Low bladder prolapse, or cystocele, occurs when the bladder drops down into the vaginal space due to weakened pelvic floor muscles. This condition can cause discomfort and urinary symptoms, and if it reaches at least grade 2 prolapse, it’s important to consider the best treatment options. As someone who’s navigated this journey, I want to share insights on choosing the right pessary and lifestyle changes that can make a significant difference in managing the condition.
Understanding Bladder Prolapse (Grade 2 and higher)
Low bladder prolapse is typically categorized into grades, with grade 2 indicating that the bladder has descended halfway into the vaginal canal. Symptoms might include pressure in the pelvic area, urinary incontinence, difficulty fully emptying the bladder, and feeling like something is “falling out.” If you’re experiencing these symptoms, you don’t have to suffer in silence—there are treatments and options available.
Choosing the Best Pessary for Grade 2 Prolapse
When it comes to managing bladder prolapse, a pessary is often a go-to solution. A pessary is a medical device inserted into the vagina to provide support to the pelvic organs. For grade 2 prolapse, the most common pessary options are:
Ring Pessary
The ring pessary is often the first choice for grade 2 bladder prolapse. It’s simple and comfortable for many women. It helps support the bladder and prevent further descent by providing a firm, supportive structure.
Gehrung Pessary
For women with more significant symptoms, the Gehrung pessary offers additional support. Its design includes a wider base, which can provide more comfort and prevent the pessary from shifting. It may be particularly beneficial for women with larger pelvic organs or a more advanced prolapse.
Donut Pessary
A donut-shaped pessary is another option for those with a grade 2 prolapse. It’s designed to support the bladder while providing a cushioning effect. This type of pessary can be especially helpful if the ring pessary feels uncomfortable or isn’t providing enough support.
When to Consider a Pessary
If you’re dealing with grade 2 bladder prolapse, you might want to try a pessary as part of your treatment plan. It’s a non-invasive option that can offer immediate relief. However, it’s important to work with your healthcare provider to determine the right type and size of pessary. Your provider can help ensure that the pessary fits correctly and doesn’t cause irritation or discomfort.
Lifestyle Changes to Support Bladder Health
In addition to using a pessary, lifestyle changes can significantly improve your symptoms and help prevent further prolapse. Here are some tips I found helpful:
1. Strengthen Your Whole Body
While pelvic floor exercises are often recommended, incorporating full-body strength training can be just as important. Exercises that focus on strengthening your core, legs, and back can improve overall posture, provide better pelvic support, and reduce pressure on the bladder. Activities like Pilates, yoga, or resistance training can help create a solid foundation that supports your pelvic area.
2. Manage Weight
Excess weight can place additional pressure on the pelvic organs, contributing to prolapse. Maintaining a healthy weight through a balanced diet and regular exercise can reduce strain on the bladder and pelvic floor.
3. Avoid Heavy Lifting
Lifting heavy objects can put added pressure on your pelvic floor. If you need to lift something, try to engage your pelvic muscles and lift with your legs instead of your back.
4. Practice Good Bathroom Habits
When you use the restroom, don’t strain to empty your bladder. Try to relax and give your body the time it needs. Also, avoid holding urine for extended periods, as this can weaken the bladder muscles over time.
5. Stay Hydrated, but Avoid Caffeine
Drinking plenty of water helps keep your bladder healthy. However, too much caffeine or alcohol can irritate the bladder and contribute to incontinence. Try to limit or avoid these substances.
Final Thoughts: You Have Options
Living with grade 2 bladder prolapse can be challenging, but you don’t have to manage it alone. A pessary can provide effective support, and lifestyle changes can make a significant difference in your comfort. Working closely with your healthcare provider will help you find the right combination of treatments for your needs.
Remember, you are not broken. You are strong, and with the right care, you can manage your condition and continue living your life to the fullest.