A bladder is a hollow organ that stores urine and is located in the pelvic region. As the urine fills the bladder, the pressure caused by it develops the urge to urinate and the urine flows out from the bladder, and eventually, the body through the urethra.
In women, the bladder is supported by the front vaginal wall. Due to various reasons (childbirth, age, etc) this vaginal wall tends to get weakened or loose. This weakened vaginal wall causes the bladder to descend into the vagina and cause various complications, such as:
- Urinary difficulties
- Stress incontinence
Types of Bladder Prolapse
The severity of the prolapse is basically categorized into:
- Grade 1 (Mild) – in this only a small part of the bladder descends into the vagina
- Grade 2 (Moderate) – The bladder descends low enough to reach the vaginal opening
- Grade 3 (Severe) – the bladder can be seen protruding out of the vaginal opening
- Grade 4 (Complete) – The bladder protrudes completely out of the vagina and is also followed with extensive pelvic prolapse
This condition is usually associated with the onset of menopause. Before menopause, a woman’s body produces the female hormone ‘estrogen’ which is helpful in maintaining the strength of the vaginal muscles and can support the bladder sufficiently. However, as the production of estrogen in the body stops the vaginal muscles tend to become weak gradually.
Causes of Prolapsed Bladder
These are the factors that are mostly associated with causing a prolapsed bladder:
- Childbirth – As the delivery process is stressful on the vagina and its muscles and tissues, frequent childbirths, or a particularly strenuous childbirth can cause the vaginal muscles to weaken and the bladder to descend into the vagina.
- Menopause – As menopause halts the production of the female hormone ‘estrogen’, the vaginal muscles start to lose their strength and the bladder can prolapse eventually.
- Straining – Heavy physical activities such as lifting heavy objects, putting stress during bowel movements as well as having prolonged coughing fits and constipation can cause damage to the pelvic floor.
Signs and Symptoms of Prolapsed Bladder
The most beginning sign of a prolapsed bladder in women is the presence of extra tissue in the vagina.
Other common symptoms include:
- Pelvic pain/discomfort
- Tissue protruding from the vagina
- Urination problems
- Incomplete voiding
- Stress incontinence
- Frequent bladder infections
- Painful intercourse
- Lower back ache
Diagnosing a Prolapsed Bladder
The most basic diagnostic test for a suspected case of prolapsed bladder is a pelvic exam which is used to examine the female pelvic region and the genitalia.
The doctor may also advise a cystourethrogram, which is a series of x-ray images taken during urination. This assists in searching for inconsistencies in the bladder and the urethra.
Abdominal x-rays might also be recommended to rule out other possible causes, such as injuries to the abdomen.
Cystoscopy, a minimally invasive diagnostic imaging test, uses a small tube attached with a video camera which is inserted into the bladder through the vaginal opening and into the bladder to view the detailed image on the video monitor.
Prolapsed Bladder Surgery Procedure
Grade 1 and Grade 2 prolapsed bladders are usually successfully treated with the use of non-surgical treatments such as estrogen therapy or medications. However, the more severe form of prolapsed bladders needs surgical intervention to correct them.
The surgery is performed through the vaginal opening and the aim of the procedure is to secure the bladder to its natural position. The surgeon is required to make an incision in the vaginal wall to push the bladder back into its normal place. The surgeon will then close the prolapsed area and strengthen the wall.
There are various choices of materials that can be used as support to strengthen the weakened vaginal wall.
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Recovery After Prolapsed Bladder Surgery
A prolapsed bladder surgery for mild and moderate (Grade 1 and Grade 2) prolapse is usually performed as an outpatient procedure and the patient is allowed to go home the very day. However, patients with severe prolapse bladder surgery are able to leave the hospital in a couple of days after the pelvic soreness wears off. Normal daily activities can be resumed usually after 4-6 weeks, however, straining activities should be avoided for the next six months.
Prolapsed Bladder Surgery in India
India is known for its vast network of global-standard healthcare facilities and the multi-specialty hospitals that cover all its major cities such as Delhi, Mumbai, Bangalore, Kolkata, etc. These healthcare facilities are equipped with the most modern and efficient medical equipments to allow the highly-experienced doctors to perform successful treatments. Travcure offer each of its patient with a truly bespoke treatment package for prolapsed bladder surgery in India that is most efficient and less expensive as compared to others.