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Bladder, Prolapse

Bladder, Prolapse Causes

A prolapsed bladder may develop as a result of excessive straining, such as during childbirth, heavy lifting, or chronic constipation. Menopause has also been known to play a role, particularly as estrogen levels decrease. Older females who had given birth several times are more prone to this condition.

Bladder, Prolapse Definition

Bladder, prolapse (or, more appropriately, prolapsed bladder) is a condition affecting females wherein the wall separating the bladder from the vagina weakens and stretches, allowing the bladder to bulge into the vagina. This condition is also referred to as a cystocele.

Bladder, Prolapse Diagnosis

A pelvic exam is usually done to determine a prolapsed bladder. The presence of the characteristic bulge usually confirms the diagnosis.

Bladder, Prolapse Symptoms and Signs

In its milder form, a prolapsed bladder is asymptomatic. When symptoms do present, they usually include: a characteristic grapefruit-sized bulge of tissue protruding from the vaginal opening; sensation of fullness or pressure in the pelvis and vagina; increased discomfort when coughing, straining, or lifting; stress incontinence; recurrent bladder infections; as well as pain or urinary leakage during intercourse.

Bladder, Prolapse Treatment

Mild asymptomatic cases of prolapsed bladder do not require any treatment. In symptomatic patients who are resistant to standard self-care measures, the following are recommended: vaginal pessary; estrogen therapy; and in rare cases, vaginal repair through surgery.

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