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Pelvic Organ Prolapse: Surgery for Cystocele

Side view cross section of female lower abdomen and pelvis showing bladder, pubic bone, urethra, pelvic floor muscles, vagina, uterus, and rectum. Back wall of bladder is sagging and pressing on vagina.
Cystocele

Side view cross section of female lower abdomen and pelvis showing bladder, pubic bone, urethra, pelvic floor muscles, vagina, uterus, and rectum. Sutures in tissue between bladder and vagina hold bladder in place.
Anterior Repair

Outline of female pelvis with uterus and vagina visible. Small line indicates incision in vagina.
Incision made in the vaginal wall

Outline of female pelvis with lines in lower abdomen showing horizontal and vertical abdominal incisions.
Abdominal incisions

Cystocele occurs when the bladder prolapses (sags) into the vagina. The goal of surgery is to repair the problem. This will help relieve your symptoms. Your surgery may include one or more repairs.

The Surgical Procedure

Cystocele can be treated with an anterior repair. This type of surgery is done through the vagina. The sagging bladder is moved back into its normal position. Sutures (stitches) are placed in tissue between the bladder and the vagina. This helps hold the bladder in place. In some cases, another type of surgery is done. It can help correct weakness in the front wall of the vagina. The vagina is attached to strong tissues in the side wall of the pelvis.

Your Incisions

During surgery, the doctor will reach your pelvic organs through the vagina or the abdomen. An incision may be made in the vaginal wall. If an incision is made on the abdomen (lower belly), it may be vertical (up and down). Or, it may be transverse (across).

Possible Risks and Complications of this Surgery

  • Infection

  • Bleeding

  • Risks of anesthesia

  • Damage to nerves, muscles, or nearby pelvic structures.

  • Blood clots

  • Prolapse of the pelvic organ or organs occurring again

Author: StayWell Custom Communications
Last Annual Review Date: 1/15/2007
Copyright © The StayWell Company, LLC. except where otherwise noted.
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