what is the best surgery for prolapsed bladder

The bladder is repaired with an incision in the vaginal wall. Prolapsed bladders are often caused by pregnancy and childbirth, but sometimes occur after menopause or excessive physical strain. A rectocele is a bulge, or herniation, of the front wall of the rectum into the back of the vagina. Prolapse surgery usually improves or cures the symptom of 'something coming down below' or the lump in the vagina. If symptoms get worse and significantly affect your quality of life, surgery might be needed. "Frequent" is defined as having more than one UTI in a six-month period. It's done while you're asleep under general anesthesia. We use cookies to make wikiHow great. Cystocele is a condition characterized by slipping of the bladder down into the vaginal canal causing a bulge at the vaginal opening. Your urine may leak out unexpectedly. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.niddk.nih.gov/health-information/urologic-diseases/cystocele), (https://www.acog.org/Patients/FAQs/Pelvic-Support-Problems?IsMobileSet=false), (https://www.nafc.org/pelvic-organ-prolapse/). It's used in some surgeries for pelvic organ prolapse. Lua LL, et al. Talk to your doctor, and weigh the pros and cons for your particular case. Cystocele (fallen bladder/bladder prolapse). This surgery is also called anterior colporrhaphy. If you have a Grade 2 cystocele, the entire bladder descends into the vagina. Is board certified and who specializes in pelvic prolapse surgery, Has experience treating patients with your specific condition, Practices at a hospital known to have high-quality outcomes in pelvic prolapse surgery or gynecologic surgery in general, You are comfortable talking with and who fully answers your questions. Bladder prolapse occurs when your bladder drops or sags inside your vagina. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. A pessary is a prosthetic device inserted into the vagina to support its internal structure. % of people told us that this article helped them. Have you delivered a baby vaginally? If your symptoms are making your life difficult, surgery may be the answer. Your general health. If you have a Grade 1 cystocele, only part of your bladder is descending into your vagina. That might involve a technique called laparoscopic surgery. Another option, for more severe prolapse, is to place a synthetic material with a robotic or laparoscopic approach through the abdomen. Mild cases those with few or no obvious symptoms typically don't require treatment. Trustworthy Source Certain risk factors, including heavy physical work, being overweight, and constipation, can be controlled, while risk factors such as family history cannot. Prolapse is the result of weakened pelvic floor tissues that create a bulge, such as a hernia. But if you do have symptoms, heres what they might include: The symptoms might be strongest if you have to stand for a while. Rectal prolapse surgery is performed in people troubled by the pain and discomfort caused by rectal prolapse as well as the chronic symptoms that can accompany it, such as leakage of stool, inability to control bowel movements (fecal incontinence) or obstructed bowel movements. It's still healthy to exercise regularly, though. health information, we will treat all of that information as protected health If symptoms are modest, a device called a pessary may be placed in the vagina to hold the bladder in place. Some mesh is made from animal tissues. } Many patients and doctors find this high failure . Approved. You can learn more about how we ensure our content is accurate and current by reading our. Your doctor might suggest a bladder prolapse surgery if: You will not be a good candidate for bladder prolapse surgery if: Urogynecologists are the doctors that typically treat bladder prolapse and perform surgeries. Rogers RG, et al. She was the recipient of multiple awards during her residency training, including Most Outstanding Resident in Maternal Fetal Medicine, Most Outstanding Resident in Oncology, Most Outstanding Resident Overall, and Special Award in Minimally Invasive Surgery. Treatments range from watchful waiting to surgery. This is a plastic or rubber ring that your doctor fits especially to you. ", How to Diagnose and Treat a Prolapsed Bladder: An Expert-Approved Guide, https://www.mayoclinic.org/diseases-conditions/cystocele/symptoms-causes/syc-20369452, https://www.health.harvard.edu/a_to_z/uterine-and-bladder-prolapse-a-to-z, http://www.health.harvard.edu/family_health_guide/what-to-do-about-pelvic-organ-prolapse, http://my.clevelandclinic.org/health/diseases_conditions/hic_Cystocele_Fallen_Bladder, http://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/index.html, http://www.merckmanuals.com/professional/gynecology-and-obstetrics/pelvic-relaxation-syndromes/cystoceles-urethroceles-enteroceles-and-rectoceles, https://www.nlm.nih.gov/medlineplus/ency/article/003904.htm, http://www.mayoclinic.org/diseases-conditions/overactive-bladder/basics/tests-diagnosis/con-20027632, http://emedicine.medscape.com/article/1848220-overview, http://www.mayoclinic.org/diseases-conditions/pelvic-organ-prolapse/care-at-mayo-clinic/treatment/con-20036092, http://www.acog.org/Patients/FAQs/Surgery-for-Pelvic-Organ-Prolapse, diagnosticar