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Cystocele Repair (Bladder Prolapse Surgery)

Surgical treatment of bladder prolapse into the vagina.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Cystocele Repair (Bladder Prolapse Surgery)?

Cystocele is the descent of the bladder into the anterior vaginal wall due to weakness of the pubovesical fascia and pelvic floor muscles. It is also known as anterior vaginal wall prolapse and is graded using the Baden-Walker or POP-Q classification.

Birth trauma, menopause, obesity, and chronic intra-abdominal pressure (chronic cough, constipation) are the main risk factors. In mild cases, pelvic floor exercises (Kegel) and pessary therapy may be applied.

In surgery, anterior colporrhaphy (anterior vaginal wall repair) is the most commonly used technique. In advanced prolapse, abdominal sacrocolpopexy (mesh suspension to the sacrum) provides more durable results. Robotic sacrocolpopexy is the current minimally invasive approach.

Symptoms

Sensation of bulging or mass from the vagina
Difficulty voiding (inability to empty the bladder)
Stress incontinence (urine leakage with cough or sneeze)
Pelvic pressure sensation
Recurrent urinary tract infections

Risk Factors

Recurrent prolapse (10-30%)
Mesh complications (erosion, pain - if mesh is used)
Stress incontinence (de novo or worsening)
Dyspareunia (painful intercourse)
Bleeding and infection

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When bulging or a mass is felt from the vagina
  • If there is difficulty voiding or residual urine problems
  • If urinary incontinence affects daily life
  • If pelvic pain and pressure sensation are present

Treatment Methods

01
Pelvic floor exercises (Kegel, in mild stages)
02
Pessary application (in those who decline surgery)
03
Anterior colporrhaphy (anterior vaginal wall repair)
04
Robotic/laparoscopic sacrocolpopexy
05
Topical estrogen therapy (in postmenopausal women)

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.