What are the first symptoms of bladder prolapse?
The first symptoms of bladder prolapse (cystocele) are often a feeling of vaginal fullness or pressure, a visible or palpable bulge in the vagina, urinary incontinence, and difficulty emptying the bladder completely.
Detailed Medical Explanation
Bladder prolapse occurs when the bladder sags into the vaginal wall due to weakened pelvic floor muscles. Early symptoms include pelvic heaviness, a bulge that may be more noticeable when standing, increased urinary frequency, leakage when coughing or sneezing, and difficulty starting or completing urination. Some women also report recurring urinary tract infections. Symptoms can be mild initially and progress over time. (NHS: Prolapse symptoms)
Clinical Context
Early recognition and assessment of bladder prolapse can improve outcomes and allow for conservative management before symptoms worsen.
Evidence-Based Approaches
Pelvic floor muscle training is recommended as the first step. NICE guidelines suggest seeking assessment early if you notice new urinary symptoms or vaginal bulging. (NICE NG123)