I Had Corrective Surgery for Prolapsed Bladder How Do I Know if My Bladder Has Dropped Again

• What Is Information technology?
  • Facts You lot Should Know Most Prolapsed Bladder
• Symptoms/Signs
  • What Are Signs and Symptoms of a Prolapsed Float?
• Causes
  • What Causes a Prolapsed Bladder?
• Treatment
  • When Should Someone Seek Medical Treat a Prolapsed Bladder?
  • What Are Treatments for a Prolapsed Bladder?
  • What Medications Treat a Prolapsed Bladder?
  • What Other Therapies Treat a Prolapsed Float?
  • How Often Should Someone Follow Upwardly With Their Doc After Treatment of a Prolapsed Bladder?
• Diagnosis
  • What Specialists Care for a Prolapsed Float?
  • What Exams and Tests Diagnose a Prolapsed Bladder?
• Surgery
  • When Is Surgery Needed for a Prolapsed Float?
  • What Is the Recovery Time After Surgery to Treat a Prolapsed Bladder?
• Prevention
  • Is It Possible to Prevent a Prolapsed Float?
• Prognosis
  • What Is the Prognosis of a Prolapsed Float?
• More Info
  • Where Can Someone Go More Data on Prolapsed Bladders?
• Guide
  • Prolapsed Bladder Topic Guide
  • Physician'south Notes on Prolapsed Bladder Symptoms

Facts You Should Know Nearly Prolapsed Bladder

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Line cartoon indicating the relationship between the kidney, ureters, and bladder

The bladder is a hollow organ in the pelvis that stores urine. The pressure created when the bladder fills with urine is what causes the urge to urinate. During urination, the urine travels from the bladder through the urethra out of the body.

In women, the front end wall of the vagina supports the float. This wall tin weaken or loosen with age. Pregnancy and childbirth as well as pelvic surgery such as a hysterectomy tin weaken this office of the vaginal wall, as well. If it deteriorates enough, the float tin prolapse, pregnant information technology is no longer supported adequately and descends into the vagina. This may trigger bug such as urinary difficulties, discomfort, and stress incontinence (urine leakage caused by sneezing, cough, exertion, etc.). Other organs can also prolapse into the vagina, including the uterus, the small-scale intestine, and the rectum (rectocele).

Prolapsed bladders (besides called cystoceles or fallen bladders) are separated into four grades based on how far the float droops into the vagina.

• Grade one (balmy): Only a small portion of the float droops into the vagina.
• Grade 2 (moderate): The bladder droops plenty to be able to achieve the opening of the vagina.
• Grade 3 (severe): The bladder protrudes from the body through the vaginal opening.
• Grade 4 (complete): The unabridged bladder protrudes completely outside the vagina; normally associated with other forms of pelvic organ prolapse (uterine prolapse, rectocele, enterocele).

Prolapsed bladders are usually associated with menopause. Prior to menopause, the ovaries produce the hormone called estrogen, which helps go on the vaginal tissues potent and salubrious. Afterward menopause, the tissues that support the vagina weaken.

Prolapsed bladder is common -- approximately forty% of women over 50 years of historic period will have pelvic organ prolapse, and approximately x% volition require surgery for pelvic organ prolapse and urinary incontinence (leakage of urine).

What Are Signs and Symptoms of a Prolapsed Bladder?

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The first symptom that women with a prolapsed bladder ordinarily notice is a feeling of pressure in the vagina or bladder.

Other symptoms of a prolapsed float include the following:

• Discomfort or pain in the pelvis, lower abdomen, and when sitting
• Tissue protruding from the vagina (The tissue may exist tender and may bleed.)
• Palpable bulge in the vagina
• Difficulty urinating
• A feeling that the bladder is non empty immediately after urinating (incomplete voiding)
• Stress incontinence (urine leakage during sneezing, cough, exertion, etc.)
• More frequent float infections
• Painful intercourse (dyspareunia)
• Incontinence during intercourse
• Low dorsum pain

Some women may not feel or observe symptoms from a mild (form one) prolapsed bladder.

What Causes a Prolapsed Float?

Factors commonly associated with causing a prolapsed float are those that weaken the pelvic floor muscles and ligaments that support the bladder, urethra, uterus, and rectum, which can atomic number 82 to detachment from the ligaments or pelvic bone where the muscles adhere:

• Pregnancy and childbirth: This is the nigh mutual cause of a prolapsed bladder. The commitment procedure is stressful on the vaginal tissues and muscles, which support a adult female's bladder.
• Aging tin can lead to weakening of the muscles.
• Menopause: Estrogen, a hormone that helps maintain the strength and wellness of supporting tissues in the vagina, is not produced after menopause.
• Previous pelvic surgery: such as hysterectomy (removal of the uterus)
• Other risk factors that increment the pressure within the abdomen, leading to increased pressure on the pelvic floor muscles include chronic obstructive pulmonary disease (COPD), obesity, constipation, and heavy manual labor (for example, heavy lifting and straining).

