Prolapsed Bladder (cont.)
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Severe prolapsed bladders that cannot be managed with a pessary usually require surgery to correct them. Prolapsed bladder surgery is usually performed through the vagina, and the goal is to secure the bladder in its correct position. The bladder is repaired with an incision in the vaginal wall. The prolapsed area is closed and the wall is strengthened.
Depending on the procedure, surgery can be performed while the woman is under general, regional, or localanesthesia. Most women are discharged home on the same day of surgery.
Various materials have been used to strengthen pelvic weakness associated with prolapsed bladder.A surgeon should explain in detail the risks, benefits, and potential complications of these materials and he or she should explain about the procedure itself before proceeding with the surgery.
After surgery, most women can expect to return to a normal level of activity after 6 weeks.
George Lazarou, MD, FACOG
Bradley Fields Schwartz, DO, FACS
Mary L Windle, PharmD
Martin I Resnick, MD
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