A prolapsed bladder, also called a cystocele and a fallen bladder, occurs when the bladder droops into the vagina through a weakening between the bladder wall and the vagina. A prolapsed bladder may result from the exertion put on the pelvic muscles while giving birth, heavy lifting or repeated straining during bowel movements. The treatment options for a prolapsed bladder depend on the severity of the condition and can range from no treatment to surgery.
Pelvic Floor Muscle Exercises
According to MayoClinic.com, self-care measures such as Kegel exercises, help to strengthen the pelvic floor muscles and can treat mild forms of a prolapsed bladder. Physical therapists who specialize in pelvic floor disorders can help teach the appropriate way of doing Kegel exercises. Kegel exercises require daily contractions of the correct pelvic floor muscle, and provide effective treatment of a prolapsed bladder.
Vaginal Pessary
The doctor may recommend a pessary, or a device placed in the vagina to hold the bladder in place, as remedy for a prolapsed bladder, notes the Cleveland Clinic. The pessary consists of a plastic or rubber ring that is inserted into the vagina, and supports the bladder by pushing it up and back into the correct anatomical position. Some women may use a pessary for years, although it is removed regularly to avoid infection or ulcers.
Estrogen
Menopausal women who have a prolapsed bladder benefit from estrogen therapy, notes MayoClinic.com. Estrogen levels decrease after menopause and estrogen helps to keep the pelvic muscles around the vagina strong. Estrogen therapy--usually in a vaginal cream, pill or ring form, helps to strengthen the vaginal muscles, and in combination with other treatments, provides relief from a prolapsed bladder.
Surgery
According to the Merck Manual for Healthcare Professionals, surgical repair of the supporting structures inside the vagina can help to correct severe cases of prolapsed bladders that do not resolve with nonsurgical treatment. During a vaginal repair, the surgeon elevates the bladder back into its normal position and shortens and tightens the pelvic floor muscles. MayoClinic.com recommends delaying surgical treatment for a prolapsed bladder until after childbearing years, if possible. Subsequent vaginal births may disrupt the repair, and the disruption may require repeat surgeries.