y tratar un prolapso de vejiga, Diagnosticare e Trattare il Prolasso della Vescica, , Diagnosticar e Tratar uma Bexiga Prolapsada, Einen Harnblasenvorfall diagnostizieren und behandeln, Mendiagnosis dan Merawat Kandung Kemih Turun. Thanks to all authors for creating a page that has been read 147,786 times. A health care provider can fit a pessary and help provide information about which type would work best. Biofeedback involves the use of monitoring devices with sensors that are placed in your vagina, rectum or on your skin. Last reviewed by a Cleveland Clinic medical professional on 07/15/2019. The surgeon also removes excess tissue. If the first treatment doesn't work, what will you recommend next? Weakness of the pelvic floor often affects more than one area. Do you have pain or leak urine during intercourse? Feel for a bulge of tissue in your vagina. The content on Healthgrades does not provide medical advice. You still need to consider the doctors experience and expertise. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Doctors call . A prolapsed bladder occurs when the muscles of your vaginal wall weaken and your bladder drops into your vagina. Please contact your insurance company to verify medical coverage and to obtain any needed authorization prior to your visit. Find out where the doctors on your list can treat patients; then research those hospitals on Healthgrades.com. Contract, or tighten, the pelvic floor muscles. Most commonly, complications are associated with the general risks of having surgery: Rarely, laparoscopic surgeries can cause long-term complications like bowel obstruction and abdominal hernia. In some cases, in addition to performing the standard pelvic exam, your doctor may want to examine you standing up. other information we have about you. 3. Here are some questions to ask the doctor: How many pelvic prolapse surgeries and what types have you performed? This can help your health care provider determine the type of prolapse, such as bladder, rectum or uterine. National Institute of Diabetes and Digestive and Kidney Diseases. During your appointment, your provider may ask a number of questions, such as: Anterior vaginal prolapse (cystocele) care at Mayo Clinic. WebMD does not provide medical advice, diagnosis or treatment. Ask yourself if you are comfortable talking with the doctor. However, some people shouldn't use systemic estrogen. Experts say that your bladder may fall from it's normal position in your pelvis if your pelvic floor becomes too weak or there's too much pressure on it. If you dont receive our email within 5 minutes, check your SPAM folder, then contact us clip-path: url(#SVGID_4_); Pessary use is an alternative, but there are specific problems or patients may not want it. If you want more children, its best to hold off on surgery until you decide your family is complete. The support a pessary provides . You don't need to prepare for this examination in any way and it should not take very long. To provide you with the most relevant and helpful information, and understand which These exercises can help improve your symptoms, but may not decrease the size of the prolapse. About Cystocele. Surgical decision making for symptomatic pelvic organ prolapse: Evidence-based approach. Estrogen therapy might help if youve already gone through menopause. If you do not experience symptoms there is often no need for treatment. How frequently do you encounter complications from the surgery? Download our treatment guide for incontinence and Pelvic Organ Prolapse. Last medically reviewed on October 11, 2022. Feb. 14, 2022. Although not life-threatening, a cystocele can have a negative impact on a womans quality of life. This technique has existed for more than 30 years and is well studied and safe. Aging and a drop in the hormone estrogen. You have every reason to expect a complete recovery. National Institute of Diabetes and Digestive and Kidney Diseases. Elsevier; 2019. https://www.clinicalkey.com. During this procedure, a surgeon sews together the front and back walls of the vagina to shorten the vaginal canal. Another type of reconstructive surgery is called sacrocolpopexy. Subscribe for free and receive your in-depth guide to tissue sticking out of the vagina that may be tender and/or bleeding. Unfortunately this procedure has a very high failure rate ranging from 25 to 60 percent. Its important to rest for a few weeks after the surgery to allow the area to