Pelvic Organ Prolapse (Vaginal Bulge)

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Treatment for Vault Prolapse including Cystocele and Rectocele

Vaginal vault prolapse, cystocele, and rectocele are conditions that affect the pelvic area in women. Let’s break down each of them:

Pelvic Organ Prolapse.

Vaginal Vault Prolapse

What is it: Vaginal vault prolapse happens when the top part of the vagina sags or drops down from its normal position. This often occurs after a woman has had a hysterectomy (removal of the uterus).

Symptoms: Women with this condition may experience a feeling of heaviness or pressure in the pelvic area, discomfort during sex, and sometimes, the vagina may protrude outside the body.

Diagnostic Tests: Doctors can diagnose this condition through a physical examination, and sometimes imaging tests like ultrasound or MRI.

Treatment Options: Treatment can range from pelvic floor exercises (Kegels) to surgery. Surgery may involve repairing the vaginal walls or using supportive devices like a vaginal pessary to hold the vaginal vault in place.


What is it: A cystocele is when the wall of the bladder sags into the front wall of the vagina. This can happen due to weakened pelvic muscles and connective tissues.

Symptoms: Women with a cystocele may experience urinary problems like frequent urination, a sense of incomplete emptying of the bladder, and sometimes, a bulging or pressure sensation in the vaginal area.

Diagnostic Tests: Doctors can diagnose a cystocele through a physical examination and sometimes imaging tests. They may also check how well the bladder functions.

Treatment Options: Treatment can involve lifestyle changes like weight management and Kegel exercises. In more severe cases, surgery may be necessary to repair the bladder wall and strengthen the pelvic floor.


What is it: A rectocele occurs when the wall between the rectum and the back wall of the vagina weakens and allows the rectum to bulge into the vagina.

Symptoms: Women with a rectocele may experience difficulty with bowel movements, a feeling of rectal fullness, and sometimes, a bulging sensation in the vaginal area, especially during bowel movements.

Diagnostic Tests: Doctors can diagnose a rectocele through a physical examination and may also use imaging tests if needed.

Treatment Options: Treatment can include dietary changes to prevent constipation, pelvic floor exercises, and in some cases, surgery to repair the rectal wall and provide support to the pelvic area.

It’s important to note that the treatment approach depends on the severity of the condition and individual patient factors. Women experiencing any of these symptoms should consult with a healthcare provider who can provide a proper diagnosis and recommend the most suitable treatment options.Call our office to schedule a consultation at (678) 321-7227.

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