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Gynecology & Obstetrics

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Conditions We Treat: Cystocele

A cystocele, also called an anterior prolapse, is a condition where the supportive wall of tissue between a woman’s bladder and vaginal wall weakens and stretches.

The stretched tissue causes the bladder to bulge into the vagina. A cystocele is also known as a prolapsed or fallen bladder.

Cystocele: What You Need to Know

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  • Factors that increase your risk of a cystocele are childbirth, age, obesity, chronic constipation and heavy lifting.
  • Factors that increase your risk of a cystocele are age, obesity, chronic constipation and heavy lifting.
  • Signs and symptoms can include the feeling that something has dropped out of your vagina, leaking urine or a feeling of incomplete emptying of your bladder.
  • In more advanced cases, the vaginal wall that supports the bladder will drop out of the opening of the vagina, causing an obvious vaginal bulge.
  • Tests for a cystocele may include a pelvic exam and urodynamics, a group of tests to evaluate bladder function.
  • Women with moderate to advanced symptoms may opt for a vaginal pessary, a support device that is inserted into the vagina, or cystocele repair surgery.

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Why choose Johns Hopkins for treatment of cystocele?

Women's Pelvic Health Team at Johns Hopkins

Our Physicians

Rely on the expertise of our physicians to help you manage your cystocele.


Our Treatments

At Johns Hopkins, our goal is to offer you the most minimally invasive treatments possible to restore your health. Our highly skilled specialists offer the full range of techniques and procedures to treat a cystocele, including:

  • Pelvic floor exercises
  • Activity modification — avoiding activities such as heavy lifting that put pressure on the muscles of the abdomen and could cause a cystocele to worsen
  • Vaginal pessary, a vaginal support device that is inserted into the vagina to hold the bladder in place
  • Minimally invasive cystocele repair surgery

Learn more about treatments for pelvic floor disorders at Johns Hopkins.

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Our Patient Care

Our pelvic health team includes board-certified urogynecological specialists who work collaboratively with urologists, colorectal surgeons and physical therapists. We’re here to offer patients comprehensive, personalized care from diagnosis to treatment and beyond.

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Our Locations

With convenient locations throughout the Baltimore metropolitan area, we make it easy for you to seek the care and treatment you need to manage your cystocele.

View all of our locations.

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Maryland Patients



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Whether you're crossing the country or the globe, we make it easy to access world-class care at Johns Hopkins.

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