Overview of Cystocele Surgery
Do you know that it is possible for the bladder to fall into the vagina? This can happen due to weakening of the muscles and tissues in the vagina. When this happens, this condition is commonly known as a cytolcele and it may require Cystocele Surgery.
One must understand the difference between Cystocele and Rectocele.
Cystocele surgery is one treatment that can be applied when this problem happens. Cytocele is a condition that occurs when a person undertakes strenuous activities such as heavy lifting and giving birth to a child for a couple of times.
Ctyocele is characterized into three. Mild or grade one, moderate or grade two and in some cases, severe or grade three.
When the case of the cytosele is in grade three, surgery is required. This procedure works by putting back the fallen bladder into its natural position.
A person who has just undergone cytocele surgery is required to stay in the hospital for a few days and it would take four to six weeks before the patient recovers from the surgery.
What You Should Know
Before you agree to undergoing cystocele surgery, it is important to ensure that you fully comprehend what the procedure entails.
The risks should be accurately and comprehensively explained to you so that your agreement to the procedure will be a well-informed decision. Another term for pelvic organ prolapse, cystocele refers to the weakening or loss of normal support for the vagina.
One of the most serious results of cystocele is the discomforts and problems in emptying the bladder.
Paravaginal defects are considered to be the greatest contributing factor to the development of cystoceles. Pregnancy and childbirth are also potential causes since they can strain the muscles.
Women with mild cystocele can opt for no treatment but surgery is necessary if the condition is already in a serious state.
Heavy lifting that can cause further muscle strains should also be avoided. A gynecologist, urologist or urogynecologist are usually the ones who facilitate the surgery.
Three Possibilities for Cystocele Repair
As far as management of cystoceles is concerned, there are always three possibilities for Cystocele Repair.
These are Conservative, Pessary and Surgery.
Conservative treatment essentially means avoidance of weight gain, avoidance of straining and constipation and doing pelvic floor exercises to strengthen the pelvic muscles.
A Pessary is an option in which an insert of varying size and shape can be employed to place within the vagina to act as a support or strut to keep the bladder in place.
This is certainly a good option for a woman who is not able to undergo surgery such as somebody who is very elderly and infirm.
It can also be a reasonable option for a younger person although there may be very annoying side effects associated with the inserts that needs attention and cleaning.
A surgical approach for the treatment of cystocele is more advanced and requires rigid investigation of the progression of the cystocele.
Prevent Severe Complications
Cystocele surgery is for people with severe case of cystocele. The severity of cystocele is classified into 3 categories.
A cystocele is considered mild or grade/type 1 when the bladder sink or drop or slightly out of positioned.
Next is severe cystocele. In this case, the bladder drops down to the vaginal area. This will cause urinary problems.
The last or the most severe cystocele is when the bladder drops too low to the vaginal area that it reaches its opening.
Repeated birth and lifting of heavy objects may result to cystocele. Another factor is when women experience menopause and their bodies stop producing estrogen.
Estrogen keeps the wall or tissue between the bladder and the vagina strong. When a woman experience menopause, the walls between the vagina and the bladder may weaken.
That is why experts say that age is one of the many factors that can contribute to the development of cystocele.
How the Cystocele Surgery Is Being Done
When scheduled for Cystocele surgery, a woman has to be admitted in the hospital for preoperative preparations.
General or regional anesthesia is used during this surgery.
If a woman chooses to be under general anesthesia, she will be unconscious, but under regional anesthesia, she will only be numbed so as not to feel anything while the surgery is being done.
This operation starts by opening the front wall of the vagina to allow entrance. Then, by placing sutures or a synthetic mesh, the fascia will be pushed.
After this, the opening at the vagina will be closed and a foley catheter will be placed to aid in draining the bladder.
This foley catheter will be removed after a week or two when the patient states that she no longer has difficulties in urinating.
Other Things To Note
There are factors that can contribute to the development of cystocele. These factors include constipation, age, menopause, physical activities like lifting heavy objects, childbirth, and hormone deficiency.
Surgery is not necessary to perform unless symptoms affect the daily lifestyle activity of the person.
The objective of repairing the cystocele is to prevent new defects from forming, maintain sexual and urinary function, and restore the pelvic to its original position. There are three basic procedures to repair the cystocele.
Anterior colporrhaphy with graft and paravaginal repair. The most common procedure used to repair the cystocele is the anterior colporrhaphy. People who undergo in this type of surgery are given either general or regional anesthesia.
Albeit the fact that this may help cure the Cystocele, this surgery may also bring about several risks that may come after surgery.
These risks are urinary incontinence, bladder injury, infection, painful intercourse, and formation of an abnormal connection or opening between two organs.
The anesthesia could also cause several effects like bleeding, injury to other pelvic organs, recurrent prolapse, and inability to cure the disease.
The best way to avoid these is to avoid the occurrence of cystocele by maintaining a healthy lifestyle and avoiding heavy lifting activities.
Management After Cystocele Repair
Management after repair may include full liquid diet as recommended until normal bowel function returns.
The foley catheter may remain days after, so aseptic technique is needed to avoid further infection.
With activities, heavy lifting, straining with bowel movements, long period of standing, sneezing, coughing and sexual intercourse must be avoided.
By doing this, the vaginal wall will be strengthened allowing it to heal completely to return to its normal function.
Doing such would also avoid the potential complications associated with cystocele repair such as bleeding, infection, dyspareunia, recurrent prolapsed and worse will be failure to correct the defect and undergo surgery again.
Should You Consider Cystocele Surgery?
If you have a descended bladder, should you consider cystocele surgery? This is a question that is best answered after you have consulted with and discussed you option with your attending physician.
A descended bladder, or a cystocele bladder prolapse is caused by the weakening of the muscles around the bladder causing it to descend to the vagina.
This may cause one of two things: stress incontinence or the unwanted leakage of urine or the incomplete emptying of the bladder.
In Grade 1 cystocele, there is a minimal descent of the bladder to the vagina.
In Grade 2, the bladder has descended all the way to the opening of the vagina.
And Grade 3, the bladder bulges out of the vagina’s opening.
For mild, usually Grade 1 cystocele, doctors may recommend estrogen hormone treatment and avoidance of strenuous heavyweight lifting.
For severe cases or those where the cystocele causes discomfort to the patient, the doctors recommend surgery to correct the position of the bladder.