heal. niddk.nih.gov/health-information/urologic-diseases/cystocele, ncbi.nlm.nih.gov/pmc/articles/PMC6737063/, oatext.com/robotic-sacrocolpopexy-for-pelvic-organ-prolapse-nationwide-costs-utilization-and-outcomes-ninety-days-following-surgery.php, journals.lww.com/fpmrs/Abstract/2016/03000/Trends_and_Factors_Influencing_Inpatient_Prolapse.9.aspx, 5 Pelvic Floor Exercises for Anyone and Everyone, Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, Stevie Wonder to Undergo Kidney Transplant: What to Know. Increase your strength and fitness. Go to source During the physical exam, your doctor may check your abdomen and pelvis for signs of a prolapsed bladder, such as leakage of urine, feeling for organs that have descended, and/or checking the position of your pelvic floor muscles. Youll find all this information on Healthgrades.com. Related to Incontinence & Overactive Bladder, Uterine Prolapse: Stages, Causes, Symptoms, Treatment, and Surgery. Bladder prolapse obliterative surgery is called colpocleisis. Mayo Clinic College of Medicine and Science, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Graduate Medical Education, Mayo Clinic School of Continuous Professional Development, for Anterior vaginal prolapse (cystocele), Mayo Clinic on Incontinence - Mayo Clinic Press, NEW Mayo Clinic on High Blood Pressure - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Financial Assistance Documents Minnesota, Our caring team of Mayo Clinic experts can help you with your anterior vaginal prolapse (cystocele)-related health concerns, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition. Mayo Clinic doctors might use vaginal approaches or other minimally invasive (laparoscopic) surgery, including robotic surgery, to treat some types of pelvic organ prolapse. Mayo Clinic Here are five steps to finding the best doctor to perform your pelvic prolapse surgery. Problems with this support system, called the pelvic floor, are common in women who have had children. Its an abdominal surgery that can be done laparoscopically (as a minimally invasive procedure) or performed with special tools (robotic-assisted). Healthline Media does not provide medical advice, diagnosis, or treatment. There are other surgical procedures to be considered, and your doctor will recommend the one she believes is best for your unique situation. 2017; doi:10.1097/AOG.0000000000002016. Those waiting for a, A kidney transplant is a surgical procedure thats done to treat kidney failure. Ideally you should find a hospital in your area that performs better than expected (5-stars) for gynecologic surgery. Your surgeon might perform corrective surgery through the vagina or abdomen. All rights reserved. Remember that prolapse surgery only repairs the tissue bulge. An anterior prolapse often involves the bladder and is called a cystocele. Stevie Wonder's announcement puts a spotlight on the 100,000 people waiting for a kidney transplant in the United States. They have specialized training in both gynecology and urology. Surgical mesh is a medical product that gives weak or damaged tissue extra support. Diagnosis of pelvic organ prolapse begins with your medical history and a physical exam of your pelvic organs. If you have urinary incontinence, your doctor might recommend a bladder neck suspension or sling to support your urethra. Feeling of fullness, heaviness, or pain in the pelvic area or lower back. Do I need any tests to confirm the diagnosis? Advertising on our site helps support our mission. This article was medically reviewed by Lacy Windham, MD. It's often used in cases of urinary incontinence or vaginal prolapse. When you discuss bladder prolapse with your doctor, they may call it by another name: cystocele. Also called "having sex" or "making love." Urethra: A tube-like structure. How Do I Know If I Have Pelvic Organ Prolapse? Avoid Straining and Constipation. A pessary has to be removed and cleaned on a regular basis in order to avoid infection or ulcers. If you plan to have pelvic prolapse surgery, youll want a highly qualified experienced doctor to perform the procedure. Hold the contraction for five seconds and then relax for five. Sex might become uncomfortable, and you might feel pain in your pelvis. AskMayoExpert. Or, they might insert a mesh and attach it to a bone. If we combine this information with your protected If youre like many women, you may find it difficult to reveal the most intimate parts of your body and life to a doctor. As you perform an exercise, a computer screen shows whether you're using the right muscles and the strength of each squeeze (contraction) so that you learn how to do the exercises properly. After the surgery, the top of the vagina should be deep inside . Be prepared to give your doctor as much information as possible, including a complete medical history and a detailed description of your symptoms. .st1 { Bladder prolapse surgery complications and