Prolapsed Bladder (Cystocele)

What is prolapsed bladder?

When you have a prolapsed bladder, the structures supporting your pelvic organs (called the pelvic floor) weaken and cause part of your bladder to fall into the vagina. When part of the uterus drops into the vagina, it’s called uterine prolapse.

Prolapsed bladder symptoms

Common symptoms include:

• Pelvic pressure that may get worse when you stand or lift something
• A feeling of heaviness or fullness in your pelvic area
• A bulge in the vagina
• Lower back pain
• Unexpected bladder leaks, such as after you cough or laugh
• Problems inserting tampons or applicators

Prolapsed bladder diagnosis

At LVHN, you get access to the care you need quickly, thanks to our “centers of excellence” approach. You’ll be cared for by providers who subspecialize in treating your specific concern.

We may recommend sophisticated urodynamics tests that measure your bladder function or other tests that help us come to a precise diagnosis.

Prolapsed bladder treatments
Before developing a treatment plan, your provider will talk with you about what treatment options are available. At LVHN, you’re an active member of your care team, and we consider your preferences before moving forward in the treatment process.

We offer a full range of pelvic organ prolapse treatments, including:

• Behavior modification: Avoiding certain activities that require heavy lifting or straining may stop symptoms from getting worse.
• Estrogen replacement therapy: Women who have gone through menopause (or have had their ovaries surgically removed) may benefit from supplemental estrogen. Estrogen can help strengthen the muscles around the vagina and bladder, improving your symptoms.
• Pessary (support device): A stiff ring that is inserted into your vagina, this device holds up your bladder and helps prevent urine leaks.
• Pelvic floor therapy: Our physical therapists are trained to treat pelvic floor issues. They can help you maximize your function by strengthening and relaxing your pelvic muscles.
• Surgery: Surgery to move your bladder or uterus into a better position can permanently correct prolapse. Our surgeons, part of Lehigh Valley Institute for Surgical Excellence, have expertise in less-invasive techniques for pelvic floor disorders. For example, pelvic floor repair surgery using robotics technology offers reduced risks with exceptional results.