What is Anterior Prolapse (Cystocele)?
Anterior Prolapse (Cystocele)
Anterior prolapse is a condition that happens when the bladder drops down from its original position and pushes against the walls of the vagina. The organs that are in the pelvis are held up by the muscles and ligaments present in the area. If severe pressure is exerted on the pelvic floor, this will lead to the muscles weakening. When the pelvic floor muscles are weak it won’t be able to hold up the bladder in place, causing it to prolapse.
Surgical options include reconstructive surgery to position the bladder into its original place. Anterior repair surgery is done in most cases. An incision is made in the vagina and the tissue that separated the bladder from the vagina is tightened. In severe cases of anterior prolapse, robotic laparoscopic surgery might be required. This will support the tissue and prevent it from recurring.
- PROCEDURE NAME : Laser Treatment for Piles
- SURGERY TYPE: Minimally Invasive LASER
- HOSPITALIZATION: HOSPITALIZATION
- SURGERY DURATION: 30 minutes
- ANAESTHESIA: Spinal Block / General Anaesthesia
- FULL RECOVERY: 3 - 4 days
TREATMENTS
Diagnosis
An anterior prolapse can be diagnosed by taking the patient’s medical history, performing a physical exam, etc. The medical professional will perform a pelvic exam on the patient and observe the vagina and the inside of the pelvis. The health care professional might also conduct tests such as; urodynamics to measure how the bladder can hold and release urine. A cystoscopy might be done to check for any abnormalities.
Surgery
If it’s a mild case of anterior prolapse the patient can try medications and exercises. The patient will be asked to avoid lifting heavy weights or engaging in strenuous activities so that the prolapse is not worsened. In a minor prolapse, kegal exercises will suffice to fix it. The pelvic floor muscles will be strengthened using kegel exercises. Kegal exercise can be done anywhere. Vaginal pessaries are also used to treat an anterior prolapse. A vaginal pessary is a device made of rubber that fits under or around the bladder. The bladder can be held in place with the help of this device. The pessary, on the other hand, must be cleaned on a regular basis and removed before sexual activity. Surgical options include reconstructive surgery to position the bladder into its original place. Anterior repair surgery is done in most cases. An incision is made in the vagina and the tissue that separated the bladder from the vagina is tightened. In severe cases of anterior prolapse, robotic laparoscopic surgery might be required. This will support the tissue and prevent it from recurring.
Causes
- Chronic constipation
- Nausia
- obesity
Symptoms
- Discomfort while sitting
- Painful bowel movements
- Swelling & Itching
- Excessive Bleeding
Frequently Asked Questions
What is an anterior prolapse?
Anterior prolapse is a condition that happens when the bladder drops down from its original position and pushes against the walls of the vagina.
What are the alternative treatments for anterior prolapse?
There are pelvic floor exercises, vaginal pessaries, and surgery to treat anterior prolapse.
Will there be difficulty in urinating if I have a prolapse?
Yes. You might encounter difficulties while urinating and will feel the need to go to the bathroom a lot.
What should I avoid if I have an anterior prolapse?
Avoid engaging in strenuous activities and putting pressure on the pelvic region.
Is there laparoscopic surgery for anterior prolapse?
Yes. In severe cases of anterior prolapse, robotic laparoscopic surgery might be required. This will support the tissue and prevent it from recurring.
