Prolapsed bladder is an abnormal position of the bladder that might develop in women. The normal position of the bladder is supported by the front wall of the vagina. If for some reason this support of the bladder becomes weakened or damaged, the bladder would lose its natural position and slip into the vagina.
Prolapsed bladder causes
The risk of developing prolapsed bladder is greatest during menopause. The estrogen hormone helps to preserve the tautness of the muscles and tissues of the vagina. The fall in the estrogen secretion during menopause might slacken the vaginal muscles. This might weaken the vaginal wall that supports the bladder, causing prolapsed bladder.
During childbirth, the vaginal muscles undergo tremendous strain, which might damage the vaginal wall. After delivery, the vagina tends to heal naturally. Occasionally, the vagina might not attain its previous health. The damaged vaginal wall might cause prolapsed bladder.
Pelvic floor muscle damage
Prolapsed bladder can develop if the muscles of the pelvic floor are damaged due to some reason. Prolonged strain exerted on the pelvic floor muscles from constipation, lifting heavy weights and even coughing could damage the muscles and weaken the support of the bladder.
Symptoms of prolapsed bladder
If you have mild prolapsed bladder, you might not experience significant discomfort. You might feel a mass of tissues inside your vagina. Moderate to severe prolapsed bladder and complete prolapsed bladder, in which the entire bladder comes outside the vagina, could cause severe discomfort and complications. If you have prolapsed bladder, you would experience pelvic pain, low back pain, difficulty in urinating, bladder leakage when coughing or sneezing, and frequent bladder infection.
Prolapsed bladder treatment
Estrogen replacement therapy during menopause could prevent prolapsed bladder. Estrogen helps to strengthen the vaginal muscles, and helps to preserve the normal position of the bladder. Kegel exercises that help to strengthen the muscles of the pelvic floor could help to hold the bladder in its position. To treat moderate to severe prolapsed bladder, pessaries are inserted in the vagina. This device holds the bladder in the proper position. To prevent infections, pessaries should be cleaned routinely.