Treatments for Cystocele

Treatment list for Cystocele: The list of treatments mentioned in various sources for Cystocele includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

• Watchful waiting - for mild conditions
• Pelvic floor exercises
• Vaginal ring pessary
• Surgery
• Estrogen replacement therapy - for post-menopausal women

Treatments of Cystocele discussion: Treatment options range from no treatment for a mild cystocele to surgery for a serious cystocele. If a cystocele is not bothersome, the doctor may only recommend avoiding heavy lifting or straining that could cause the cystocele to worsen. If symptoms are moderately bothersome, the doctor may recommend a pessary--a device placed in the vagina to hold the bladder in place. Pessaries come in a variety of shapes and sizes to allow the doctor to find the most comfortable fit for the patient. Pessaries must be removed regularly to avoid infection or ulcers.

Large cystoceles may require surgery to move the bladder back into a more normal position and keep it there. This operation may be performed by a gynecologist, a urologist, or a urogynecologist. The patient should be prepared to stay several days in the hospital and expect to take 4 to 6 weeks for a full return to a normal life.

Estrogen replacement therapy (ERT) may be recommended for postmenopausal women. This can help strengthen the muscles around the vagina and bladder. ERT may be used alone, with a pessary, or before and after surgery. The patient should be informed about advantages and possible risks of taking estrogen. ¹

Footnotes:
1. excerpt from Cystocele (Fallen Bladder): NIDDK

Last revision: May 26, 2003

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