What is a Fallen Bladder?

The human urinary tract, including the bladder in pink at the bottom.
A cutaway of a female body showing the bladder in dark pink.
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  • Written By: Malcolm Tatum
  • Edited By: Bronwyn Harris
  • Last Modified Date: 21 August 2014
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Also known as a dropped bladder or cystocele, a fallen bladder is a condition in which the wall between the vagina and the bladder weakens to the point that the bladder dislodges. This creates a situation where the bladder is essentially drooping into the vagina. Along with making it more difficult to expel urine from the bladder, the condition can be extremely painful.

There are several health risks associated with a fallen bladder. Depending on the position of the organ, preventing urination may become less possible. Instead, the urine leaks out without any warning. The urethra may also be stretched, which increases the chances for an involuntary release of urine whenever the patient laughs, coughs, or engages in any activity that pulls on the muscles of the lower abdomen.

The development of this type of prolapse is normally classified using three distinct grades or categories. The least severe grade involves bladders where the drooping is minimal but still leaves the organ partially into the vagina. The next grade is somewhat more serious, as the bladder has sunk far enough into the vagina to be near the opening. In the worst category, the bladder actually protrudes slightly from the vaginal opening and is clearly visible. With all three grades, it is not unusual for the pain to range from mildly uncomfortable to almost unbearable. Often, the condition will also cause pain that seems to emanate from the area of the kidneys as well.

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Risk factors for developing a fallen bladder involve childbirth and age. When a great deal of straining takes place during the process of delivery, it is possible for the wall between the bladder and the vagina to fail, allowing the bladder to enter the vagina. Unusual and prolonged straining during bowel movements may cause the same situation. Even regular lifting of heavy objects that are beyond the strength of the individual could place additional strain on the lower abdomen and lead to a fallen bladder.

Menopause can also be a time when the potential for a fallen bladder increases. Since estrogen helps to keep the wall between the vagina and the bladder healthy, the lower production of the hormone can lead to a weakening of the wall. This places the female at greater risk for damaging the wall due to straining during some activity.

Fortunately, the fallen bladder is a highly treatable health condition. Upon diagnosing the ailment and determining the level of severity, the attending physician can initiate the proper treatment. Depending on the amount of drooping that has taken place, the treatment will involve nothing more avoiding any heavy lifting or straining that would exacerbate the condition. This is particularly true when the bladder is only slightly drooping into the vagina and when the patient is experiencing little to no pain.

When the discomfort is more pronounced, the physician may choose to insert a device known as a pessary. Essentially, this device is placed in the vagina and positioned so that it pushes the bladder back through the damaged wall and into its former position. Since pessaries come in various shapes and sizes, it is usually possible to find one that is relatively comfortable for the patient. However, there is a possibility of developing infections or ulcers; for this reason, physicians will monitor the position of the pessary and the general condition of the vagina as long as the device is in place.

In the worst cases of a fallen bladder, surgery is the only alternative. The procedure calls for repairing the wall and reinforcing the area so that the bladder is returned to a normal position. Invasive surgery of this type usually requires the patient to remain hospitalized for several days, with the full recuperative period lasting several weeks.

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anon321873
Post 14

I have a prolapsed bladder (second degree) and I'm not sure whether I should have the surgery at this stage. I'm 39 years old and I was told that the sooner the better, since I can tolerate surgery and have no chronic diseases. What to do?

anon266174
Post 11

Does a fallen bladder cause pain during intercourse?

anon260393
Post 10

@anon72121: Pessaries can be purchased online. They are not that expensive.

anon204963
Post 9

I have a fallen bladder and had surgery done and it did not take. can anyone tell me of a good doctor who knows what he or she is doing?

anon126055
Post 8

I has a hysterectomy 17 years ago and i am experiencing leakage, pain and pressure and a need to go all the time. is this due to my surgery?

anon125058
Post 7

I have a bladder that does not function. I use catheters every day. is there anything that can be done to alter this, some repair? I am a male in my 70s.

anon123107
Post 6

I have a fallen bladder or I think that is what is protruding out of my vagina, and this makes intercourse very painful. Is there anything that will fix this?

anon108020
Post 5

i was told i have fallen bladder. i don't want the thing i have to take out once in a while. i also had a chronic infection, but that is gone. Is it true on the hospital stay and the recovery time?

anon106176
Post 4

i was told that a dropped bladder does not cause pain. I have intense pressure and pain all day. --bb

anon105454
Post 3

My mother in-law has a severe case of fallen bladder. She had a $12,000.00 surgery to have it tied back up just to have it fall again after about eight weeks of being home. She has no insurance and cannot tolerate the pessary device. Her bladder is bad enough that it protrudes through her vagina. What would be her next option?

anon74953
Post 2

I just had a fallen bladder and my doctor had to do two incisions and go up through the utopia to repair and lift the bladder back in place. It was done in about 45 min at a surgery center. I was home about three hours later. My question is why do I still have the need to go so bad all the time still?

anon72121
Post 1

i have a fallen bladder and this is very interesting to me being that i have no insurance. what would be my options? what would you suggest?

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