN VERY SUCCESSFUL. HAD SOME SLIGHT LEAKING THIS YEAR AND WHILST WAITING TO SEE GYNEY, WENT INTO BLADDER RETENTION. THIS WAS NOT CAUSED BY THE TVT BUT SEVERE BLADDER INFECTION. SPENT A WEEK CATHETERISED AND HAD 4-5 UTIs SINCE. ONE NURSE MENTIONED IT COULD BE BECAUSE IM PRE MENOPAUSAL. UP TO PRESENT HAVE SEEN PHYSIO TWICE FOR PELVIC FLOOR EXERCISES AND FINGERS CROSSED HAS HELPED ABOUT 35% AT THE MINUTE.
Report this comment as inappropriate
Nov 1, 2011 @ 5:17 pm
I had surgery for a bladder sling in Sept.2008. For a year did fine. Then something happened to where I was barely able to urinate. I had to go back to surgery for a sling adjustment. Did fine for another year, the bottom dropped out. Went back to surgery April 2011 for a cystocele and rectocele repair with the mesh. The wound didn't heal and left the mesh exposed. My doctor trimmed it in the office without success. So back to surgery I went in August 2011, my doctor said with confidence all went well and the mesh was no longer exposed. Well it is now November 1, 2011. I am feeling the mesh exposed still and he once again trimmed it in the office 3 weeks ago. Intercourse it totally painful! I am so infected for a week afterwards that really never fully heals. I am afraid I am going to have to find someone else to remove this and try to remake my whole vaginal area. The feeling I have is as if a thorn was in your finger trying to come out...the redness and pain is always there. I am 56 years old and wished I had never had this mesh put in my body. I am hearing horror stories from other women firsthand.
Report this comment as inappropriate
Nov 19, 2011 @ 11:11 am
I am having a problem with having painful sex, cystocele. But i also had radiation treatment about 4 years ago for rector cancer,diabetic, HTN. I am wondering if i an a candiate for this surgery.
mary
Report this comment as inappropriate
Dec 11, 2011 @ 6:06 am
i had anterior and posterior repair of cystacyle and repair of recotocyle ten days ago . my question is how long does it take for the bleeding and discharge to stop

thank you mary
YVONNE
Report this comment as inappropriate
Dec 12, 2011 @ 1:13 pm
I AM 51 AND I AM WAITING TO HAVE A BLADDER NECK SUSPENSION AND A CYSTOCELE REPAIR, I HAVE SOME LEAKAGE NOW WITH COUGHING, SNEEZING, AND SOME EMERGENCIES OF NEEDING TO GO TO THE RESTROOM NOW! BUT I ALSO HAD FELT THIS KIND OF LIKE BULGE IN MY VAGINA AREA WHEN I WOULD PEE AND CLEAN MYSELF AND FINALLY FOUND A DR THAT SENT ME TO A UROLOGIST AND I HAD ALOT OF TEST DONE AND HE STATED I NEED THESE TWO SURGERIES TO BE DONE BECAUSE OF MY BLADDER AND VAGINA TILT, I HAVE READ ALOT ON THE CONDITION AND SURGERY PROCIDURE AND HAVE READ YOUR COMMENTS, THANK YOU, I WILL JUST PRAY THAT I WILL NOT HAVE SECONDARY PROBLEMS AND THAT EVERYTHING WILL COME OUT FINE.
Freida NYC
Report this comment as inappropriate
Dec 14, 2011 @ 1:13 pm
I'm sure this is TMI, but I'm not the most "regular" gal on the block. As a gastric bypass surgery patient, I am prone to constipation. I also take iron and calcium supplements which exacerbate things quite a bit.

When I mentioned this to one of my doctor's nurses, she recommended the Fiber Cleanse from Lady Soma products. It was very easy to use; I just take with a glass of water once a day.

Most importantly, this stuff works!! I find it's better to take it on a regular basis, rather than waiting to get constipated and then taking it. I feel good taking it every day because I know it is all natural, and it keeps me nice and regular.
