Bladder prolapse in women: symptoms, treatment
One of the most common pathologies of the excretory system — bladder prolapse in women, which occurs as a result of reduced muscle tone of the pelvic floor. The bladder can’t hold down a proper place pressure on the vagina and, depending on the severity of the disease, can appear through the hole. Pathology is accompanied by a number of inconveniences and its background, there are comorbidities.
What is the loss?
The ligaments and pelvic floor muscles are stretched and lose their tone during menopause or because of frequent exercise, in particular, due to weight lifting. Without the necessary elasticity of the muscles, internal organs can’t hold his position. The bladder drops down and presses on the vagina. This phenomenon is called cystocele. Often pathology of the urinary bladder diagnosed in parous women older than 40 years.
The disease leads to the urinary incontinence. When the prolapse of the bladder takes an arcuate shape. Because of the violation of the natural situation, the sphincters lose their ability to hold urine. With a strong loss bladder visible in the vagina. This results in complete urinary incontinence. The omission is accompanied by pain in the sacral section and when urinating, a feeling of heaviness in the perineum.
Risk factors and causes
In medicine several factors are identified, the presence of which increases the risk of prolapse of majevica or provokes him:
- If the woman brought more than 2 birth, particularly difficult, she automatically gets to group of risk.
- Physical exertion associated with lifting and carrying heavy loads, lead to prolapse of the bladder.
- Congenital disorders of the pelvic floor muscles.
- Excess weight or sharp depletion of lean body mass as a result of diseases or in pursuit of a slender figure.
- Chronic constipation contribute to prolapse as a result of having to frequently naturopathica.
- Serious diseases of the respiratory system, accompanied by a strong and persistent cough.
- Climax. At this time the female hormone estrogen, which maintains muscle tone, is produced in smaller amounts than prior to menopause. As a result, muscles weaken.
- The disease occurs due to tumors in the pelvis, and prolapse of the uterus.
The main symptoms
Problems with urination — a glaring symptom of a cystocele. Perhaps the incontinence or incomplete urination. Occur involuntary leakage, especially during laughter, coughing, lifting heavy objects or stress, when frightened. The patient is experiencing discomfort, and pain. Possible frequent urge to urinate without result, and after it is a feeling not completely empty the bladder. Have pain when urinating and during sexual intercourse. The patient feels in the vagina a kind of tumor-like balls.
If these symptoms are not prompted the woman to go to the doctor, then over time the disease worsens, the pain, prolapse (protrusion) is increased, a large part of the bladder comes out. This condition is accompanied by pain in the abdomen and back. The woman is hard to walk and sit. There are cases of complete loss of authority that accompanied by severe pain.
Minimal discomfort during the initial stages of the disease and slow the progression of the disease delays the visit of the women to the hospital. The condition gradually worsens, especially if not to eliminate possible causes of the disease (constipation, heavy lifting). Timely therapy contributes to a simple and quick solution, because the early stages of the pathology can be successfully treated with conservative methods.
Diagnosis is omitted bladder in women
It is important to systematically undergo a medical examination, as the prolapse is determined during examination by a gynecologist. Sometimes for confirmation of the diagnosis requires additional consulting surgeon, proctologist, urologist. So the diagnosis was accurate, takes into account collected history, inspection results and data obtained after additional examination. Depending on the situation, the doctor may prescribe these studies:
- Ultrasound and MRI. Allows you to see the condition of the internal organs, to exclude the presence of tumors.
- X-ray examination using contrast shows the position of the bladder and urethra.
- The study of the dynamics of the outflow of urine.
- Cystoscopy identifies the presence of concomitant diseases of the bladder.
- The results of the analysis of blood and urine indicate the presence of an inflammatory process.
Cystocele requires immediate treatment to prevent the occurrence of concomitant inflammatory processes.
After determining the diagnosis the treatment may not be necessary. If prolapse of the bladder does not manifest itself, just follow the simple advice of a doctor to prevent complications, such as not lifting heavy objects. Surgery is performed in extreme cases when other tools are useless. Most of the cases are solved using conservative methods.
After determining the diagnosis should immediately begin solving the problem. The stage of the disease determines the method of treatment. In the early stages of cystocele resolve with conservative therapy, which includes therapeutic exercise, application of necessary to discontinue and brace. In the case of complications of the disease inflammation antibiotics and hormones.
