Urologist
What is bladder prolapse?
The bladder and lower urinary tract are supported from below by tissues called the pelvic floor. In situations that cause increased pressure in the abdomen, such as standing up from a sitting or lying position, coughing, or lifting something heavy, this pressure increase is reflected in the bladder and urethra in the same amount. Since the same amount of pressure is reflected in the bladder and urethra and the supporting tissue is intact, the urinary tract and bladder do not sag. If there is a weakening in the tissue supporting the bladder from below, the increased intra-abdominal pressure reflected in the bladder will cause the bladder to sag.
1. Conservative Treatments
Used for mild to moderate prolapse.
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Pelvic floor exercises (Kegel exercises): Strengthen pelvic muscles and alleviate symptoms.
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Pessary use: A silicone device inserted into the vagina to support the bladder and prevent prolapse.
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Lifestyle changes:
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Prevent constipation (fiber-rich diet and adequate hydration).
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Weight management.
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Avoid heavy lifting.
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2. Medications
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Estrogen creams or vaginal tablets: Used in postmenopausal women to strengthen vaginal tissues and reduce symptoms.
What are the surgical treatments of bladder prolapse?
For severe prolapse or cases where conservative treatments fail.
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Vaginal surgery: Repairs bladder prolapse and strengthens the vaginal wall. For example:
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Anterior colporrhaphy: Surgical repair of the anterior vaginal wall.
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Laparoscopic or robotic surgery: Minimally invasive procedures to restore pelvic organ position.
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Mesh application: Use of synthetic material to support the pelvic floor (limited due to potential complications in some cases).
Treatment is individualized based on:
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The severity of prolapse.
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The patient’s age and overall health.
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Future pregnancy plans.
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The impact of symptoms on quality of life.
