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Fallen Bladder - Cystocele


Treatment & Monitoring

What are the treatments for the disease?

Treatment of a cystocele is aimed at reducing symptoms. These measures may help:

  • avoiding straining during bowel movements or heavy lifting
  • doing Kegel exercises to strengthen the muscles supporting the bladder and vagina
  • using a pessary, which is a device fitted into the vagina to hold the bladder in place
  • taking hormone replacement therapy, or HRT, for postmenopausal women, which may help to strengthen the muscles around the vagina and bladder
  • surgery for severe or persistent symptoms, or for a progressive cystocele. The goal of the surgery is to move the bladder back into its normal position and hold it there.
  • What are the side effects of the treatments?

    Side effects that can occur with hormone replacement therapy include vaginal bleeding, breast tenderness, weight gain, abdominal bloating, and headaches. Surgery carries a risk of bleeding, infection, and allergic reactions to anesthesia.

    What happens after treatment for the disease?

    Treatment outcomes vary with the methods used to manage the cystocele. For example, the treatment of mild symptoms might include long-term activity restrictions, such as the avoidance of straining and heavy lifting. A pessary must be removed regularly to avoid infection or irritation of the lining of the vagina. Recovery from surgery may take a few days to several weeks, depending on the procedure used.

    How is the disease monitored?

    Any new or worsening symptoms should be reported to the healthcare provider.


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