“Anterior Prolapse”
Female | 53 years old
Complaint duration: 4 MONTHS
Medications: NONE
Conditions: ANTERIOR PROLAPSE (BLADDER)
16 Answers
Mitch Schuster MD, FACOG, FACS
G. Shabib
Rob Muller
This can be disruptive of quality of life not to mention the psychological and overly self consciousness challenge this places on the woman. Depending on the extent of the bulge, it can be managed conservatively or surgically. The 1st or 2nd degree condition could be manged with weight loss, Kegel exercises, and for women who are not sexually active, their gynecologist may recommend pessary device to help relieve the bulge.
Most 3rd and 4th degree conditions may require surgical procedure referred to as ANTERIOR REPAIR or as generally called "BLADDER LIFT". This does not require any artificial material such as the mesh but utilizes the patient's own tissue to re-enforce the vaginal- bladder layer. It is usually a same-day- procedure and may not require hospital stay.
This gives a more lasting solution with good prognosis in majority of cases.
Sexual intercourse may continue as long as it does not make the encounter uncomfortable for either partner. Chances the bladder may "burst" from a cystocele during intercourse is unlikely. The sooner you visit with your gynecologist to address this the better.
I will recommend you follow up with your gynecologist who will discuss the treatment options with you. Hope this helps. You may reach me at my website: pineridgeobgyn.com with any further question
Dr. Leslie-Brown
Take care!