The Symptoms of a Cystocele

Cystocele is a common condition that can easily be treated by one of our board-certified urologists. In this article, you’ll learn about its symptoms and the available treatment options. This condition is prevalent among women, and understanding its symptoms is crucial for seeking timely treatment.

At Urology of Greater Atlanta, our board-certified urologists are fully equipped to treat pelvic floor disorders, including cystocele and pelvic floor dysfunction. With multiple locations throughout Georgia, we offer convenient, expert care to help you manage and treat your condition effectively. Contact us today to schedule an appointment and take the first step towards better urological health!

What is Cystocele?

Cystocele is a condition that describes the bladder dropping into or sagging against the vaginal wall. It is also known as a prolapsed bladder or anterior vaginal prolapse.

A cystocele occurs when the pelvic floor muscles are weakened and can no longer provide sufficient support for the bladder. This dysfunction is a common condition in women.

The Types of Cystocele

The cystocele (prolapsed bladder) can be grouped into grades:

Grade 1

Mild cases. There is only a slight protruding of the bladder into the vagina.

Grade 2

Severe cases. The bladder has sunk deep into the vagina and has reached the vaginal opening.

Grade 3

Advanced cases. The bladder bulges out through the opening of the vagina.

The board-certified urologists at Urology of Greater Atlanta are fully qualified and have the experience necessary to diagnose a pelvic organ prolapse and determine the correct treatment option for you.

Weak pelvic floor muscles can also cause other organs to prolapse, including the rectum wall (rectocele) and small bowel (enterocele). If you feel that your bladder or any other pelvic organ has slipped out of place, please call or make an appointment online to speak to one of our experts.

What Causes Cystocele?

A cystocele can be caused by the following:

• Straining muscles during childbirth
• Repeated straining during bowel movements
• Chronic coughing
• Advancing age
• Being overweight
• Lifting heavy objects
• Previous pelvic surgery
• Weak muscles around the vagina caused by lack of estrogen after menopause

What Happens When You Have a Cystocele?

The following symptoms or a combination of symptoms may mean that you have a cystocele:

• Feeling heavy or full in the pelvic area
• A noticeable bulge in the vagina
• Needing to push organs back up into the vagina to empty the bladder or have a bowel movement
• Discomfort in the lower belly or pelvis
• Pelvic pressure that increases with standing, lifting, or coughing or as the day goes on
• Lower back pain
• Frequent urinary tract infections
• Urinary incontinence
• Frequent urination with urgency
• Incomplete emptying of the bladder
• Pain during sex
• Constipation
• Problems putting in tampons or vaginal applicators

To be certain, get a professional diagnosis through a pelvic exam.

When to See a Doctor

You are unlikely to experience pain with a cystocele. However, they can be uncomfortable to live with. You may struggle to empty your bladder fully, which may lead to bladder infections. 

You should make an appointment with one of our board-certified urologists at Urology of Greater Atlanta if you have symptoms that bother you or impact your daily activities.

How is a Cystocele Treated?

Treatment for a cystocele depends on the grade of the cystocele and may include the following:

• Activity changes: You may be asked to avoid certain activities, such as heavy lifting or straining during bowel movements, as these could cause the cystocele to worsen.
• Kegel exercises: Regular, daily pelvic floor muscle exercises may make them stronger.
• Vaginal pessary: A pessary is a small device placed in the vagina to help support the bladder.
• Surgical treatment: This may be used for more severe cases of bladder prolapse.
• Hormone replacement therapy: This treatment option is used to help strengthen the muscles around the vagina and bladder. Before choosing this option, there are some risks to consider, so it would be best to discuss them with your healthcare provider first.

How Can a Cystocele Be Prevented?

You can manage certain risk factors to help prevent a cystocele. Try the following to prevent a cystocele:

• Maintain a healthy weight: Consult with a healthcare provider to determine and achieve a healthy weight for your body.
• Prevent constipation: Eat a high-fiber diet, drink plenty of water, and exercise regularly to keep your digestive system functioning well.
• Protect your pelvic floor muscles during heavy physical activity: Avoid lifting heavy objects alone. When you do lift, use proper form by bending your hips and knees to squat, keeping your back straight, and avoiding twisting your torso.

Contact Urology of Greater Atlanta Today!

The team of board-certified urologists at Urology of Greater Atlanta can diagnose pelvic organ prolapse and offer you personalized treatments to keep your pelvic organs in place and relieve your symptoms. We provide comprehensive care, including pelvic floor exercises, to strengthen the muscles and prevent future issues.

Contact us today or make an appointment online for the expert urological care you deserve! With multiple locations throughout Georgia, our specialists are here to support your journey to better health and well-being.