Diane
Report this comment as inappropriate
Jan 11, 2012 @ 8:20 pm
I had a rectocele and cystocele surgery approx 25 yrs ago--I have had string-stitch like material fall out of either my rectum or vagina for past year or so---just pieces at a time but it sure looks like a stitch material to me ---I have no pain currently but am a little worried--I am 57 yrs old ---???
kathleen
Report this comment as inappropriate
Jan 19, 2012 @ 10:10 am
l had a hysterecomy in1994 now where l wee one sine as drop and ot as caused an infection can this be put back to normal as it really hurts at bottom of my stomache and am have problem when l wee can this side be put right as in make one side biger then other
Ruth Bellars
Report this comment as inappropriate
Jan 22, 2012 @ 6:06 am
I had a cystocele operation 5 days ago and was wondering how long it will take until the stitches at the back of my vagina will heal, they are sore and pull when I move, I need to sit on pillow for comfort, also should I be wearing the dvt stockings and for how long and how often, not much information was given to me on my discharge from hospital, only a pelvic floor exercise leaflet
anne
Report this comment as inappropriate
Feb 6, 2012 @ 2:02 am
had a cystocele and rectocele op august 2011 and to date still having a reddish brownish discharge.went back to doctor and he cauterized original surgery site but 5 days later still having this discharge. any body suffering from the same ?
Vi
Report this comment as inappropriate
Feb 9, 2012 @ 9:21 pm
I had surgery 4 days ago to reconstruct the vaginal vault (vaginal vault prolapse), a mesh triangle kit was used to anchor into both sides of the vault and suspend it. They also had to use a mesh kit to suspend and support the bladder in it's original position (Cystocele). Then they used a small mesh sling to hold the urethra in a position so it wouldn't collapse during urination. I was excited to wake from surgery and find everything went very good. Surgery took almost 2 hours, but the wait in the recovery area lasted over 6 hours because I unable to urinate on my own. They sent me home with specific instructions on removing the vaginal packing, what to expect as far as bleeding, the list of do's and don'ts, and unfortunately had to leave with a catheter. It was not attached to a bag, they used the kind that had a plug. Went to my dr. today and they removed the catheter. Took me 5-6 hours after I got home before finally going on my own. My urologist explained, the swelling causes the urethra to lay in an upward direction causing some difficulting urinating. Just a little advice... I found it easier to move in different directions (lean forward or backward, right or left) when I thought I was finished, and this helped me ensure I emptied my bladder. Once the swelling goes down, I will be able to retrain my bladder. I have to admit, i realized why I am jealous of guys. It was nice not having to undress to urinate, standing is much easier.
Sorry, had to find some humor in the situation!! As for now, I wouldn't change my decision for anything. I just recommend using a urologist who specializes in this type surgeries. My doctor is the only one in his office trained for it.
Christina
Report this comment as inappropriate
Mar 20, 2012 @ 10:10 am
I have been told that my bladder has dropped. I had a Hysterectomy nearly 7 years ago. My bladder had dropped two weeks before surgery and had completely dropped when I went into surgery for the Hysterectomy but the doc wouldn't fix it then He said it wouldn't be covered. I was at work a week or so ago and pushed on a talbe and felt sudden pain in lower abdomen. I went to family doc and he said I may have hurt my back as well, He did a pelvic and found that my bladder has defnitely dropped. I have been refered to a GYN and then I will find out what type of surgury I will have. I too am scared to death of what is going to happen and the recovery time is a real concern, I was a very active person up until now. I have had severe constipation with this since I hurt my self a week ago. Any suggestions would be greatly appreciated.Thanks
missus o
Report this comment as inappropriate
Sep 6, 2012 @ 5:05 am
I had a cystocele and rectocele operation in April and had major complications. On day 5 I began torrential bleeding and lost over 4 litres of blood, was rushed to hospital where I had to go back into surgery because my posterior wall stitched had completely come undone. I nearly lost my life and having this operation is now a huge regret.
