Cystocele Surgery

Cystocele (Bladder Prolapse) Surgical Treatment – Clinical Guide

What is Cystocele?

Cystocele is the prolapse of the bladder into the anterior vaginal wall and results from pelvic floor weakness.

Surgical Indications

• Advanced prolapse
• Significant symptoms
• Urinary problems
• Failure to respond to conservative treatment

Surgical Goal

To restore the bladder to its normal anatomical position and strengthen the anterior vaginal wall support.

1. Anterior Colporrhaphy (Vaginal Repair)

It is the most commonly performed surgery. The anterior vaginal wall is strengthened, and the bladder is lifted.

Advantages

• Performed vaginally
• Minimally invasive
• Short recovery time

Disadvantages

• Risk of recurrence

2. Mesh Repair

Support is provided using synthetic material.

Advantages

• Stronger support
• Potentially lower risk of recurrence

Disadvantages

• Mesh complications (erosion, infection)
• Currently used in selected cases

3. Combined Surgeries

Since cystocele often co-occurs with other prolapses, additional surgeries can be performed in the same session.

4. Minimally Invasive Approaches

Laparoscopic or robotic techniques may be applied in some selected patients.

Post-Surgery

• Avoid heavy lifting for 4–6 weeks
• Sexual intercourse should be restricted
• Pelvic floor exercises are recommended

Complications

• Infection
• Urinary retention
• Recurrence
• Mesh complications

Clinical Reality

Surgical success is largely related to proper patient selection and surgical technique.

Conclusion

Cystocele surgery provides high success in appropriate patients. An individualized approach and correct technique selection are important.