Cystocele Repair in Ocala, Florida
What is a Cystocele?
A cystocele is another term for a bladder prolapse. This is a condition where the supportive tissues between a woman’s bladder and vaginal wall weaken, causing the bladder to bulge into the vaginal space.
At Florida Women’s Health, Kelsey Lipking, MD, a fellowship-trained urogynecologist, offers expert diagnosis and treatment for cystocele, helping women find lasting relief from pressure, discomfort, and bladder dysfunction.
What is Cystocele Repair?
When non-surgical interventions do not provide adequate relief, surgical repair may be considered. Cystocele repair is also known as a bladder lift or anterior colporrhaphy. This surgery aims to restore the normal position of the bladder and strengthen the supportive tissues between the bladder and vagina.
What Causes a Cystocele?
This weakening of supportive tissues can be caused by multiple factors including:
- Aging
- Vaginal deliveries
- Menopause
- Weight gain or Obesity
- Heavy lifting
- Hysterectomy or other pelvic surgery
What are the Signs or Symptoms of a Cystocele?
Dealing with a cystocele can impact your daily life and emotional well-being.
The symptoms of a cystocele can vary and may include:
- A sensation of pelvic pressure or fullness
- Leakage of urine
- Frequent urinary tract infections
- Difficulty with emptying the bladder
- Discomfort during intercourse
- A “ball” or “lump” protruding from the vagina
- Lower back pain or pressure
How is a Cystocele Diagnosed?
A cystocele is diagnosed with a discussion of your symptoms, medical history and a physical exam. If diagnosed with a cystocele or concerned you may have a cystocele, you may consider consultation with Dr. Kelsey Lipking.
How is a Cystocele Treated?
Treatment for a cystocele aims to improved the structural integrity of the tissue between the bladder and the vagina. This can include strengthening of the muscles in the pelvis, use of a pessary, or cystocele repair surgery.
Non-Surgical Treatments
Before considering surgery, non-surgical options may include:
- Pelvic floor exercises – kegels or other muscle strengthening exercises
- Pessaries – devices inserted into the vagina to support pelvic organs
- Lifestyle changes – weight loss, avoiding heavy lifting
Cystocele repair surgery
A cystocele repair, or anterior colporrhaphy, is a surgery that will:
- Lift your bladder back to its normal place
- Use your own tissue and not require the use of mesh
- Reduce your bothersome bulge symptoms
Frequently Asked Questions
A cystocele, also called a bladder prolapse, occurs when the wall between the bladder and vagina weakens, allowing the bladder to bulge into the vaginal canal. This is commonly called a “dropped bladder” and it is one of the most common forms of pelvic organ prolapse.
Symptoms can include pelvic pressure or fullness, a visible or felt bulge in the vagina, difficulty emptying the bladder completely, frequent urinary tract infections, urinary leakage, or a slow urine stream. Symptoms may worsen with prolonged standing or activity.
Women with moderate to severe bladder prolapse causing significant symptoms — especially when non-surgical treatments like pelvic floor therapy or a pessary haven't provided adequate relief — are typically good candidates. Dr. Lipking will evaluate your anatomy and symptoms to determine the best approach.
Cystocele repair is most often performed vaginally, reinforcing the tissue between the bladder and vaginal wall. It can also be done laparoscopically depending on the severity of prolapse and individual factors. Dr. Lipking will discuss the best surgical approach for your case.
It depends. Cystocele repair addresses prolapse, but urinary incontinence often has a separate cause. Dr. Lipking will evaluate whether a concurrent incontinence procedure — such as a mid-urethral sling or urethral bulking— is appropriate for you at the same time.
Schedule Your Consultation Today
You don’t have to manage cystocele on your own. Expert, compassionate care is close to home. Call (352) 820-4392 today to schedule your consultation with Kelsey Lipking, MD at Florida Women’s Health. We proudly care for patients from Ocala, The Villages, Belleview, and surrounding areas.
Relief is possible—and it starts with a conversation.