Prolapse surgery and diagnosis of your symptoms is essential to treating your condition properly. Some patients may experience mild urinary symptoms or none at all if the prolapse is subtle. In other cases, a prolapse can cause more severe symptoms, such as pelvic pressure or pelvic pain. You may experience a pulling or stretching sensation in the groin area. Some patients get a feeling as if “something is falling out” of the body through the vagina or rectum.
Prolapse surgery and diagnosis can help address any bladder problems that are giving you problems urinating. One example is urinary retention, or the inability to empty your bladder completely. This can cause frequent urination because of the feeling of always “having to go”. Many patients experience urinary incontinence, which is a sudden release of urine or the inability to hold in your urine. One example is stress incontinence. Stress incontinence is an involuntary release of urine due to sudden pressure on the bladder, such as when you cough, laugh, or sneeze. You may also notice some spot bleeding accompanied by pain in the prolapsed area. Because of a fallen bladder penetrating the vaginal wall, many patients experience uncomfortable or painful intercourse.
A prolapse can be diagnosed in several ways. A urodynamic study determines how well the bladder and urethra are working to store and release urine. This can help our doctors explain the causes for your symptoms. You may be asked to perform a voiding trial to test how well you can urinate and how much urine you can release in one time, or void.
Prolapse surgery and diagnosis are needed to determine the best course of treatment for your condition. The degree or severity of the prolapse can be determined on an imaging test, such as an ultrasound, x-ray with contrast, or MRI. Doctors may also order blood tests and a urinalysis. The type of prolapse urologic surgery can then be suggested based on the results of all the tests.