Anterior vaginal prolapse (cystocele)

Anterior vaginal prolapse (cystocele)

Anterior vaginal prolapse is the weakening of the supportive tissue between the bladder & the vaginal wall. This results in stretching of the tissue and eventual bulging of the bladder into the vaginal cavity, also known as a prolapsed bladder and cystocele. Treatment for a mild anterior vaginal prolapse, conservative non-surgical treatment is used; while, severe cases of cystocele require a surgical intervention.

Typically, there is an excessive strain on the vaginal muscles supporting the pelvic organs during vaginal childbirth or by chronic constipation. It may also occur with heavy lifting, violent cough and other similar events. In some cases, anterior prolapse also tends to cause problems after menopause, when the levels of oestrogen decrease in the body.

Symptoms of Anterior Vaginal Prolapse

  • Discomfort while coughing
  • Frequent bladder infections
  • Painful intercourse
  • Incomplete bladder voiding
  • Excessive pressure on vagina or pelvis
Causes of Anterior Vaginal Prolapse

  • Vaginal childbirth
  • Obesity & weight gain
  • Frequent heavy lifting
  • Chronic cough
  • Straining during bowel movement

Anterior vaginal prolapse can be prevented with regular practice of Kegel exercises to strengthen the pelvic floor, this is specially recommended after childbirth. Consumption of high-fibre foods is also recommended as a treatment for frequent constipation, while avoiding lifting of heavy weights is recommended. And if required, they must be lifted in the right manner & posture.

Risks of Anterior Vaginal Prolapse

  • Childbirth
  • Increasing age
  • Hysterectomy
  • Excessive weight gain
  • Weakened vaginal muscles