Anterior Vaginal Prolapse (Cystocele). A bulge or cystocele forms on the front wall of the vagina and causes a loss of support to the bladder that rests on that area of the vagina. Symptoms can include incontinence, a feeling of pelvic heaviness or back pain.

Anterior Vaginal Prolapse (Cystocele) Treatment

A cystocele repair elevates the anterior vaginal wall back into the body to support the bladder. This can be done either vaginally or through an abdominal approach at the time of a sacral colpopexy. In an anterior colporrhaphy, an incision is made in the front wall of the vagina. The vaginal skin is separated from the bladder wall behind it. The weak or frayed edges of the deep vaginal wall are found and the strong tissue next to edges are sutured to each other lifting the bladder and recreating the strong ”wall” underneath it.

Since this part of the pelvic floor is subjected to significant pressure with each cough or when picking up heavy items, up to one third of women will develop recurrent anterior prolapse after an anterior colporrhaphay. To reduce this recurrence, a surgeon may use graft material over the repair to reinforce it.