Women typically recover from the cystocele repair in about
4-6 weeks
. Women typically recover from the cystocele repair in about 4-6 weeks. They may resume their daily activities, including sexual intercourse, in about 4 weeks after the procedure.
Is cystocele surgery painful?
The most common postoperative symptom after paravaginal cystocele repair is
discomfort from the abdominal or laparoscopic incision(s)
. This should resolve over several weeks as you heal. The success for this procedure to correct the bulge is over 90 percent.
Is cystocele repair major surgery?
Cystocele (bladder prolapse) repair is major surgery
. Yes, cystocele (bladder prolapse) repair is major surgery. Even if your surgery is done through a less invasive way, surgeries to repair prolapse tend to be major surgery.
How successful is cystocele surgery?
The anatomic success rate of cystocele repair was
75/79 (94.9%)
and a highly significant improvement was noted for symptoms and on quality of life questionnaires.
How serious is cystocele?
A cystocele may put pressure on or lead to a kink in the urethra and cause urinary retention, a condition in which you are unable to empty all the urine from your bladder.
In rare cases, a cystocele may result in a kink in the ureters and cause urine to build up in the kidney, which can lead to kidney damage
.
Is a pessary better than surgery?
Although
POP surgery has several advantages over pessary treatment, the risk of complications is higher and it might be less cost-effective
. Since previous studies have shown promising results with pessary treatment, it might be an equivalent option in the treatment of POP, probably with less risk and lower cost.
How long do bladder lifts last?
Bladder suspension surgery works well to treat stress incontinence in most cases. Success rates for open retropubic suspension surgery range from 85%-90%. But, the effects do not last forever. Symptoms can return over time,
usually after five years
.
What does a cystocele feel like to touch?
Symptoms of cystocele include: Feeling of pelvic heaviness or fullness. Bulge in the vagina that you can feel.
Aching or a feeling of pressure in the lower belly or pelvis
.
What can I use instead of a pessary?
Nonsurgical options include lifestyle changes, such as
kegel exercises
, and vaginal pessaries. Surgical options include implanting surgical mesh or as a last resort, having a hysterectomy.
How painful is prolapse surgery?
Usually the graft is anchored to the muscles of the pelvic floor. Generally this surgery is
not very painful
. You may feel as if you have been ‘riding on a horseback’. You will have some discomfort and pain, so please do not hesitate to take pain medication.
How long is hospital stay after prolapse surgery?
Most women stay in hospital for
one, two or three nights
. It is MOST important to rest after the operation and allow the area to heal.
What is the success rate of bladder prolapse surgery?
Approximately
94%
achieved surgical success when it was defined as the absence of prolapse beyond the hymen. Subjective cure (absence of bulge symptoms) occurred in 92.1% while absence of re-treatment occurred in 97.2% of participants.
What are the risks of cystocele surgery?
The risks of the procedure are those general risks of any major pelvic surgery, which include
the risks of an anesthetic, the risk of blood clots, as well as infection and bleeding
. Other possible complications are injury to the bladder, urethra, bowel, ureters, blood vessels and nerves.
Is prolapse surgery a major surgery?
Vaginal prolapse surgery is a major surgery
with serious risks and potential complications. You may have less invasive treatment options depending on your circumstances.
What is the best treatment for cystocele?
- Kegel exercises (pelvic floor strengthening exercises)
- Physical therapy.
- Vaginal pessary (a vaginal support device)
- Medications such as estrogen replacement therapy.
Can you push a prolapsed bladder back into place?
If you or your child has a rectal prolapse,
you may be able to push the prolapse back into place as soon as it occurs
. Your doctor will let you know if this is okay to do.
Can cystocele heal itself?
Prolapsed organs
cannot heal themselves
, and most worsen over time.
Can you heal a cystocele?
A cystocele repair is a surgery to put your bladder back in its normal place
. Your surgeon will fix the wall between your bladder and vagina to keep your bladder from moving again.
What is the downside of a pessary?
There are sometimes mild side effects from pessary use, such as
vaginal irritation, foul-smelling discharge, and urinary tract infections
. However, because the pessary is removable, any side effects experienced can usually be corrected quickly.
What are the disadvantages of a pessary?
Because pessaries push against the lining of the vagina, they can
irritate the mucous membranes there and even lead to pressure sores
. These cause symptoms such as pain and bleeding. Pessaries can also lead to problems with bowel movements or increase the likelihood of vaginal infections.
What are the side effects of a pessary?
Common side effects include
vaginal discharge and odor
. Serious complications from pessaries are rare; however, vesicovaginal fistula, rectovaginal fistula, erosion, and subsequent impaction have all been reported.
How painful is a bladder lift?
You may feel some pain or cramping in your lower abdomen
and may need to take pain medications for 1 or 2 weeks. Most people fully recover from this procedure in about 6 weeks. As with any surgery, bladder lift surgery comes with some risks.
Is bladder suspension surgery painful?
You will probably feel some pain or cramping in your lower belly
and need pain medicine for a week or two. You may feel like you need to urinate more often, and your urine may be pink. This usually gets better 1 to 2 weeks after surgery. You will have a tube (catheter) in place to drain urine from your bladder.
How long is recovery for bladder surgery?
Many people can return to work or their usual activities 4 to 6 weeks after surgery. But you will probably need
6 to 8 weeks
to fully recover from the surgery. Bladder cancer surgery may affect sexual function.
Which pessary is best for cystocele?
In patients with a mild cystocele, treatment using a ring with support, a dish with support, a Hodge with support or a donut pessary will suffice. To manage a large prolapse of the anterior vaginal wall, the
Gellhorn pessary
may be the best choice, although insertion and removal can be difficult.
Is cystocele a cause of urinary tract infections?
Defects at any of these levels, and usually a combination of two or all three of them, result in typical anterior compartment prolapse (cystocele), which
may predispose to UTIs
.
What is grade2 cystocele?
There are three grades of cystocele: Grade 1 (mild): The bladder drops only a short way into the vagina. Grade 2 (moderate):
The bladder drops to the opening of the vagina
. Grade 3 (severe): The bladder bulges through the opening of the vagina.
