Cystocele

What is a Cystocele?

A cystocele, also known as an anterior prolapse or a bladder prolapse, occurs when the supportive tissue between a woman's bladder and vaginal wall weakens and stretches, allowing the bladder to bulge into the vagina. This condition can lead to discomfort and problems with urination and sexual function.

Symptoms of Cystocele:

- A feeling of fullness or pressure in the pelvis or vagina

- Visible or palpable bulge in the vagina

- Urinary problems, such as incontinence, frequent urination, or difficulty emptying the bladder completely

- Discomfort or pain during sexual intercourse

- Lower back pain

The primary cause of cystocele is weakening of the pelvic floor muscles and connective tissues, which can occur due to:

- Childbirth, especially multiple or traumatic deliveries

- Aging and loss of estrogen after menopause

- Chronic coughing or straining

- Heavy lifting or high-impact activities

- Obesity

Physical Therapy for Cystocele

Physical therapy is a common non-surgical treatment option for managing cystocele, particularly in mild to moderate cases. Treatment may include:

1. Pelvic Floor Muscle Training: Exercises to strengthen the pelvic floor muscles, such as Kegel exercises, can help support the bladder and reduce symptoms.
2. Biofeedback: This technique uses sensors to help patients learn to control their pelvic floor muscles, improving awareness and strength.
3. Manual Therapy: Techniques like soft tissue mobilization and myofascial release can address tightness or restrictions in the pelvic region.
4. Postural Education: Proper posture and body mechanics can help reduce pressure on the pelvic floor and support pelvic organ alignment.
5. Lifestyle Modifications: Guidance on bladder management, dietary changes, and avoiding activities that increase pelvic pressure.

For more severe cases of cystocele, surgery may be recommended to repair the prolapse. However, physical therapy can be beneficial both pre-operatively to optimize pelvic floor function and post-operatively to aid in recovery and prevent recurrence.

If you are experiencing symptoms of cystocele, it's important to consult with a healthcare professional for a proper diagnosis and to discuss the most suitable treatment options for your individual needs.