A cystocele is a disease that occurs when the wall between a women’s bladder and her vagina weakens making the bladder hang into the vagina. The vaginal wall is supported by strong fascial and ligamentous attachments divided into three different levels – disruption in any of those layers precipitates POP, including cystocele. The risk factors for cystocele include age, parity, smoking, obesity, chronic constipation, hormonal issues and history of gynecological surgery or hysterectomy.
It is not easy to detect cystocele, especially in the early stages but some patients might observe symptoms like the feeling of fullness or pressure in the pelvis, a lump from the vagina, lower back and even problems with bladder emptying.
The treatment options include medications for mild cystocele or a surgery in the case of serious cystocele. In case the problem is severe, surgeons may even recommend pessary, a device placed in the vagina to hold the bladder in place, but they have to be changed regularly to avoid infections.