Small cystocele: what to know

A cystocele, also called an anterior wall prolapse, happens when the support between the bladder and vagina becomes weaker and the bladder presses into the front wall of the vagina. A small prolapse may cause no symptoms. Others notice a vaginal bulge, pressure, incomplete bladder emptying, urinary leakage, or discomfort that increases after standing or straining. A vaginal bulge symptom page can help you compare related sensations, but an examination is needed to identify the cause.

If symptoms are mild, pelvic-floor exercises guided by a qualified physiotherapist may improve support and bladder control. Avoid constipation and treat a persistent cough with medical advice, because straining can increase pressure. Ask about habits that reduce bladder irritation and whether lifting or high-impact activity worsens symptoms. A vaginal pessary is a removable support that may help some people; fitting usually involves choosing a size and checking comfort. Pelvic floor repair surgery is an option when symptoms remain troublesome despite conservative care.

Arrange assessment if you feel a new bulge, have difficulty emptying your bladder, recurrent urine infections, or leakage that affects daily activities. Seek urgent care if you cannot pass urine, have severe pelvic pain, fever with urinary symptoms, or a bulge that is very painful, bleeding, or cannot be pushed back as advised by a clinician.

How mild is the prolapse on examination? Would pelvic-floor physiotherapy or a pessary suit me? What bladder symptoms should prompt faster review?