Overcoming the Frustrations of Bladder Prolapse
Practical Tips for Relief and Emotional Well-Being
Feeling frustrated because you’ve been diagnosed with a cystocele or bladder prolapse? Or do you sense something off around your vaginal opening or bladder function? Read on to learn more.
What is a Cystocele?
A cystocele, also known as a bladder prolapse, is a protrusion of the anterior vaginal wall towards the vaginal canal opening. This occurs when the tissue, muscles, or ligaments weaken, allowing the bladder to descend. While some women may not notice it, many begin to feel or see a bulge, which can be both scary and frustrating, especially if you’re unsure of what’s happening. The most frustrating aspect is that bladder prolapse often develops gradually over time and can fluctuate throughout the day and with different activities.
Image of a vaginal opening without and with bladder prolapse.
Images used with permission from Pelvic Guru ® , LLC as a member of the Global Pelvic Health Alliance Membership (GPHAM)
Below are a list of common frustrations with a bladder prolapse and how you can address your frustrations.
Physical Discomfort such as pain, pressure, or heaviness are among the most common complaints I hear from patients. The following strategies can help reduce these symptoms
Exercises to strengthen the pelvic floor: Strengthening exercises aren’t limited to just Kegels. It’s important to strengthen the muscles around the pelvic girdle, including the hips, gluteals, and core, to provide better support to the bladder and alleviate discomfort.
Pessaries: A pessary is a device inserted into the vagina to support the bladder and reduce pressure. It can be an effective non-surgical option for managing symptoms.
Physical Therapy: Working with a physical therapist specializing in pelvic health can provide tailored exercises and techniques to relieve discomfort.
Lifestyle Modifications: Avoiding heavy lifting, managing weight, and practicing good posture can reduce the strain on your pelvic floor and lessen discomfort.
Urinary leakage and frequency are the second most common complaints. To help manage urinary dysfunction, consider the following strategies:2
Bladder Training: Implement a timed voiding strategy, gradually increasing the time between bathroom visits to reduce urgency and frequency.
Fluid Management: Identify and avoid bladder irritants like caffeine, alcohol, and acidic juices. Timing your fluid intake can also help control leakage.
Medications: Certain medications can help manage symptoms of urinary frequency and urgency. Consult your healthcare provider to see if this is an option for you.
The impact on your daily life can feel limiting on physical or social activities. Many women stop doing their favorite activities out of fear of worsening their symptoms or due to embarrassment.
Pelvic Floor Support: Wearing supportive garments, like a pessary or specialized compression underwear, can provide confidence and physical support during activities.
Planning Ahead:For social outings, identify bathrooms in advance, carry extra pads or liners, and schedule activities during times when symptoms are less pronounced.
Staying Active: Modify physical activities to those that are gentler on the pelvic floor, such as swimming or walking, to stay active without exacerbating symptoms. Consult a pelvic health physical therapist for guidance on modifications.
Emotional and physiological effects can lead to anxiety, embarrassment or isolation. Remember, you are not alone. Starting a conversation about your experience with close friends, healthcare providers, or family members can help alleviate these feelings.
Counseling or Support Groups: Talking to a therapist or joining a support group can provide emotional relief and connect you with others who understand what you’re going through.
Education: Learning about your condition and understanding that it’s a common and treatable issue can help reduce feelings of embarrassment or isolation. Follow @Dr.susanpelvichealthpt on Instagram for more information
Mindfulness and Relaxation Techniques: Practices like meditation, yoga, or deep breathing can help manage anxiety related to bladder prolapse.
Treatment challenges on finding relief or deciding if surgery is the right option can feel overwhelming.
Consultation with Specialists: Consider seeing a board certified urogynecologist, who specializes in pelvic floor disorders, for a comprehensive evaluation and treatment plan.
Find a Pelvic Health Physical Therapist in your area: The pelvic health field is a growing specialty within physical therapy that can be highly beneficial for bladder prolapse issues. You can use online directories to find a PT in your area:
If you’re a Colorado resident, you can book a telehealth or in-person visit at Lotus Core PT. Coaching visits are also available for out-of-state residents.
Exploring Non-Surgical Options:Before considering surgery, explore all non-surgical treatments, including physical therapy, pessaries, and medications.
Surgical Options:If non-surgical methods don’t provide relief, surgery may be considered. Discuss the risks, benefits, and expected outcomes with your healthcare provider to make an informed decision. Since this is a personal choice, the more information you have, the more confident and comfortable you’ll feel in making the best decision for yourself.
The personal and relationship impact on intimacy or self-esteem can feel isolating and upsetting.
Open Communication: Talk openly with your partner about your condition and how it affects you. This can help alleviate fears and maintain intimacy.
Sexual Health Counseling: A therapist specializing in sexual health can provide strategies to improve comfort and intimacy.
Self-Care: Focus on activities that boost your confidence and self-esteem, such as dressing in clothes that make you feel good or engaging in hobbies you enjoy.
Positioning:Consult your pelvic health physical therapist for strategies, tools, or positions that can help alleviate discomfort during intercourse.
By addressing these frustrations with a holistic approach, you can manage bladder prolapse more effectively and improve your overall quality of life.
🚨If you have any health concerns or pre-existing conditions, consult with a health professional such as a pelvic floor physical therapist before attempting a new exercise and/or manual treatment. This blog is for educational purposes only and is not intended to treat or diagnose any medical condition.🚨
Dr. Susan Miller PT, DPT, is a licensed pelvic floor physical therapist and the owner of Lotus Core Physical Therapy in Colorado. She welcomes both in-person and telehealth appointments for Colorado residents, as well as coaching calls for clients residing out of state.
Book at www.lotuscorept.com