After 3 children I felt quite loose and after a short examination by my Gp was given an appointment at the hospital, where after another brief examination I was booked in to have the op. My prolapse was grade 2 so had a bit of a bulge but not too severe. My main concern was feeling loose during sex and not hanging on to tampons for very long which at the age of 37 I felt I would like to get sorted.
My bladder is now very weak (wasn't a problem before) and I have a big scar going through my G spot (imagine my horror when I spoke to the surgeon about this a few months after surgery and he denied the Gspot exists!) I now have no feeling in my vagina, my clitoris has shrivelled and I am completely unable to orgasm, something that I found relatively easy to do before. I have excruciating pain sporadically in my vagina and my sex life is absolutely ruined. I was told before surgery that it may or may not improve my sex life but NEVER told it could make it worse. Im devastated to say the least and just hope with time things will improve. I URGE ANYONE WHO IS CONTEMPLATING HAVING THIS SURGERY TO AVOID IT UNLESS THEY HAVE A REALLY REALLY EXTREME PROLAPSE.
Marilyn
Report this comment as inappropriate
Sep 20, 2012 @ 11:11 am
I had a laporoscopic robotic hysterectomy, cystocele/rectocele repair with sling in January 2012 with a GYN recommended by several co-workers. I was very apprehensive but decided to fix the "bulge" at the age of 59 as a present to myself in future decades (my mother will be 100 in less than a month). The first two weeks were very unpleasant and I wore the catheter for 12 (long!) days, but very soon after the two-week mark, felt SSOOO much better! I followed the doctor's orders to the letter and took the full six-weeks off work. Now, more than 8 months later, he has released me to do anything I want except heavy lifting. He says everything is back in place and is as perfect as can be for my age and birthing three babies vaginally. I encourage anyone who needs this to shop carefully for a qualified doctor who is very experienced! I would do this again without hesitation!!! BTW, sex is great, just use a lot of lubrication! And go slowly at first!
CC
Report this comment as inappropriate
Sep 20, 2012 @ 5:17 pm
I am so scared and don't know what to do. I am 30 and at 28 after having my 2nd child I was diagnosed with a uterin prolapse grade 2, rectocele prolapse grade 2 and cyctocele prolapse grade 3. I have been using a pessary for over 1 1/2 yrs now and it helps but in the last 2 months my prolapses have now caused SI joint dysfunction ( I now have to wear a belt to hold my hips together) and the downward pulling form the prolapses have also caused hyper mobility in my spine from T8 down. Everything hurts! 6 months ago when i saw the surgeon she said I had severe prolapses but that she wouldn't do the repairs, I asked her why and she said "because I will kill you" Because I was also diagnosed with a bleeding disorder that inhibits me from clotting she feels that surgery is likely to kill me. I have tried every alternative therapy possible. I just got told today that I am not an eligible candidate for Prolo therapy, again because of my bleeding disorder. I can't get back in to see the surgeon till December now, but even if I convince her that I can't take the pain anymore I'm so scared about the risks of my bleeding. I am now 30 have a 2 and 4 year old but right now I can barely tend to them or play with them :( I haven't had sex with my husband in over 4 months and before that probably 3 months. Life is hell but I'm so scared to have the 3 repairs I need and I'm scared they will fail and I will just have to have them redone again, and risk my life again. Any help or advise would be Great!!!
Kathy
Report this comment as inappropriate
Oct 4, 2012 @ 6:06 am
I am 62 diagnosed with stage 3 cystocele. My only symptom is a bulge in my vagina and sometimes urinary frequency. I have no incontinence or pain, nothing is protruding out of me, no constipation. I went to a urogynecologist and he gave me the choice of 3 options; pessary, vaginal repair (he didn't really like this option as he said it might not be long lasting), or sacro colpopexy (laparoscopic abdominal mesh repair of anterior and posterior vault plus removal of my uterus). I don't know which option to choose or if I should just wait until symptoms are more bothersome. I am healthy, active, and scared...this diagnosis makes me feel depressed (of course this isn't cancer or some horrific disease so I am keeping that in perspective). Thank you for this forum and I appreciate any comments. I have ordered the"silent epidemic"book and hope it will help me make a good decision. Also, I wondered if waiting until I have Medicare would be a reasonable option...I have insurance now but I am sure the surgery is expensive, especially with compays,, etc.
