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Conservative Treatment for Cystocele (Bladder Prolapse)

From the Pelvic Floor Articles List

ideas to manage rectocele conservativelyHelp! My bladder has dropped but I don't want to have surgery. Are there conservative options I can try?


Your bladder has prolapsed and its becoming uncomfortable. You aren’t ready for surgery, but you need some relief. Thankfully, there are some options for you.

The pelvic organs can prolapse for a number of reasons, from genetics to lifting heavy objects. Obesity, menopause, and vaginal births can also be culprits. When the pelvic muscles are weakened or damaged, they can cause a cystocele, or dropped bladder. The more weakened your pelvic floor, the greater your prolapse may be.

What you can to treat your cystocele may depend on your symptoms and the severity of your prolapse. Alternatives to surgery are more apt to be successful for mild or moderate prolapse.

Here is a list of tips that can help you manage your mild or moderate cystocele without surgery. It can also a good idea to work with a urogynecologist, a specialist in both urology and gynecology.

Conservative Cystocele Treatment

  1. Watch and Wait:
    For very mild prolapse, you can take the watch and wait approach. Be sure to follow good hygiene and report any change in symptoms to your doctor.
  2. Limit Fluids: Reduce the liquids you drink, especially those which can act like a diuretic (caffeine, alcohol) and acidic juices which can make it hard to control your urge to urinate.
  3. Bladder Training: Go to the bathroom at an evenly spaced time throughout your day–set a timer to remind yourself–and be sure to completely empty your bladder.
  4. Kegel Exercises: Doing your Kegels will strengthen your pelvic floor, and a big advantage is that you can do them discreetly anywhere.
  5. Pelvic Floor Physical Therapy: A pelvic floor physical therapist can tailor a physical therapy plan just for you, teaching you how to do exercises that will strengthen your pelvic floor.
  6. Pessary: A vaginal pessary can be worn in the vagina to support the vaginal walls and hold your bladder in place.
  7. Vaginal Estrogen: Estrogen is needed for strong, healthy vaginal tissues, so using vaginal estrogen can help restore and strengthen those weakened tissues.

If your symptoms persistent or worsen, it is important to see your doctor. You can be at risk for further damage and pain, infection, inability to have sexual intercourse, and more. You may also find you have more success if you combine treatments. For example, using vaginal estrogen along with Kegels and limiting fluids.


This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

04-22-2016 - 12:26 PM


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