A cystocele is the protrusion of the bladder (urinary bladder) into the vaginal wall. This condition often arises due to factors such as childbirth, aging, obesity, or heavy lifting. Cystoceles are more common in women and develop due to pelvic floor weakness.
The choice of treatment method for cystocele depends on the severity of the issue. Mild protrusions in this area may not always present symptoms. Moderate protrusions may cause a feeling of heaviness in the lower abdomen and can lead to pain and discomfort in the lower back and abdomen. Symptoms may worsen if one stands for extended periods. Pain may occur during sexual intercourse, and urinary incontinence may happen. In severe cases, the uterus may be visible from the outside, and there may be a sensation of a large mass in the vagina. The symptoms include: - Frequent urge to urinate throughout the day - Urinary incontinence when laughing, coughing, or sneezing - Urinary incontinence during sexual intercourse - Constant urge to urinate, similar to cystitis - Difficulty urinating - Recurring urinary tract infections - Feeling of incomplete urination - Protrusion of a mass from the vagina that can be seen - Protrusion of the vagina when lifting heavy objects, straining, or pushing - Pain and burning sensation during sexual intercourse - Constant need to urinate at night Cystocele can be easily diagnosed with a simple gynecological examination. The strength of the pelvic floor muscles is assessed, and the state of bladder prolapse during actions such as coughing or straining is evaluated.
The treatment method varies based on the patient's age, the progression of the condition, the individual's overall health, and whether they wish to become pregnant. Treatment can range from simple pelvic floor strengthening exercises to surgical interventions. - **Pessary Application**: A pessary is a silicone ring placed in the vagina to treat problems like urinary incontinence. It may be recommended in cases where surgery is not necessary. - **Estrogen Therapy**: This treatment method helps maintain strong pelvic floor muscles. It is especially ideal for women who have entered menopause and experience a decrease in estrogen levels. Surgery is another method used for cystocele treatment. The procedure can be performed vaginally under general or spinal anesthesia within a short duration of approximately 30 minutes. During the surgery, the tissues in the vagina are separated from the bladder, and the protruding parts are corrected. After the surgery, resting in the hospital for one day is sufficient. Performing the surgery after the menstrual period helps prevent the risk of infection.
After bladder prolapse surgery, patients should avoid sexual intercourse for about one month. Since there is a high risk of infection in humid areas like baths and pools, they should be avoided for 30 days. For the first few days post-surgery, contact with hot water should be minimized. After using the toilet, cleaning should always be done from front to back. Showers should not be taken for the first few days following the surgery. It is ideal to take standing showers after the operation. Washing in a bath, entering a pool, or taking a bath is not recommended.
Patients need a recovery process to return to their sexual lives after cystocele surgery. This period may vary depending on the type of surgery and the patient's overall health. Generally, doctors recommend avoiding sexual intercourse for about 6-8 weeks after surgery. During this time, the body heals, and patients develop stronger connective tissue. - **Cystocele Surgery and Sexual Intercourse**: After bladder prolapse surgery, patients need a recovery process to resume sexual activity. This period may vary based on the type of surgery and the patient's overall health. Typically, doctors recommend refraining from sexual intercourse for about 6-8 weeks after surgery. This allows the body to heal and for patients to develop stronger connective tissue. - **Important Considerations for Sexual Intercourse After Cystocele Surgery**: - **Follow Doctor's Advice**: It's essential to adhere to your doctor's recommendations during the recovery process. Your doctor will guide you on when to start sexual activity and which activities are appropriate. - **Watch for Sensitivity and Pain**: When you resume sexual activity, especially initially, sensitivity and pain may occur. In such cases, try changing positions or slow down the activity. If pain persists, consult your doctor. - **Use Lubricants**: Vaginal dryness may occur during the recovery period. Therefore, consider using a water-based lubricant before resuming sexual activity. This can help reduce discomfort. - **Be Patient**: It's important to be patient when returning to sexual activity after surgery. The recovery process and comfort during intercourse can vary from person to person. Over time, the quality and comfort of sexual activity will improve.
Bladder prolapse, also known as cystocele, is the condition where the bladder protrudes from its normal position in the body toward the vaginal wall. This condition is referred to as "cystocele" in the medical field. It is more frequently observed in women who have given birth and in the elderly. Cystocele surgery is a surgical procedure performed to correct this protrusion and restore the bladder to its original position. Cystocele surgery is a preferred method for treating cystocele. It is typically performed vaginally. During the surgery, the bladder is repositioned, extra tissues are removed, and the pelvic floor muscles are tightened. Cystocele surgery may also involve the removal of the uterus. This surgery can have long-lasting effects, but there is a possibility of recurrence. It is essential for the patient to decide whether they plan to become pregnant in the future before making a surgical decision. For more information, you can visit our clinic.
Patients' comments about bladder prolapse surgery generally reflect their experiences before and after the surgery and the recovery process. Here are some remarks: "I used to experience constant urinary leakage before the surgery, but after the operation, this issue disappeared. Although the recovery process was a bit challenging, it was worth it." "After my cystocele surgery, the biggest change I noticed was the reduction in pain while urinating. I can now urinate more comfortably." "My recovery took longer than expected due to some complications I experienced after surgery. However, by following my doctor's recommendations, I gradually improved." "Before my bladder prolapse surgery, I constantly felt the urge to urinate and had urgency. After the surgery, these issues significantly reduced, and my quality of life improved. I followed the exercise and diet program recommended by my doctor during the recovery process, which contributed to a faster and more comfortable recovery." "I had constant urinary incontinence issues before my bladder prolapse surgery, which greatly affected my social life. Seeing that this problem was completely resolved after the surgery was a huge relief for me. By carefully following my doctor's advice during the recovery process, I was able to return to my normal life more quickly." "Before my bladder prolapse surgery, I constantly experienced pain and discomfort. After the surgery, these pains decreased significantly, and my quality of life improved markedly. Thanks to the pain medications and physiotherapy sessions recommended by my doctor during the recovery process, I experienced a more comfortable and rapid recovery." "After my bladder prolapse surgery, although I faced some challenges in the first few weeks, I started to feel better over time. The significant reduction of the discomfort I experienced before the surgery made me think that the difficulties I faced during this process were worth it. Additionally, the support and attention from my doctor and nurses made my recovery process better."