Fellowship-Trained Urogynecologist
Urogynecology & Reconstructive Pelvic Surgery
Green Bay, Wisconsin
✓ Medically reviewed March 2026
What Is a Cystocele (Bladder Prolapse)?
A cystocele — commonly called a “dropped bladder” or “bladder prolapse” — occurs when the wall between the bladder and vagina weakens, allowing the bladder to bulge into the vaginal space. It’s the most common type of pelvic organ prolapse and affects millions of women.
How It Develops
The front wall of the vagina supports the bladder. When this support weakens — from childbirth, aging, hormonal changes, or chronic straining — the bladder can push downward into the vagina. You may feel pressure, fullness, or notice a bulge at the vaginal opening.
A cystocele is essentially the bladder losing its backstop. The vaginal wall that normally holds it in place stretches and thins, and the bladder gradually descends. The good news is we have excellent options to restore that support.
Symptoms
- Feeling of vaginal pressure or fullness, especially when standing
- A visible or palpable bulge at the vaginal opening
- Difficulty fully emptying the bladder
- Urinary frequency or urgency
- Stress incontinence (leaking with coughing or sneezing)
Treatment Options
- Pelvic floor physical therapy — strengthening the supporting muscles
- Pessary — a removable device that supports the bladder
- Surgical repair — anterior colporrhaphy (front vaginal wall repair) or more extensive reconstructive surgery
- Vaginal estrogen — helps maintain tissue health, especially after menopause
Not every cystocele needs treatment. If it’s not bothering you, we can simply monitor it. But if it’s affecting your quality of life, we have a range of effective solutions.
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