What Is Prolapsed Bladder Surgery?

A part or all of the bladder prolapses from the external urethral orifice. It is called a sagging bladder. The normal bladder is fixed by the triangular ligaments, lateral ligaments, and surrounding tissues. It is not easy to prolapse. The urethra is closed under the action of the internal and external sphincter. When the above structure and its function are damaged and weakened, there is a possibility that the bladder will sag.

Bladder prolapse

Bladder Prolapse Overview

A part or all of the bladder prolapses from the external urethral orifice. It is called a sagging bladder. The normal bladder is fixed by the triangular ligaments, lateral ligaments, and surrounding tissues. It is not easy to prolapse. The urethra is closed under the action of the internal and external sphincter. When the above structure and its function are damaged and weakened, there is a possibility that the bladder will sag.

Causes of bladder prolapse

1. Pregnancy and childbirth: Excessive pressure on the pelvic floor muscles by forceps and postpartum cough caused by the exposed part of the fetus can cause pelvic floor tissue relaxation and damage. ^[1]

2. Urethral and vaginal surgery: Resection of urethral cancer, urethral trauma, and cervical cancer radical surgery can destroy the normal structure and support of the urethra and bladder. 3. Urethral injury: Severe urethral laceration or extreme urethral dilatation, such as transurethral intercourse, can cause relaxation of the sphincter inside and outside the urethra and bladder neck. 4. Weakness and estrogen deficiency: chronic disease failure can relax local tissues; estrogen deficiency causes reduced urethral closure pressure.

5. Increased intra-abdominal pressure: chronic cough, constipation, dysentery and acute cystitis can cause increased intra-abdominal pressure to become the cause of bladder sagging.

Bladder Prolapse Treatment

Chinese medicine treatment of bladder prolapse

The treatment of bladder droop should be supplemented with qi, and the main formulas are Angelica 12 grams, Chenpi 10 grams, Cimicifuga 8 grams, Bupleurum 10 grams, Pseudostellaria heterophylla 12 grams, Bai Poria 12 grams, Astragalus 15 grams, Ginseng 10 grams 10 grams of atractylodes, 10 grams of licorice.

Bladder Prolapse Surgery

There are two methods of bladder drooping: manual reduction and surgical suspension. Manual reduction is to gently push the bladder back to the original incomplete prolapsed bladder by hand or straight urethral metal probe or cystoscope under anesthesia. Often, a large amount of retained urine is indwelled for 1 week and the F6 balloon catheter simply resets the bladder without indwelling the catheter. It is often not easy to achieve the purpose of reduction. It is a relapse in a short period of time. Anterior abdominal wall on the fascia.