Types of Pelvic Organ Prolapse: Cystocele  - Legacy Physical Therapy
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Types of Pelvic Organ Prolapse: Cystocele 

TypesofPOPCystoceleBlog (1)

The human body is a complex and interconnected system, and the pelvic floor plays a vital role in maintaining stability and supporting various organs. When the pelvic floor weakens, it can lead to a range of uncomfortable conditions, such as cystocele.

A  Cystocele (anterior vaginal wall prolapse)

  • Occurs when the supportive tissues between a woman’s bladder and vaginal wall weaken, causing the bladder to bulge into the vagina. 
  • This condition often arises due to childbirth, age-related changes, chronic straining, obesity, or prior pelvic surgery.
  •  As the pelvic floor muscles and tissues weaken, it struggles to support the bladder adequately, leading to its descent into the vaginal canal. 

Symptoms of cystocele may include:

1. A bulging sensation or feeling of pressure in the vaginal area.

2. Discomfort or pain during sexual intercourse.

3. Urinary incontinence or increased frequency of urination.

4. Difficulty emptying the bladder completely.

5. Recurring urinary tract infections (UTIs).

cystocele 1

Pelvic floor physical therapy is a specialized form of therapy aimed at strengthening and rehabilitating the muscles, ligaments, and connective tissues of the pelvic region. The primary goal of pelvic floor physical therapy for cystocele is to improve the support and function of the pelvic floor, allowing it to better support the bladder and surrounding organs.

1. Comprehensive Evaluation: The first step in pelvic floor physical therapy is a thorough assessment. A trained physical therapist will review your medical history, discuss your symptoms, and perform a physical examination. This may include an internal examination to assess the strength and flexibility of the pelvic floor muscles.

2. Muscle Strengthening and coordination: Pelvic floor exercises play a pivotal role in cystocele treatment. The physical therapist will guide you through targeted exercises to strengthen the pelvic floor muscles. Proper technique is crucial, as performing these exercises can exacerbate the condition.

3. Education and Lifestyle Changes: Your physical therapist may offer advice on lifestyle modifications to reduce symptoms, such as managing constipation, correcting any toileting habits and adopting proper lifting techniques.

6. Behavioral Training: If urinary incontinence or urgency is a concern, behavioral training, including bladder retraining techniques, may be integrated into the therapy program.

Cystocele, while distressing, can be effectively managed and treated through pelvic floor physical therapy. With personalized treatment plans, guided exercises, and lifestyle modifications, patients can regain strength and function in their pelvic floor, alleviating the discomfort associated with this condition. 

If you suspect you have a cystocele or are experiencing pelvic floor issues, don’t hesitate to consult with one of our experienced pelvic floor physical therapists, schedule a discovery session to talk to us one on one.