risks, Recovery time for bladder prolapse surgery. clip-path: url(#SVGID_2_); AskMayoExpert. Vaginal prolapse is usually treatable. Mayo Clinic pelvic floor specialists try to correct all prolapse-related problems at one time. Whether someone is overweight or obese is determined by using the body mass index (BMI), an indicator of body fatness. So could smoking or obesity. In an anterior repair, an incision (cut) is made in the wall of the vagina and the tissue that separates the bladder from the vagina is tightened. Estrogen helps keep muscles around the vagina strong, but women produce less estrogen as they enter, Feeling or seeing something bulging through the vaginal opening, Difficulty emptying the bladder (urinating). Whos a good candidate forbladder prolapse surgery? Pelvic organ prolapse occurs when the muscles and tissue that support your pelvic organs become weak or damaged and slip out of position. Maybe sexual intercourse is uncomfortable. American Congress of Obstetricians and Gynecologists: Pelvic Support Problems, Surgery for Pelvic Organ Prolapse., Bladder & Bowel Community: Pelvic floor repair., Cleveland Clinic: Pelvic Organ Prolapse., Mayo Clinic: Anterior prolapse (cystocele)., Urology Care Foundation: What is Bladder Prolapse?. They might rebuild the support for the bladder by using your bodys own tissue. sex that is painful. (This was the same healthcare system so I am guessing it was in their best interest not to find a link.) Urodynamics is a set of tests. Pessaries are silicone devices that come in a variety of shapes and sizes. Problems inserting tampons or applicators. You might develop urinary incontinence -- urine leaking out without your control. Rectocele is when the rectum bulges into the back wall of the vagina. For women who never plan on having sexual intercourse again, surgeries that sew the vagina shut and shorten it so it no longer bulges are nearly 100 percent effective. Each year, Mayo Clinic doctors care for nearly 3,000 women with pelvic organ prolapse. This type of surgery is called sacrospinous fixation. Depending on the type of surgery, your medical team may use general anesthesia so you dont feel any pain. A cystocele occurs when ligaments that hold the bladder up and the muscle between a womans vagina and bladder stretches or weakens. It is a minimally invasive method. You will also receive See a physician to determine the best treatment option for you. enable-background: new; Cleveland Clinics Ob/Gyn & Womens Health Institute is committed to providing world-class care for women of all ages. What they aim to do, is to settle the bladder in its original position and mobilize it. Paravaginal repair: It repairs the prolapsed bladder by attaching it to the pelvic sidewalls. A strengthened pelvic floor provides better support for your pelvic organs and relief from symptoms associated with anterior prolapse. For this reason, you should also consider the overall quality of gynecologic care at the hospital where the doctor practices. Cystocele, or bladder prolapse, is a condition in which the bladder sags down into the vagina due to the weakening of the supporting structure between the bladder and the vagina. We offer women's health services, obstetrics and gynecology throughout Northeast Ohio and beyond. On the other hand, you might have a mild prolapse, but the symptoms cause you significant distress or inconvenience. followed by a cystocele/rectocele surgery (40s), a vaginal prolapse repair . If you have an abdominal incision, you may also experience pain around the incision as it heals. Magowan BA, et al., eds. Bladder prolapse is a type of vaginal prolapse. What Is Urethral Prolapse, and Is It Treatable? the unsubscribe link in the e-mail. All appointments are prioritized on the basis of medical need. Some cases of prolapse may not cause any symptoms. Our website services, content, and products are for informational purposes only. But health care providers often don't suggest using mesh that's made from animal tissues. emails from Mayo Clinic on the latest health news, research, and care. If you're worried you have a prolapsed bladder, talk to your doctor because you have a range of treatment options. Women who are older, who smoke, have diabetes, or who have had a hysterectomy, may be at higher risk for complications. That means it's a sign of something elsesomething that is causing irregular bowel movements. Dont delay seeing your doctor. It is done to pull up the tissues and move the organs back into place. Many women can return home within one to three days post-operation and most patients can return to normal activity levels after about six weeks. Ted Lombard gave his daughter, Denice, one of his kidneys a half-century ago. This will help her determine the strength of your muscles. Also ask your surgeon about the long-term success for your planned procedure. Estrogen helps the muscles in