Cystocele is a condition in which the bladder protrudes into or out of the vagina. Sometimes this may be accompanied by a rectocele, that is, prolapse of the rectum. Patients describe it as a palpable swelling in the vagina, an egg-shaped swelling in the vagina. The reason is the weakness in the carrier layer consisting of muscles and fascia called the pelvic floor in the lower layer of the vagina. The most important reason for this weakness is the weakening of the collagen structure of the woman. This condition is usually associated with older age or excessive stretching of the vaginal canal during childbirth.
The first approach to relieve vaginal enlargement and cystocele-like sagging may be to do muscle strengthening exercises called Kegel exercises to strengthen the carrier structures. However, when the sagging progresses and becomes obvious, surgical correction is required.
Urinary bladder prolapse (cystocele) surgery is based on the principle of hanging the bladder back to its place and repairing the anterior wall of the vagina that carries the bladder. In the surgery, first of all, the vagina and bladder walls are separated from each other, then the bladder is hung up for sending it to its own place, and first the carrier fascia and then the vaginal wall are repaired and closed with self-dissolving sutures. The operation is performed vaginally and all stitches remain inside the vagina, no cuts or stitches are seen from the outside.
The entire operation takes about 45 minutes. After the surgery, a tampon is placed in the vagina, which will remain for a few hours.
Often you do not need to be hospitalized after this surgery, or you can stay overnight if you wish. You can put ice between your legs at intervals to prevent swelling and edema on the first day. You will have antibiotics and painkillers for you to use, and you will also use sterilizing batikon for dressing, especially after going in and out of the toilet. For the first few weeks after surgery, occasionally there may be a bloody and slightly odorous discharge.
Although the pain may last up to two weeks, you can return to work within 2-5 days after the procedure. At the end of 2 weeks, pain, bruising and swelling are usually completely gone. Full recovery takes up to a month. Avoid heavy lifting for the first month after surgery. If you are a person who normally does heavy lifting, is constipated and pushes all the time, please change this lifestyle because sagging is a recurring condition. We do not recommend doing intense exercises, yoga, pilates for a month and a half. Also, remember, there will be a one-month absolute ban on sexual intercourse.