Cystocele

Your pelvic floor consists of a sheet of muscles and ligaments that support your bladder, uterus, colon and small intestine organs that fill your pelvic cavity. A cystocele may result from muscle straining during childbirth , heavy lifting or repeated straining during bowel movements . Because the hormone estrogen helps keep the muscles, cystocele is more common after menopause when levels of estrogen decrease. In both conditions, the walls of the weaken so they are not strong enough to support a separation. Other kinds of straining such as heavy lifting or repeated straining during bowel movements may also cause the bladder to fall When women go through menopause (when they stop having periods). It may also occur after menopause, when estrogen which helps keep pelvic muscles strong decreases. Sphincter weakness may occur in men following prostate surgery or in women after pelvic surgery. If a cystocele is not bothersome, the doctor may only recommend avoiding heavy lifting or straining that could cause the cystocele to worsen Stress urinary incontinence is the most common type of urinary incontinence in women. Risk factors for stress incontinence include female, advancing age, childbirth, smoking, and obesity. The patient should be prepared to stay in the hospital for several days and take 4 to 6 weeks to recover fully. In more severe cases, surgery may be necessary to keep the and other pelvic organs in their proper positions.

Stress incontinence is an involuntary loss of urine that occurs during physical activity, such as coughing, sneezing, laughing, or exercise. Stress incontinence may occur as a result of weakened pelvic muscles that support the bladder and urethra, or because of malfunction of the urethral sphincter. This x ray shows the shape of the bladder and lets the doctor see any problems that might block the normal flow of urine A cystocele may occur from excessive straining, such as during childbirth, chronic constipation or heavy lifting. Pessaries come in a variety of shapes and sizes to allow the doctor to find the most comfortable fit for the patient. Pessaries must be removed regularly to avoid infection or ulcers. Sphincter weakness may occur in men following prostate surgery or in women after pelvic surgery. Treatment options range from no treatment for a mild cystocele to surgery for a serious cystocele. Stress incontinence is often seen in women who have had multiple pregnancies and childbirths, or who have pelvic prolapse, with cystocele, cystourethrocele, or rectocele. Pessaries must be removed regularly to avoid infection or ulcers . This operation may be performed by a gynecologist , a urologist , or a urogynecologist .

Causes of Cystocele

Common causes of Cystocele :

• Strain from lifting heavy objects
• repeated straining during bowel movements
• Normally during the filling and storage phase, the bladder begins to fill with urine from the kidneys.
• Chronic constipation
• The weakness may be caused by prior injury to the urethral area, neurological injury, some medications, or after surgery of the prostate or pelvic area.
• Straining with bowel movements

Symptoms of Cystocele

Some common symptoms of Cystocele :

• loss of urine when you cough, sneeze, laugh, or lift
• Incomplete bladder emptying after urination
• A feeling that you haven't completely emptied your bladder after urinating.
• Increased discomfort when you strain, cough, bear down or lift.
• Standing
• Exercising
• Coughing

Treatment of Cystocele

Some important treatment points to be remember are :

• your tolerance for specific medications, procedures, or therapies
• Treatment with medications tends to be more successful in patients with mild-to-moderate stress incontinence.
• expectations for the course of the disease
• Medication
• Surgery
• Constipation can worsen urinary incontinence , so dietary or medical treatments to help keep regular bowel habits are recommended.

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