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Cystocele and rectocele can cause problems going to the bathroom such as frequent urination, urine leakage, and difficulty urinating. Pain during sex may also occur. This surgery is done to help relieve these symptoms.
Most often, this type of surgery is not done until all other treatments have been tried. Other treatments may include muscle exercises and the insertion of a supportive device called a pessary. If you have tried these treatments and have had no relief, your doctor may suggest surgical repair.
You may be given an antibiotic just before surgery. A tube called a catheter will be inserted in the urethra. This will allow urine to drain and decrease pressure on the bladder.
A cut will be made in the skin to expose the involved muscle and tissue. In some cases, the muscles and tissue will be sewn back onto itself. This will make it stronger. In other cases, a mesh-type material will be used to strengthen the tissue. Any tissue that has been weakened by previous surgeries, pregnancies, or age will be removed. Excess vaginal lining will be removed as well.
In some cases, a suspension or elevation procedure may be done. These are special sutures that provide extra support to the bladder.
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Bladder prolapse (cystocele/fallen bladder). Urology Care Foundation website. Available at: ...(Click grey area to select URL) Updated January 2011. Accessed October 27, 2014.
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More about surgery. The Royal Women's Hospital website. Available at: ...(Click grey area to select URL) . Updated January 2008. Accessed December 2, 2013.
Pelvic organ prolapse. EBSCO DynaMed website. Available at: ...(Click grey area to select URL) Updated October 20, 2014. Accessed October 27, 2014.
6/2/2011 DynaMed's Systematic Literature Surveillance ...(Click grey area to select URL) Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
6/9/2014 DynaMed's Systematic Literature Surveillance ...(Click grey area to select URL) Sung VW. Rardin CR, et al. Changes in bowel symptoms 1 year after rectocele repair. Am J Obstet Gynecol. 2012 Nov;207(5):423.e1-5.
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