A doctor usually performs surgery for a bladder prolapse, or cystocele, through an incision in the vaginal wall provided another existing condition does not require entry through the abdominal wall, according to WebMD. Because a urethral prolapse, or urethrocele, is also often present, the doctor repairs and removes the loose tissue in both the bladder and the urethra to strengthen the vaginal wall. Some pelvic organ prolapses are treatable with minimally invasive laparoscopic and robot-assisted surgeries, adds Mayo Clinic.
If a woman’s bladder prolapse causes incontinence, her doctor might recommend support for her urethra through the use of a sling or bladder neck suspension, notes Mayo Clinic. Bladder and urethra prolapse repair treats symptoms such as difficulty urinating and pain during intercourse, explains WebMD. The damage is usually caused by a vaginal birth, and while many women have some degree of prolapse, their symptoms are not severe enough to warrant surgical repair. In surgical candidates, while the procedure repairs the hernia caused by the weakened pelvic floor tissues, experts believe that up to 20 percent of these women may experience another prolapse.
Because the surgery only repairs the bulge and does not address the underlying weakened tissues, women can take steps to prevent a prolapse recurrence by strengthening the pelvic floor, losing weight and quitting smoking, advises Mayo Clinic. Treating chronic conditions that strain the pelvic floor, such as constipation and cough, is also helpful.