This type of Gynaecology procedure / treatment can be considered reasonably expensive, especially given the skill set, experience, training and equipment used by the specialists involved. For Cystocele Repair, medical records, reports or any supporting documents may be required for the specialist to assess prior to the treatment.

As with any major surgery, recovery can vary according to the individual. Your immediate recovery can be affected by various factors like the sedation (anaesthetic) type and how long you’re sedated for, but you should expect to spend some time recovering in the ward before being discharged. Then you should expect to rest for a few more days before you begin to commence light activity again – remember, Cystocele Repair is a major surgery and your body needs time to recover. As for aftercare, it’s crucial that you follow the surgeon’s advice and adhere to the prescribed medication plan.

Large and recurrent cystoceles are a major challenge in pelvic reconstructive surgery. Cystocele occurs as a result of herniation of the bladder into the vagina due to generalized stretching or attenuation or specific defects of the pubocervical fascia, which stretches from one side of the pelvic side wall to the other. The procedure performed most commonly for cystocele repair is anterior colporrhaphy, which involves plication of the pubocervical fascia in the midline from the bladder neck to the apex of the vagina. However, recurrence is common. Anterior vaginal prolapse may recur after standard anterior colporrhaphy in up to 50% of patients.

Proponents of the site-specific approach to cystocele repair claim that recurrence may ensue because the repair does not reach the site of the defect (particularly in the case of paravaginal or lateral defects). Concomitant connective tissue weakness or pelvic floor damage may also contribute to surgical failure. To improve the surgical outcome of cystocele repair, mesh has been used, but recurrence is still common after mesh interposition. The problem may lie partly in obtaining a strong attachment for mesh anchorage.