After giving birth, women's exercises that strengthen their pelvic muscles prevent bladder sagging. Anadolu Health Center Urology Specialist, who stated that the majority of the masses that protrude from the vagina and are palpable are bladder prolapse. Elnur Allahverdiyev said, “One of the biggest causes of bladder prolapse in women is pelvic floor muscle insufficiency after normal delivery. In particular, doing kegel exercises to develop the muscles in the postpartum pelvic region (the lower part of the abdomen) prevents bladder sagging.
Stating that bladder prolapse, which is called cystocele in medicine, is considered a kind of hernia, Anadolu Health Center Urology Specialist Dr. Elnur Allahverdiyev said, “Prolapse of the bladder can manifest itself as the bladder hanging down and protruding out of the vagina, and sometimes with symptoms such as frequent urination, urinary incontinence, inability to urinate, getting up to urinate at night and recurrent urinary infections.”
Pregnancy and normal birth risk factor
Noting that bladder sagging can be prevented, Urology Specialist Dr. Elnur Allahverdiyev said, “We can say that pregnancy and normal delivery in women are risk factors for bladder prolapse. Therefore, it is important at this point to do exercises that develop the pelvic muscles, called kegels, after pregnancy and normal delivery. On the other hand, if there is weight control, if there is constipation, avoiding weight lifting, if there is any lung disease or if you have to constantly increase the pressure in the abdomen while coughing too much, these patients also need to be treated, because any factor that increases the pressure in the abdomen can cause bladder sagging. is a risk factor. Therefore, before proceeding to the treatment of bladder prolapse, it is necessary to prevent bladder prolapse.
Urinary complaints should be questioned before treatment.
Stating that patients with bladder prolapse symptoms should first consult with a doctor specialized in functional urology, Urology Specialist Dr. Elnur Allahverdiyev said, “Before evaluating the bladder prolapse, the patient should be asked about urinary complaints and if there is urinary incontinence, what type of urinary incontinence should be asked. After the evaluation of a functional urologist, if there is a significant and significant sagging with a physical examination, we perform the sagging repair at the request of the patient.
Cystocele (bladder prolapse) repair is like a kind of hernia surgery. It is performed with a 3-5 cm incision made from the vagina. Dr. Elnur Allahverdiyev, “The sagging part of the bladder is put in its place and the tissue defect (endopelvic fascia) is repaired. If the patient has a complaint of urinary incontinence, additional action is taken to prevent urinary incontinence, if necessary. The hospitalization period of the patient is usually 1-2 days. There are some recommendations for the patient not to lift weights, not to be constipated, etc. for 6 weeks after the operation," he said.