Anterior Vaginal Prolapse or Cystocele: Causes and Treatment.

Anterior Vaginal Prolapse or Cystocele: Causes and Treatment

Anterior vaginal prolapse, or cystocele, is a condition in which the bladder moves down from its usual position and puts pressure on the vaginal wall . This is caused by stretching and weakening of the supporting tissue in the area.

There are no data on the number of patients with anterior vaginal prolapse. This is because many people do not experience symptoms or do not consult a doctor. However, it is estimated that more than half of women who give birth have some degree of anterior vaginal prolapse.

This condition is also known as anterior vaginal wall prolapse, prolapsed bladder. In this article, we will focus on the causes and treatment of anterior vaginal prolapse.

anterior vaginal prolapse

The pelvic organs are the bladder, uterus and intestines, all held in place by the muscles and connective tissue of the pelvic floor.

When these muscles and tissues fail to do their job, the bladder displaces and the  bladder itself begins to press against the anterior vaginal wall, resulting in an anterior vaginal prolapse or cystocele.

The symptoms put pressure on the pelvis and sometimes produce a vaginal lump, but the patient may not be aware of it. There are also problems such as difficulty urinating, urinary frequency, feeling of residual urine or urinary incontinence.

anterior vaginal prolapse urinary incontinence
Anterior vaginal prolapse increases pelvic pressure, making it difficult to hold urine.

Causes of anterior vaginal prolapse

Anterior vaginal prolapse occurs when the muscles, tendons, and tissues that hold the bladder in place are stretched or weakened. What causes it?

Aging can be the cause, but with age, muscles and tendons weaken. However, it can occur at any age due to chronic tension or trauma.

The most common cause is childbirth, and it also occurs in people with frequent constipation or chronic cough.

It can also occur after pelvic area surgery . It also appears in people with underlying conditions such as Ehlers-Danlos syndrome .

risk factor

The main risk factors for developing anterior vaginal prolapse are:

nonsurgical treatment

If anterior vaginal prolapse is mild, no special approach may be required . Factors such as age, general health, severity of condition, fertility plan, and sexual activity are considered to determine the best treatment.

Conservative, non-invasive treatments such as pelvic floor exercises and the use of a vaginal pessary may be an option.

pelvic floor exercises

Kegel exercises aimed at strengthening the pelvic floor muscles are famous . It is an exercise that contracts and relaxes the muscles in the affected area, and is repeated about 10 times a day.

A physical therapist or doctor can tell you how to do it right.

vaginal pessary

A pessary is a rubber or plastic ring that is inserted into the vagina to support the vaginal wall and supports the  bladder.

A vaginal pessary that does not cure anterior vaginal prolapse but relieves symptoms requires periodic management.

Anterior Vaginal Prolapse Kegel Exercises
Kegel exercises are effective in reducing the effects of urinary incontinence and vaginal prolapse.

Surgical treatment of anterior vaginal prolapse

Surgery should be considered if nonsurgical treatment is ineffective or if the condition is very severe  . The procedure may be surgical, urinary sling placement, or both.

Anterior Vaginal Prolapse Surgery

Also called anterior vaginoplasty, the goal is to return the bladder to its normal position .

Also tighten the involved muscle and tissue with the needle to prevent further displacement. Urinary incontinence can also be corrected with the same procedure.

Urethral Sling Placement Surgery

This is another option for correcting an anterior vaginal prolapse. A piece of mesh is placed around the urethra and the end is connected to the pubic bone. The mesh is permanent and its purpose is to return the bladder to its original position and prevent migration.

Prevention of anterior vaginal prolapse

Anterior vaginal prolapse cannot be prevented, but you can take some steps to reduce your risk. The most effective are the Kegel exercises, which all women should practice often.

In addition, it is good to maintain an appropriate weight, control chronic cough and constipation, and lift heavy objects with the correct posture. Surgery corrects anterior vaginal prolapse, but it may recur.

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