Something certain about the human body is that it keeps troubling you every now and then, if not cared for properly. Anterior Prolapse(cystocele) is one such medical situation that can tap the doors of your body unhesitatingly. Nonetheless, the improvements in medical science have made it possible to diagnose cystocele and cure it.
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What is Anterior Prolapse (cystocele)?
Medicos determine the severity of the problem with the help of the Baden-Walker system, which has outlined five stages of protrusion:
- ● No Prolapse
- ● Bladder reaches halfway to the hymen
- ● Reaches the hymen
- ● Halfway past the hymen
- ● Complete protrusion
What Causes Anterior Prolapse (cystocele)?
- ● Childbirth/ Vaginal delivery
- ● Obesity
- ● Heavy weight lifting
- ● Chronic Cough
- ● Heavy breathing problems
- ● Constipation
- ● Practising pelvic exercises incorrectly
- ● Estrogen deficiency
- ● Surgical removal of the uterus, also called Hysterectomy
- ● Family History
- ● Congenital disability in which there is incomplete closing of the spine
Other health conditions that make Anterior Prolapse ( Cystocele) more likely are :
- ● Joint Hypermobility Syndrome – Having very flexible joints which often leads to pain
- ● Disorder of the body’s connective tissues
- ● Ehlers-Danlos Syndromes – These are rare inherited diseases that affect connective tissues.
What are the symptoms of Anterior Prolapse (cystocele)?
- ● Involuntary urination, i.e., you might face frequent leakage of urine, or you may even feel that bladder is not getting emptied properly
- ● A constant feeling that something is falling out of the vagina
- ● A sensation of heaviness around your genitals
- ● Seeing a lump coming out of the vagina
- ● Painful sexual intercourse
- ● Pelvic pain
- ● Bleeding, in some cases
Though it is not life-threatening, it can turn into it if not diagnosed timely and can even lead to further complications such as urinary tract infections due to retention of urine in the bladder or even kidney damage; in the worst scenario, it tends to affect your life adversely as you might start avoiding social gatherings due to the fear of urinary incontinence.
How is Anterior Prolapse (cystocele) diagnosed?
How is Anterior Prolapse (cystocele) treated?
Non- Surgical treatment include:
- ● Pelvic Exercises – If the doctor finds the condition mild, he may recommend pelvic exercises to strengthen the muscles.
- ● You should increase the consumption of high fibre foods as they are supposed to ease bowel movements.
- ● Intravaginal administration of estrogen
- ● A device called a Pessary might be inserted into the vagina so that it prevents the bladder from invading the space of the vaginal canal
- In case Anterior Prolapse (cystocele) has reached extreme levels, you might have to undergo surgery, which depends on the level of damage caused to the vaginal wall.
You don’t need to worry if the situation is moderate. All you need to do is to exercise regularly and have a healthy fibrous diet. However, if the doctor has recommended surgery, you have all the reasons to be anxious. Additional surgeries may be required within 10 years of your first operation as the failure rate for cystocele repair remains high.
What are the risks associated with treatment for Anterior Prolapse (cystocele)?
- ● Side effects due to anaesthesia
- ● Difficulty in having sexual intercourse after the surgery
- ● Injuries in bladder or urethra
- ● Infections that accompany the operation
- ● Intermittent Bleeding
- ● Urinary incontinence