Urogynecology

Cystocele

The term cystocele refers to the prolapse or descent of the bladder and is a very common condition in women who have given birth vaginally; it often also occurs after gynecological surgery.

A woman may feel a cystocele as a smooth bulge at the vaginal opening. Typically, a smaller cystocele does not cause problems, but with large cystoceles, the vaginal mucosa can rub against underwear, causing it to dry out and potentially bleed.

Sometimes, a cystocele can cause incomplete bladder emptying, leading to urine retention, which increases the risk of bladder inflammation (cystitis).

Treatment

Since this involves damage to the bladder’s support (fascia), functional treatment methods (Kegel exercises, magnetic chair stimulation) will not be effective.

Cystocele can only be corrected surgically. Most often, we opt for a procedure under local anesthesia, during which the bladder is lifted through the vagina using a special surgical technique. Sometimes, a mesh may be required to support the bladder lift, especially in cases of recurrent cystocele.

In the treatment of cystoceles, any vaginal laser treatment is completely ineffective!

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