Cystocele Repair

A cystocele is a type of pelvic organ prolapse. When there is a weakness in the front wall of the vagina, the bladder can prolapse into the vagina. This is called a cystocele.

Women may describe a dragging sensation or pressure in the vagina. Some can feel a lump protruding out of the vagina. Large lumps can rub against the underwear and ulcerate. Some describe painful intercourse. Voiding symptoms such as difficulty emptying the bladder may be described. This can sometimes cause recurrent bladder infections. There may be associated urinary incontinence with physical exertion (female stress urinary incontinence). Sometimes, manual reduction of the prolapse with the hands (splinting) is described to ease with passing of urine. Very rarely, a prolapse may be large enough to block the ureters (tubes that drain the kidneys to the bladder), causing kidney damage.

Procedure

During the procedure, Dr. Prabhjot Manchanda will make an incision in the vaginal wall to access the prolapsed bladder. The weakened tissues supporting the bladder are then repaired and reinforced, often using stitches or a surgical mesh to provide additional support. The vaginal wall is then closed, restoring the bladder to its proper position.

Benefits

• Alleviates symptoms such as pelvic pressure, discomfort, and urinary incontinence.

• Restores normal bladder function and improves quality of life.

• Minimally invasive approach with relatively quick recovery time.

Post-Operative Care

After the surgery, Dr. Manchanda and her team will provide detailed post-operative care instructions, including pain management, activity restrictions, and guidance on pelvic floor exercises to strengthen the supporting muscles. Patients will be monitored for any signs of complications and will have follow-up appointments to ensure proper healing and the success of the repair.