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Pelvic Organ Prolapse: Surgery for Cystocele

Cutaway view of pelvis
Cystocele

Cutaway view of pelvis
Anterior Repair

Site of incision
Incision made in the vaginal wall

Site of incision
Abdominal incisions

Cystocele occurs when the bladder prolapses (sags) into the vagina. The goal of surgery is to repair the problem. This will help relieve your symptoms. Your surgery may include 1 or more repairs.

The surgical procedure

Cystocele can be treated with an anterior repair. This type of surgery is done through the vagina. The sagging bladder is moved back into its normal position. Sutures (stitches) are placed in tissue between the bladder and the vagina. This helps hold the bladder in place. In some cases, another type of surgery is done. It can help correct weakness in the front wall of the vagina. The vagina is attached to strong tissues in the side wall of the pelvis.

Your incisions

During surgery, the doctor will reach your pelvic organs through the vagina or the abdomen. An incision may be made in the vaginal wall. Surgery through the abdomen may be done with a single incision made up and down (vertically) or across (transverse), or through several small incisions (called laparoscopy).

Possible risks and complications of this surgery

  • Infection

  • Bleeding

  • Risks of anesthesia

  • Damage to nerves, muscles, or nearby pelvic structures

  • Blood clots

  • Prolapse of the pelvic organ or organs occurring again

Online Medical Reviewer: Dozier, Tennille, RN, BSN, RDMS
Online Medical Reviewer: Sacks, Daniel, MD, FACOG
Date Last Reviewed: 5/10/2015
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