Pre Op Tests Performed Before Fallen Bladder Surgery

A Cystocele or Fallen Bladder

One of the important organs within the urinary system is the bladder, and its main function is to store the urine before it is expelled. Urine made by the body is filtered from the kidney, and travels into tubes called ureters. The ureters are attached to the opening of the bladder and urine is collected there. With the increase in the amount of urine, the person will feel a fullness in their lower abdomen and want to urinate

In females the bladder is situated on the very top of the front wall of the vagina. Therefore, it is the vagina that is actually supporting the posterior wall of the bladder. Any medical condition or illness that destroys the structure of the vagina would in turn destroys the structure of the bladder, as it is dependent on it for support. The term cystocele thus refers to the situation in which the strength of the vaginal wall decreases creating a hole, and the bladder prolapses or drops into the vagina. The vagina supports the bladder, and any condition that affects the musculature of the vagina, might have an effect on the bladder. Therefore, a prolapsed bladder or cystocele occurs when the vaginal wall is no longer able to support the bladder and the bladder “prolapses” or falls into it.

The Pre-op Tests For Cystocele: The Physical Examination

The main pre op tests for fallen bladder surgery is the physical examination. Before completing the physical examination the physician will listen to the patient for any symptoms they have noticed in regards to their condition. The physician will then complete the physical examination and look for any signs to be recorded in the patient’s medical notes.

There are quite a number of various signs and symptoms associated with cystocele and they range from pain in the pelvis, difficulty urinating, or a feeling of fullness in the vagina. Some females experience bleeding, back pain, and even an infection. If the physical examination is conducted correctly and there are no complications, the physician should be able to diagnose a moderate to severe form of cystocele.

The Pre-op Tests For Cystocele: The Cystourethrogram Test

Other than a physical examination, the second pre op tests for fallen bladder surgery is the cystourethrogram. The physician can initially order an x-ray of the pelvic region, but the cystourethrogram is a more specialized x-ray. These pre-op tests for fallen bladder surgery involves taking radiographic images of the bladder while it is expelling urine. The person will need to have a catheter inserted and dye will be placed into the catheter to enter the bladder. As the dye circulates, images are taken of the bladder emptying urine to detect a cystocele.

The Treatment of Cystocele

The most common method that does not involve surgery is using a pessary ring. This S-shaped ring or a tube structure is inserted into the vagina to add strength to this organ’s wall. However, it is only useful for mild forms of cystocele. Surgery is the treatment of choice in severe forms of cystocele and the surgeon will place the bladder back into position sew the tear in the wall of the vagina.

Reference

Web Source: Red M. Alinsod, MD. South Coast Urogynecology. "Cystocele; Fallen Bladder." 2010. Available at: https://www.urogyn.org/fallen_bladder.html