Repair of cystocele
Under normal conditions in women, the bladder is held in place by a layer of tissues (fascia) between the bladder and uterus and cervix and supporting pelvic floor muscles. When these tissues are stretched and/or become weak, the bladder can drop and bulge through this layer and into the vagina. This results in bladder prolapse, also called cystocele. In severe cases, the prolapsed bladder can be seen and felt at the opening of the vagina. Sometimes it can even protrude (drop) through the vaginal opening.
How is the surgery done
Surgical repair of the cystocele is done by making an incision in the vaginal wall over the bulging bladder. The bladder is dissected off the vagina and from the uterus and cervix. Once freed, the bladder is replaced in position. The tissues (fascia) between the bladder and the vagina are strengthened by application of multiple sutures which also improves the tone of the vaginal walls. The cut edges of the vagina are repaired. All sutures absorb over time and do not removing. Surgical mesh and grafts are not used, since research suggests no benefit from these materials.
You’ll probably need to stay in hospital overnight or for a few days following surgery. You are likely to have a thin flexible tube, a urinary catheter, to help you pass urine as you may find it difficult to do that yourself. The catheter is removed 12 -24 hours later following which you should be able to pass urine satisfactorily.
You may also have a long piece of gauze placed inside the vagina to put pressure on the vaginal edges to help stop any bleeding. This can be uncomfortable and is removed after 12 hours.
For the first few days or weeks after the operation, you may have some vaginal bleeding or discharge, and during this time you would use sanitary towels and not tampons.
You should be able to have a shower and bathe as normal once you have left hospital, but you may need to avoid swimming for 6 weeks.
It’s best to avoid having sex for around 4 to 6 weeks, until you have healed completely.
Find the nearest location
Patient seen for : Dilation and Curettage
Dr Alak Pal was great. He made me feel comfortable and explained everything clearly, including next steps. Would recommend.
Patient seen for : Hysteroscopy
Very professional and helpful in explaining everything. Helped me make an informed decision with this vast knowledge.
Patient seen for : Total Abdominal Hysterectomy
From the initial appointment, surgery, aftercare and to my final appointment, Mr Pal was extremely professional and understanding to my particular medical circumstances. The entire abdominal hysterectomy procedure was extremely satisfactory. He spent time listening to any concerns that I had and explained clearly and simply the process surrounding the surgery. I would highly recommend him for anyone contemplating such a procedure. Additionally, post-surgical care and appointments were excellent too.
Fantastic doctor, very pleased with consultation. Thanks