SLIDESHOW

Urinary Incontinence in Women: Types, Causes, and Treatments for Bladder Command Run across Slideshow

When Should Someone Seek Medical Care for a Prolapsed Bladder?

• Any adult female who notices symptoms of a prolapsed float should contact her doctor.
• A prolapsed bladder is commonly associated with prolapses of other organs within in a woman'southward pelvis. Thus, timely medical intendance is recommended to evaluate for and to prevent problematic symptoms and complications caused past weakening tissue and muscle in the vagina.
• Prolapsed organs cannot heal themselves, and may worsen over time.
• Several treatments are available to correct a prolapsed bladder.

What Specialists Treat a Prolapsed Float?

• Bladder prolapse is often treated by urologists and urogynecologists, but physical therapists also treat bladder prolapse.

What Exams and Tests Diagnose a Prolapsed Bladder?

An exam of the female person genitalia and pelvis is usually required in diagnosing a prolapsed bladder. Seeing the bladder jutting into the vagina on examination is diagnostic. In addition, yous will be asked to strain/coughing/acquit downwards to decide the extent of the bladder prolapse, likewise equally decide if you have urinary leakage with increased pressure (stress urinary incontinence).

For less obvious cases, the dr. may employ a voiding cystourethrogram to assistance with the diagnosis. During the voiding cystourethrogram, a catheter is placed into the bladder through the urethra. The bladder is emptied so a sterile dissimilarity (dye) is passed through the catheter into the bladder until the float is full enough to void. A series of X-ray films and so are taken during bladder filling and during urination. These Ten-ray films help the medico determine the shape of the bladder and the cause of urinary difficulty. The doctor may also exam or have 10-ray films of unlike parts in the belly to rule out other possible causes of discomfort or urinary difficulty.

Subsequently diagnosis, the medico may exam the nerves, muscles, and the intensity of the urine stream to help determine what type of treatment is appropriate.

A test called urodynamics or video urodynamics may be performed at the doctor's discretion. Urodynamics measures pressure and volume relationships in the bladder and tin too appraise the function of the urethra and may be crucial in the decision-making of the urologist/urogynecologist.

Cystoscopy (looking into the float with a scope) may also be performed to place treatment options. This test is usually an outpatient office procedure. Cystoscopy has few and commonly small risks and is tolerable for the vast bulk of people.

What Are Treatments for a Prolapsed Bladder?

Nonsurgical Treatment

Nonsurgical treatment consists of bourgeois management and the use of mechanical devices.

Behavioral therapy and pelvic floor muscle exercise (PFME/Kegel) are conservative therapies for management of bladder prolapse. The goal of conservative handling is the reduction of symptoms, prevention of worsening pelvic organ prolapse, increased support of the pelvic floor musculature, and avoiding or delaying surgery. Behavioral therapy includes reducing risk factors such equally treating constipation, weight loss if obese, and discontinuing smoking if COPD/coughing, etc. PFME are muscle exercises to strengthen the pelvic floor muscles. The contractions should be held for two to 10 seconds and should exist performed regularly several times per solar day. A fix of ten sustained contractions for a duration of nigh 20 minutes should be performed ii to three times per day. This course of therapy is suitable for balmy to moderate pelvic organ prolapse.

Mechanical devices: Pessaries are more commonly used in individuals who are also sick to have surgery or who reject surgery. If the vagina is too broad or too brusk, the pessary may not fit well. As well i must be able to insert and remove the pessary to be able to employ it. Studies have shown that if the pessary fits well, more than than one-half of people will keep to apply information technology for at to the lowest degree a year. Complications of a pessary include erosion of the pessary into the vagina, pain in the pelvis, vaginal discharge, stress urinary incontinence, troubles with urination, and bowel movements. The utilise of a pessary appears to be less costly compared to pelvic floor muscle exercises when a good fit for the pessary can be achieved.

When Is Surgery Needed for a Prolapsed Bladder?

Severe prolapsed bladders that cannot be managed with a pessary and/or behavioral therapy usually crave surgery to right them. There are several dissimilar types of surgery depending on the severity of the prolapse and whether or not other organs are afflicted.