Fran
Report this comment as inappropriate
Feb 7, 2013 @ 11:11 am
Post number 60: Marilyn. Extremely useful/inspirational/positive post. Thank You.
Karen Eder
Report this comment as inappropriate
Jul 5, 2013 @ 9:09 am
I had a complete hysterectomy July 16,2012. I could not pee for 3 months after and had to self catheter. Dr. gave me muscle relaxers that made me pee everywhere. But it did make me be able to pee on my own. The problem is I have no muscle control that will squeeze the bladder. The urine comes out with gravity and is slow coming out. Sometimes I can not completely empty the bladder. I have to pee every 2 hours. Is it possible that a nerve or the bladder itself was damaged during the surgery. I had the laporoscopic robotic surgery.
Ellen
Report this comment as inappropriate
Jul 28, 2013 @ 2:14 pm
Had robotic supracervical hysterectomy robotic sacrocolpopesy and cystosopyy performed by urogynocologist at well respected teaching hospital in NYC metro area 5 days ago...I feel GREAT!
I'm 48 years old and after having 3 kids, began about 5 years ago showing symptoms of cystocele and leaking. Had uterine sling implanted which helped a great deal, but after 4 1/2 years, leaking began again. Also, vaginal bulge grew as bladder begin to protrude into my vagina; exercise and sex both became very uncomfortable. While I'm still "resting", and have a while to go before I'm allowed to have intercourse, and resume "normal" activities, my recovery is going EXTREMELY WELL!!
I spent 1 night in hospital with catheder which was removed before I went home; I was peeing normally. I had virtually no paid, just felt like bad period cramps, which I treated with Motrin, I took NO pain meds at all (tramadol and vicodin prescriptions were given to me; I never filled them). I had NO bleeding. My dr. encouraged me to take a few short walks per day and on the fourth day home, my bowel functions resumed; no pain at all (I have been drinking miralax every day and had been drinking it twice a week prior to surgery).
I advise everyone out there...DO YOUR RESEARCH!. I got 4 "second" opinions; while all of the doctors agreed on my diagnosis, each had a different way of performing the surgery. Do NOT do trans-vaginally; especially when it can it be done laporscopically. Use a urogynocologist, not just a urologist or gynocologist, urogynocologists are specilaists in this field

Find out how ofter your doctor does the procedure and his success rate. Express to him/her your fears and trepidations. Talk to everyone you can about the procedure. Follow your doctor's instructions and dont be shy about asking for help from friends and family at home...this is your body and your chance to heal...enjoy the down time!
While I was very scared and apprehensive, I'm glad I had the surgery as I look forward to going back to my life comfortably and completely.
Nella Kritzinger
Report this comment as inappropriate
Aug 20, 2013 @ 5:05 am
After reading all the comments about Prolapse Bladder repair - I happen to have a Prolapsed Bladder - it appears that there are more complications that successes. Although I occasionally have a reasonable amount of pain as it feels that everything inside my body is out of place the pain does eventually go away. I'm just wondering whether this condition is or can become serious and whether it is really necessary to have an operation. I am going on for 68 years of age, am still working and cannot afford to be off work for a considerable amount of time as there is no one able to do my work.
Would hate to lose my job because someone else has to be employed. Kindly advise if my condition is serious.