the pelvis stay strong, but the body produces less of it after menopause. Board Certified Obstetrician & Gynecologist. Symptoms such as discomfort and urinary incontinence become moderate. If youre starting without any referrals, or youre looking for more options, search for the types of doctors who perform pelvic prolapse surgery on Healthgrades.com. The surgeon might: Close off or narrow the vagina to create support for the bladder. Similarly, problems with your sex life may not be improved with surgery. For more tips from our Medical co-author, including how doctors test for a prolapsed bladder, read on. This feeling may get worse when the person is standing, lifting, coughing, or as the day goes on. Sarah holds a Bachelor of Science in Pharmacy degree from West Virginia University and a Doctor of Pharmacy degree from Massachusetts College of Pharmacy. Note that this drop in estrogen takes place even if you enter menopause through artificial means, as with the surgical removal of your uterus (hysterectomy) and/or ovaries. More information about billing and insurance: Mayo Clinic in Arizona, Florida and Minnesota. These are serious conditions, especially in elderly women, requiring resolution of POP. The bladder bulging into or out of the vagina. Even if you have surgery now, you may end up needing another operation down the road. Accessed Jan. 31, 2020. Educational website from one of the world's leading hospitals In most cases, Mayo Clinic doesn't require a physician referral. Also known as a vaginal vault prolapse, this type of prolapse might involve the bladder, rectum and, commonly, the small bowel, where the bulge is called an enterocele. 1 for urology in the U.S. News & World Report Best Hospitals rankings. Obstetrics & Gynecology. A moderate or severe cystocele may require reconstructive surgery to move the bladder into a normal position. Lose weight. Depending on the type of surgery, you might stay in the hospital for 1 to 3 nights. Mayo Clinic in Minnesota ranks No. Improve prolapse support. time. Excess vaginal tissue is also usually trimmed at the time of surgery. In general, topical estrogen treatments are less risky than oral, systemic estrogen treatments. As you narrow down your list of doctors, call each doctors office and ask for a consult appointment to meet and interview the doctor. Robotic-assisted sacrocolpopexy is one type of surgery to repair this problem. Despite these disadvantages, a pessary can be a valuable alternative, particularly if you wish to postpone or are not a good candidate for surgery. Pelvic organ prolapse. }. If youre older, any other health issues you have may affect your decision. The success of bladder prolapse surgery depends on its type. Depending on what the surgeon plans to do, they may work through a cut in your abdomen. Tests for pelvic organ prolapse might include: Your treatment will depend on the severity of your symptoms. If you have a mild case, you may not even realize it. This makes sexual intercourse impossible. It was clear, precise and covered everything. This content does not have an English version. But there are a few things you should avoid doing. All rights reserved. Abstract. Complete recovery typically takes four to six weeks. The surgery attaches the cervix to the sacrum with surgical mesh. Ask your family, friends, and other healthcare providers for recommendations. Sacrocolpopexy is more effective than anterior vaginal wall repair, but it may have more complications. During this procedure, a surgeon tightens the supportive tissues in the front (anterior) wall of your vagina to keep the bladder in its place. A Grade 2 or Grade 3 cystocele can be diagnosed from a description of symptoms and from an examination of the vagina. By using our site, you agree to our. You will likely have a follow-up appointment with your surgeon a few weeks after the surgery to confirm that its healing well. Work up to holding the contraction for ten seconds at a time. Doctors call this bladder prolapse. Or they may use a drug that makes only the affected part of your body numb. If you also have a prolapsed uterus, your doctor may recommend a hysterectomy to remove it. Jeon MJ. Tighten (contract) your pelvic floor muscles the muscles you use to stop urinating. The recovery time depends on the type of surgery. Surgery may have side effects, but theyre usually mild and resolve quickly. The bladder, located in the pelvis between the pelvic bones, is a hollow, muscular, balloon-shaped organ that expands as it fills with urine. Intense straining or heavy lifting can sometimes trigger a prolapse. Controlling pain is important because it helps you rest, recover, and increase your activities. Pelvic organ prolapse in women: Epidemiology, risk factors, clinical manifestations, and management. "The article actually helped a lot. information and will only use or disclose that information as