• Prolapsed bladder surgery is normally performed through the vagina, and the goal is to secure the bladder in its correct position.
• The bladder is repaired with an incision in the vaginal wall.
• The prolapsed area is closed and the wall is strengthened. This may be washed primarily using one's own tissues or through the use of grafts, which may be biologic (using other tissues) or synthetic (for example, mesh).
• If one has stress urinary incontinence, this is likewise corrected.
• Depending on the procedure, surgery can exist performed while the adult female is under full general, regional, or local anesthesia. Well-nigh women are discharged home on the aforementioned day of surgery.
• Diverse materials have been used to strengthen pelvic weakness associated with prolapsed bladder. A surgeon should explain in detail the risks, benefits, and potential complications of these materials, and he or she should explain near the procedure itself before proceeding with the surgery. Complications related to surgery include, but are not limited to, bleeding, infection, pain, urinary incontinence, recurrent prolapse, troubles urinating, and injury to the float.
• The cost of surgical handling will vary with the procedure performed, the length of hospitalization, and the presence/absence of other medical conditions.
• After surgery, nigh women can expect to return to a normal level of activeness subsequently six weeks.

What Is the Recovery Time Afterwards Surgery to Treat a Prolapsed Float?

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After surgery, nearly women can wait to return to a normal level of action afterwards 6 weeks.

What Medications Care for a Prolapsed Float?

Estrogen replacement therapy may exist used to help the body strengthen the muscles in and effectually the vagina.

• Estrogen replacement therapy may be contraindicated (such as in a people with sure types of cancer or at run a risk for certain types of cancers). The ovaries finish producing estrogen naturally subsequently menopause, and the muscles of the vagina may weaken as a outcome.
• In mild cases of prolapsed float, estrogen may exist prescribed in an endeavor to contrary bladder prolapse symptoms, such as vaginal weakening and incontinence. For more than severe degrees of prolapse, estrogen replacement therapy may be used forth with other types of treatment.
• Estrogen can be administered orally equally a pill or topically as a patch or cream. The cream has very lilliputian systemic assimilation and has a potent outcome locally where it is applied.
• Topical assistants has less risk than the oral preparations.
• The application of estrogens to the anterior vagina and urethral area may be very helpful in alleviating urinary symptoms, such as urgency and frequency, even in the face of prolapsed bladder.

What Other Therapies Treat a Prolapsed Bladder?

Physical therapy such as electrical stimulation and biofeedback may be used to help identify and strengthen the muscles in the pelvis, specially in those individuals who fail to respond to pelvic floor musculus exercises on their ain.

• Electrical stimulation: A doc can employ a probe to targeted muscles within the vagina or on the pelvic flooring. The probe is fastened to a device that measures and delivers small electrical currents that contract the muscles. These contractions help strengthen the muscles. A less intrusive type of electrical stimulation is bachelor that magnetically stimulates the pudendal nerve from exterior the body. This activates the muscles of the pelvic floor and may aid treat incontinence.
• Biofeedback: A sensor is used to monitor muscle activity in the vagina and on the pelvic floor. The doctor can recommend exercises that can strengthen these muscles. These exercises may help strengthen the muscles to reverse or relieve some symptoms related to a prolapsed bladder. The sensor tin monitor the muscular contractions during the exercises, and the md may be able to determine if the targeted muscles would do good from the exercises.

How Often Should Someone Follow Up With Their Dr. After Treatment of a Prolapsed Bladder?

A adult female undergoing treatment should schedule follow-up visits with her doctor to evaluate progress. Pessaries need to be removed and cleaned at regular intervals to prevent infection.

Is It Possible to Prevent a Prolapsed Bladder?

• A loftier-fiber diet and a daily intake of plenty of fluids tin reduce a person'southward risk of developing constipation.
• Avoid straining during bowel movements, if possible.
• Women with long-term constipation should seek medical attending to lessen the gamble of developing a prolapsed float.
• If possible, avoid heavy lifting, as information technology is associated with prolapsed bladder.
• Obesity is a run a risk cistron for developing a prolapsed bladder.
• Weight loss may help prevent this condition from developing.

What Is the Prognosis of a Prolapsed Bladder?

• A prolapsed bladder is rarely a life-threatening condition.
• Most cases that are mild tin exist treated without surgery.
• The severe prolapsed bladders can be completely corrected with surgery.

From

Urologic Problems & Menopause

Prolapsed Bladder

• Urologic conditions that can occur around the time a woman goes through menopause include
  • bladder control problems,
  • bladder prolapse (descent of the bladder into the vagina due to weakening of the pelvic tissues), and
  • urinary tract infections.
• The level of estrogen in a adult female'south body decreases during menopause. The role this hormone plays in urologic dysfunction continues to be studied.

References

Club of Urodynamics, Female person Pelvic Medicine & Urogenital Reconstruction. "Female Pelvic Medicine and Reconstructive Surgery (FPMRS)." <http://sufuorg.com/about.aspx>.

Patient Comments & Reviews

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• Prolapsed Float - Symptoms and Signs

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• Prolapsed Float - Recovery Time

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