About Cystocele (bladder prolapse mild)?

Question

If I have surgery to correct my Cystocele (mild prolapse), will this be a sure fix and correct it?
My doctor gave me a therapy prescription and some instructions on how to do kegals, but I want my body to be as it was before. Does the surgery work? If I have the surgery, will my muscle tone and everything be back in place? How soon can I return to work after having the surgery?

Answer 1

Sorry I can't give you any personal experience but I found several sites you might like to read:
http://www.urogyn.org/cystocele.html
How well does rectocoele support surgery decrease symptoms.
In the same study from Kenton K et al, they looked at how well the initial presenting symptoms improved when remeasured at one year after the surgery. Basically, protrusion and painful sexual relations resolved by 90%, but difficult defecation, constipation and the need for manual evacuation only improved by 35-55%.

Rectocoele symptom Preoperative(%) Postoperative (%)
Protrusion 85% 9%
Difficult defecation 52% 22%
Constipation 46% 26%
Dyspareunia 26% 2%
Manual evacuation 24% 15%

How successful is repair surgery for stress incontinence?
Different surgeons and different procedures can result in widely different "cure" rates for stress urinary incontinence. Surgeons also know that the cure rates depend on how long after the surgery you check them. Success will always be greater at one year than at five years and even lower at 10 years. This change in success is often due to aging effects that make tissues weaker over time. Surgeons would like to let women know what to expect, however. How likely is it that the surgery is going to cure the problem for a "very long time"?

Tamussino KF, looked five year follow-up results after anti-incontinence surgery. The cure rates varied from 50-60% for vaginal procedures (anterior repair alone or anterior repair with needle suspension) to 80% for the abdominal surgical approach (Burch retropubic urethropexy). These were overall results. They did note, however, that with just mild stress incontinence, the vaginal procedures alone had an 80% 5-year cure rate. Thus they felt the vaginal procedures still have a role in some cases, especially if the urinary loss is mild.



Other Related Articles

Kegel's Exercises and Devices for Stress Urinary Incontinence
What to Expect after Hysterectomy
Having Prolapse Problems Fixed Without Hysterectomy
How Common is Urinary Incontinence?
Does High Impact Activity Cause Incontinence?
Restoration of Vaginal Opening Looseness

http://www.wdxcyber.com/nurine05.htm
For More Information
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National Association for Continence
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The National Kidney and Urologic Diseases Information Clearinghouse collects resource information on kidney and urologic diseases for the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Reference Collection. This database provides titles, abstracts, and availability information for health information and health education resources. The NIDDK Reference Collection is a service of the National Institutes of Health.

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http://answers.yahoo.com/question/?link=answer&qid=20070920205317AA1HNfV
http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Cystocele?OpenDocument
http://findarticles.com/p/articles/mi_m0CYD/is_6_36/ai_72702929
http://www.webmd.com/urinary-incontinence-oab/Repair-of-the-bladder-or-urethra