Rectocele Repair Cystectomy Bladder Sling Surgery?

This information explains what a cystocele is and how it'due south treated.

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About Cystocele

A cystocele (sis-tuh-seal), also chosen a prolapsed bladder, is when your float shifts and pushes on the outside wall of your vagina (see Figure 1). This happens when the muscles between your float and vagina weaken and loosen.

Figure 1. Female anatomy without (left) and with (right) a cystocele — Figure 1. Female person anatomy without (left) and with (right) a cystocele

A cystocele can exist caused by:

Aging
Vaginal deliveries of heavy babies
Menopause (a permanent end of your monthly periods)
Obesity (having a loftier, unhealthy amount of body fat)
Frequent straining during bowel movements (pooping)
Heavy lifting
A hysterectomy (surgery to remove your uterus) or other gynecologic surgery

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Treatment for Cystocele

Handling for a cystocele includes cystocele repair surgery, surgery to place a urethral sling, or both.

Cystocele repair surgery

A cystocele repair is a surgery to put your bladder back in its normal place. Your surgeon will fix the wall between your bladder and vagina to keep your bladder from moving once more.

Urethral sling surgery

A urethral sling is a piece of mesh that holds your urethra (the tube that carries urine out of your body) in its correct position. Your surgeon will loop the sling around your urethra and attach the ends to your pubic bone (see Figure two). The sling is permanent.

Figure 2. Female anatomy with urethral sling

Some people become a sling without having cystocele repair surgery. If you're having cystocele repair surgery and getting a sling, your sling will be placed during your surgery. Your healthcare provider volition talk with you about what would work best for you.

Risks of having treatment for cystocele

Most people who accept cystocele repair surgery don't accept problems afterwards their surgery. Rarely, the following complications tin can happen:

Urine (pee) leakage
Narrowing of the vagina
Painful sexual activity
Wearing away of the material on the sling, if y'all had 1 placed
Injury to your bladder or ureters (tubes that take urine from your kidneys to your bladder)
Long-term or permanent bug urinating. To assist with this, you may:
- Have to insert a catheter (a sparse, flexible tube) into your bladder to drain your urine.
- Need another surgery to correct the problem.
Not being able to concord your urine until yous reach a toilet
Wearing away of the sling into the vagina, urethra, or bladder. If this happens, the sling may need to be removed.
Cystocele may come up back with time

What to Expect During Your Cystocele Repair Surgery

Yous'll receive anesthesia (medication to brand you sleepy) during your surgery.
Cystocele repair surgery is done through a small-scale incision (surgical cut) in your vaginal wall.
If a sling is being placed, your surgeon volition make 2 smaller incisions on your lower abdomen (belly) or inner thigh.

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Subsequently Your Surgery

A catheter will drain urine from your bladder while the area heals. It volition exist taken out the day subsequently your surgery before you go out the infirmary.
You'll have a gauze dressing in your vagina to assist end bleeding. It will be removed earlier you exit the hospital.
Your body will blot your sutures (stitches) in seven to xiv days (i to 2 weeks). You won't need to have them taken out.
You'll have mild vaginal haemorrhage. Brand sure you have sanitary napkins (pads) at abode.
You'll go home 1 day after your surgery, whether or not a sling was placed.
Yous can shower when you go dwelling house. Don't bathe or soak in a pool or hot tub until your healthcare provider says information technology'southward okay.

Follow-up

Make an appointment to see your healthcare provider 2 weeks afterward your surgery.
Don't lift anything heavier than 10 pounds (iv.five kilograms) for half dozen weeks later on your surgery.
Avert strenuous practice, such equally running or jogging, for 6 weeks after your surgery.
Don't have sexual practice or put anything in your vagina (such equally tampons) for 6 weeks after your surgery.

Bladder spasms

While y'all're recovering, y'all may experience float spasms that tin cause urine leakage. While they may experience uncomfortable or even painful, try non to take whatsoever medication for them. It will take longer for you to exist able to urinate (pee) normally if yous take medication to prevent the spasms.

Take your medications

You'll go 3 medications:

An antibiotic. Y'all must follow the instructions on the bottle until all the pills are gone.
Medication to relieve hurting later surgery.
A stool softener to keep your bowel movements (poop) soft. Stop taking it if you have diarrhea (loose or watery bowel movements).

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When to Call Your Healthcare Provider

Phone call your healthcare provider if you:

Have a fever of 101 °F (38.3 °C) or college
Have severe bladder spasms
Aren't able to urinate
Accept hurting that doesn't become away with your pain medication
Have more than vaginal bleeding than when yous were in the hospital

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