Jessica
Report this comment as inappropriate
Sep 7, 2013 @ 2:14 pm
I am 30 and suffered from a stage 2 cyctocele. I discovered this just 7 weeks after the birth of my second child. At first i was petrified, confused, and embarrassed. But all of these feelings were unwarranted and unproductive. I soon found an extremely qualified urogynoclogist in my area, Dr Riachi, and I could not be happier with the results of my anterior repair surgery. The recovery reminds me of bad menstrual cramps, but it was completely tolerable. I urge anyone suffering to find an experienced urogynoclogist. These doctors specialize in this ailment. Taking care of this early prevents the pain of a worsened prolaspe, makes recovery easier and ensures a better quality of life. After this surgery, I feel like I have my life back. I was even told that I could have more children in the future as long as i delievered by c-section. Now that I know I am prone to this type of ailment, I make sure to keep my stool soft and I visit a physical therapist who specializes in pelvis floor dysfunction. I wish anyone reading this comment a happy and prolapse-free life.
june tobin
Report this comment as inappropriate
Oct 9, 2013 @ 2:14 pm
im 52 and been diagnosed with a grade 3 cystocele but have cancelled the operation 3 times through fear i had a hystorectomy 6 years ago although scared had it done .im going to see a different consultant this week in the hope that i can actuelly find the courage to go through with it .i hate the anastetic and was offered a spinal any one else felt this way and has actually had it done.
Alice Johnston
Report this comment as inappropriate
Oct 19, 2013 @ 4:16 pm
I recently had a bladder prolapse surgery which lasted 2 hours. I had a bladder prolapse which was a 3. The surgery went well and I was sent home, but developed an infection 5 days later and readmitted to hospital. I was given massive antibiotics and sent home after 5 days. I'm at home still on antibiotics, but feel rotten at times. I have ben spending much time in bed, hopefully all will be well soon. I was on a catheter and a bag for 2 weeks. This got quite tiresome. I am able to pee on my own, but have loose stools while on the meds. I'm eating yogurt, but have no appetite. I feel that the surgery went well, bc my life was miserable with the bulge protrusion from my vagina. I had back and leg pain.Hopefully, this surgery will help. It was done by a gyn.
Mary E
Report this comment as inappropriate
Jan 22, 2014 @ 1:13 pm
I am 78 yrs of age and gave birth to 6 children in 7 years. I have been fortunate to be free of the complaint of a cystocele or any other type of female problems until my 77th year. This forum has second my motion on NOT having surgery. My prolapse is at a stage IV with a large lemon size protrusion, but that is only at time, not 24/7. After my initial fright about this and after reading the library book, Saving the whole woman by Christine Ann Kent I purchased her videos and studied her findings. Drinking plenty of fluids though-out the day makes all the difference in the world. Sleeping on my left side allows me to void plenty of urine during the night. I don't mind getting up a couple or three times in the night if that is what it takes to release urine. In those hours my bulge is completely out of sight because I am off my feet for hours while sleeping. I look forward to reading Pelvic Organ Prolapse: The Silent Epidemic named the winner for Women's Health in the USA Book News National “BEST BOOKS 2009” Awards. All I can say is: research, research and research some more. It's your body that surgeons are cutting and attempting to repair and I do believe the surgeon means well and in some cases, certainly not all, the surgery goes well. I think it depends on the body's health condition. I have spent years taking care of my body after I recovered from a cripping illness at 51 yrs with the help of a nutritionist and Naturopath/Chiropractor who used acupuncture and B-12 shots plus herbal remedies to rebuild my immune system. Do the same for your bladder. Research teas for improving the health of the bladder and kidneys. Use organics to make your protein, veggie, or fruit drinks. Take care of your body so you can live with a cystocele without surgery. I do and I wish you too as well. Blessings to all women's health. I am at spiritlifter33@hotmail.com, if you want to chat. I can only tell you what I am doing. Best to all.
Ang
Report this comment as inappropriate
Feb 27, 2014 @ 10:10 am
I had a bladder prolapse repair 3 weeks ago following a Hystarectomy for a prolapsed womb 4 years ago. This operation was performed in Spain and I highly recommend anyone suffering with this to be brave and have it done. I was also afraid of the surgery but after suffering for a 12 month with a bulge just inside my vagina and by the end of the day having to lie down and suffer the burning and up every hour of the night to urinate it was well worth going through surgery.