set forth in our notice of Diagnosis of anterior prolapse may involve: Our caring team of Mayo Clinic experts can help you with your anterior vaginal prolapse (cystocele)-related health concerns It may reach so far that it touches the vaginal opening. If it causes symptoms such as difficult bowel movements or discomfort, it needs to be repaired. Surgery to repair the cystocele may be warranted, but you may be able to get adequate symptom relief with a vaginal pessary (a small plastic or silicone device that you place inside your vagina to hold the walls in place). Grade 1 prolapses are mild. Repeat this process five times. Kegels can help mild bladder prolapse, but theyre typically not enough for moderate or advanced cases. There are a number of ways to perform this surgery, including an anterior repair. Experts hope new technique can help with transplanted organ shortage. Strengthen your core. Biofeedback teaches you how to use your own muscles to keep them strong. Tighten those muscles for 5 seconds. (2019). In the worst cases, the woman may be unable to urinate, which can cause kidney damage or infection. You doctor will advise you about how to look after yourself during the recovery period, and a physiotherapist can recommend appropriate exercises. Figure 1. Cleveland Clinic is a non-profit academic medical center. Practice Bulletin No. Also, confirm that the doctor is in good standing with state and federal agencies and that he or she has no history of malpractice claims or disciplinary actions. What Are the Symptoms of Pelvic Organ Prolapse? For the first few weeks, you should avoid strenuous exercise and sexual intercourse. A device called a pessary might help support your bladder. Transabdominal mesh to treat pelvic organ prolapse: This minimally invasive surgery is done by making a small incision in the abdomen or laparoscopically and inserting the mesh to support organs. pain in the vagina, pelvis, lower abdomen, groin or lower back. Cystocele repair surgery and/or pessary as with a grade 2 cystocele is required. Your provider or a physical therapist can give you instructions for how to do these exercises and can help you determine whether you're doing them correctly. However, if you exhibit or experience any of the symptoms described above, you should consult your primary care physician (PCP) or gynecologist. Start Here. Review/update the (2016). It can be used for both moderate and advanced bladder prolapse. Physical therapy might be recommended, with pelvic floor exercises using biofeedback to strengthen specific muscles of the pelvic floor. Or, when you pee, the stream might be weak or take a long time. Obliterative surgery is considered the most effective approach to treat a bladder prolapse, but it leaves you unable to have vaginal sex. Mayo Clinic; 2018. If pain during intercourse is a new development for you, and youve recently delivered a baby vaginally, then a prolapsed bladder is a particularly likely cause. If you experience any of these symptoms, visit your doctor as soon as possible. When this happens, your bladder presses on your vaginal wall, which is called a prolapsed (or cystocele) bladder. Advertising revenue supports our not-for-profit mission. It includes measured voiding (aka uroflow), which will time how long it takes you to start urinating, how long urination takes to complete, and how much urine you produce. In some cases, frank protrusion of these organs can occur. Patients rate the doctor and the doctors medical practice, and say if they would recommend the doctor to family and friends. Ask Around. Robotic-assisted abdominal surgery is more expensive at around $15,000, according to a 2019 study. Your doctor might suggest that you just wait and see if the symptoms get worse. When surgery is performed for more serious cases, some women will eventually need another surgery because the first surgery failed, the cystocele returned or another pelvic floor problem developed. Submission of this form is subject to Healthgrades, Help Millions of people find the right doctor and care they need, Get immediate care and visit with providers from the comfort of your home, or anywhere, Urgent care centers can be faster and cheaper for situations that are not life threatening, Doctors and patients discuss the latest medical treatments and health tips, Search prescription drugs for why theyre used, side effects and more, Back and Neck Surgery (Except Spinal Fusion), View All Pelvic Prolapse Surgery Articles. If you have an extreme case, tissue may bulge through the opening of your vagina. Reduce your risk of prolapse worsening. Mayo Clinic does not endorse companies or products. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. By signing up you are agreeing to receive emails according to our privacy policy.

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what is the best surgery for prolapsed bladder