Female Urology

Prolapsed Bladder

The Bladder is a hollow organ positioned in the lower abdomen. It primarily collects and stores urine produced by the kidneys. As the bladder fills with urine, it expands increasing in size. On reaching its capacity of urine voluntary contraction allows the urine to be expelled from the bladder. The urine flows through a narrow tube called the urethra, leaving the body.
In women, the wall of the vagina helps support the bladder in its correct position.  With aging, the wall weakens; other related stresses can cause the wall to weaken as well (such as childbirth). As the wall deteriorates the bladder can prolapsed, which means it loses its support causing it to descend into the vagina. A prolapsed bladder can cause problems such as urinary discomfort or leakage (stress incontinence).
  • Causes
    • Menopause
    • Childbirth
    • Straining
  • Symptoms
    • Pelvic pain
    • Protrusion of tissue from the vagina
    • Sexual intercourse discomfort
    • Frequent bladder infections
    • Lower back pain

  • Diagnoses
    • A vaginal examination is usually required to diagnose a prolapsed bladder.
  • Treatment
    • Kegel exercises
    • Estrogen Therapy (build muscle tone)
    • Vaginal lubricants
    • Pessaries – devices inserted to hold the bladder in position
    • Surgery
Voiding Dysfunction
Voiding dysfunction is defined as the abnormal filling and or emptying of the bladder. Female voiding dysfunction presents a challenge to urologists and urogynecologists. The symptoms are broad and it is not uncommon for voiding disorders to be missed during screenings. This condition encompasses overactive bladder, urinary tract obstructions, incontinence and urination difficulties resulting from neurological disorders or spinal cord injury. Once an accurate assessment of the underlying condition is ascertained, a variety of surgical vs. non surgical treatment options are available to patients.
Symptoms
Incontinence
Difficulty urinating
Recurring infections of the urinary tract
Constant urge to urinate
Diagnosis
Rectal examination
Urinalysis
Blood test
Ultrasound
Pelvic and routine urological exam
Treatment
Medication
Kegel exercises
Psychotherapy
Surgery