It was done with an Epidural and took an hour with 6 hours in recovery where they were checking me very 5 minutes (brilliant care) A catheter was put in until the following morning, when the doctor came to remove the packaging and joked there was a rabbit on the end of it and it went on and on. They let me out that evening and since then I have taken it easy, no lifting etc., I had no bleeding just a slight discharge that a small pad took care of and I have a slight pain in my side which a Paracetamol relieves.
So anyone out there is suffering this complaint please go and have it done, it is well worth it.
Deb
Report this comment as inappropriate
Apr 18, 2014 @ 3:15 pm
Read Ellen's (65) comments . She is correct with checking out your DR. I have had about 20 different procedures over my lifetime. They generally turn out different than what the surgeons will tell you. I cannot stress enough on the importance of choosing your Dr. carefully. Go to at least three different Dr.s that specialize , with an added emphasis on specialize, on the procedure that you need done. Listen carefully as each will tell you something different. Then spend hours researching the procedure that each one told you he would do. Then research the Dr. him or her self. The majority like to "blow their own horn". Then go to the hospitals where they work and talk to the nurses and get their input on the Dr and the results he obtains. Finally, talk to his patients, and not just the ones he recommends. Get some names from the nurses. He certainly will not send you to the ones that didn't turn out well.

You only get one chance to have the procedure done right and turn out well. It is your body that will be changed forever. Bad outcomes are hard to reverse. Choose carefully.
Barb
Report this comment as inappropriate
May 13, 2014 @ 6:18 pm
cystocele done two weeks ago. Catheter removed one week ago. I seem to be voiding in smaller amts than usual, no burning. Is this normal? all else is well.
Carrie
Report this comment as inappropriate
Jun 15, 2014 @ 1:01 am
I had a cystocele repair 9 days ago. I am 37 y/o I am still having horrible pain in my pelvic area. I figured by now things would be getting better. On day three I had to go back to the hospital I ended up having a UTI . I am having a hard time finding a comfortable position to sit. when I sat down yesterday it felt like something may have tore down there I had fresh red blood which seemed to go away after ten minutes and went back to the normal spotting. Laughing, coughing, crying makes it feel like I got kicked by a donkey in my abdomen. The doctor said I had very little blood loss and that everything went well. I was able to leave the hospital catheter free thank goodness but my bladder would not fully drain they checked before and after started with 230 after I still had 190. I know I had very bad swelling still do, my ankles even swelled. my nipples hurt extremely bad can't wear a bra and my shirt irritates them as well this did not start until after my surgery when I was in the hospital has anyone else had an issue with that? My next appt is not until the 20th. I know he did a biopsy while he was in there and removed some adhesions from a previous surgery not sure if that is why I am having a hard time with this or what it is. My Hysterectomy was not this bad. :-(
Gill Davies
Report this comment as inappropriate
Aug 4, 2014 @ 4:04 am
Hi
I had anterior repair surgery for a large cysteole seven days ago and the pain is getting worse. I have not lost any blood and am able to wee wig no difficulty just discomfort but thought that by now the pain would be improving . The pain is a burning in my vagina and seems to be worse when lying down. Has anyone else experienced this and I am concerned this is not normal
Marilyn
Report this comment as inappropriate
Oct 26, 2014 @ 10:22 pm
I had anterior repair and a posterior repair last July. 8 weeks later I feel that everything has dropped again and I am having difficulty urinating along with a lot of pressure and a little protruding. I'm calling my doctor today to make an appointment. It feels like everything has come undone. Has anyone had this experience or do they know what happens next. I Am really worried. Hope someone can help me.

Comment about this article, ask questions, or add new information about this topic:

CAPTCHA


Cystocele Repair forum