Pessary — a special device that after placing it into the vagina supports pelvic organs and does not allow the problem to worsen. There are several types of necessary to discontinue. Some of the model sets only the doctor, some woman puts herself. It should be noted that these devices are not for everyone and sometimes cause discomfort. Because they recommend the use together with a special ointment that contains estrogen. This protects the vaginal wall from injury. This option is a good replacement surgery, but before using the pessary, it is necessary to consult a doctor.
Hormonal and antibacterial therapy
Levels of the hormone estrogen in a woman’s body affects the condition of the pelvic floor muscles. Therefore, when the prolapse of the bladder used estrogen (oral or topically). This methods has a number of risks. Hormonal balance is a complex and sensitive system and the slightest hesitation can lead to serious consequences. Because without prescription hormonal medications can not be used. Ointment with estrogen less dangerous than the pills. In addition, the doctor prescribes antibiotics to fight the infection that develops due to the violation of urination. Cystocele is often accompanied by inflammatory processes, and without antibiotics they do not resolve.
The purpose of various exercises depends on the degree of gravity of pathology.
To strengthen the vaginal walls need to perform certain exercises. Popular and effective are Kegel exercises. To perform them is simple: engage pelvic floor muscles, pull in, like the cessation of urination, stronger, and hold in this position for about 3 seconds and then relax too 3 seconds. In subsequent periods of tension and relaxation up to 10 seconds. To obtain a visible effect of the exercises should be done 10-15 times 3 times a day. Exercises should be performed at any time, in any position.
In addition to the Kegel method, used a set of restorative exercises, aimed at strengthening the pelvic muscles and the whole organism, normalization of work of internal organs. It also helps to get rid of extra pounds. All exercises assigned by a doctor depending on the characteristics of the disease. Doing some exercises can aggravate hair loss. Often therapy bladder prolapse involves performing certain yoga positions. It is believed that it helps not only to get rid of a bladder prolapse, but also eliminates the pain.
Applying a bandage
To strengthen and maintain the muscles, apply a bandage. This method is somewhat normalizes, if the operation is for some reason impossible. Jockstrap, made in the form of underwear, eliminates discomfort and pain, prevents complication of the disease, promotes rapid rehabilitation after surgery. However, he is virtually invisible under clothes.
If the application of conservative methods failed, prolapse of the bladder in women eliminate with the help of surgery, which allows you to return the pelvic organs in their place and prevent serious complications. If the pathology progresses rapidly, the procedure is performed immediately, without the use of other methods.
This type of surgery strengthens the vagina and perineal muscles that hold it upright. The procedure is performed under General anesthesia. The essence corporatii to remove part of the front wall of the vagina in the region of its transition into the cervix, which leads to it raising up. In the result the bladder will get support, the patient’s condition is normalized.
Another way to eliminate cystocele laparoscopy. Surgery involves the removal of defects through small incisions abdomen. Laparoscopy found to be more effective and less painful method. Rehabilitation short. During menopause should take medication with estrogen. After surgery to prevent infection are prescribed a course of antibiotics.
In the early stages of development of a cystocele is repaired using the recipes of traditional medicine. It is a good addition to physical therapy. There are a number of popular recipes, but their use is possible only after approval by the attending physician:
- Muscle tone increases quince. Dried quinces and pour the boiling water in the ratio 1:10 and 20 minutes are kept in a water bath. Then wrap the container with infusion and allow to cool. To drink the beverage at any time.
- Astragalus root is no less effective. Dry, chopped root pour vodka in a ratio of 1:10 and insist in a dark place for 2 weeks. Take 1 tsp before meals.
- The infusion of Datura. Dope restores lost muscle tone if you take sitz baths with infusion of this plant. To prepare 20 g of dope pour 5 liters of boiling water, container cover and leave for 30 min. Then, the resulting medium is filtered and added to water for bath.
The main method of preventing prolapse of the bladder — taking care of yourself.
To prevent the development of pathology of the bladder, you should regularly perform special exercises, which your doctor will recommend (Kegel). This applies to pregnant women. You need to visit a gynecologist at least 1 time in six months, in time to detect the problem and not allow it to develop. Before the birth should ask the obstetrician to carefully take the baby. Women cannot lift weights, the female body is not designed for it. You should promptly eliminate constipation and coughing. The extra weight and stresses need to be addressed.