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Is there an alternative to lift bladder? an operation from the back to lift bladder?

By Anonymous January 31, 2015 - 9:11am
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Menopause at 30 years, finished at 37. Colposuspension and part hysterectomy 20 years ago (just kept my ovaries). Cystocele 4 years ago. Whole operation has fallen into my vagina and is very sore and uncomfortable. Was told by a private urologist there is an operation from the back, which he claims is the only successful bladder uplift. And that a second cystocele would not be successful. Information please.

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EmpowHER Guest

Thank you Faith. Very grateful for your input. My vaginal walls are not too strong. Didn't know about using estrogen to keep them strong-what drs do not tell you!! Is there a procedure to strengthen vaginal walls before a second sling attempt? It is my own fault that my bladder fell: I also have a weak digestion and even with the magic tablet resolor I have to strain to eliminate daily.

January 31, 2015 - 4:09pm
Guide (reply to Anonymous)


Do I understand that you have already had a sling surgery?  There is always a "tension-free sling" that does not require the sling to be attached to other tissue.  Maybe this would be a good option for you as well.

The only way to get the proper estrogen to the vaginal walls is through hormone therapy which you can take in oral form.  You can ask your doctor about what to take.  

Just a side not though.  I don't think you should blame yourself for needing a bladder lift.  There are many reasons for urinary incontinence, none of which are voluntary.


January 31, 2015 - 8:53pm

Hello and thank you for sharing your question.  I'm so sorry to hear that you are experiencing these complications.  I'd be happy to give you some helpful information on the matter.

There are 4 different types of bladder suspension surgeries.

  • Open retropubic suspension surgery

The surgeon reaches the bladder through making an incision through the abdomen and then sews the bladder up to bone or tissue using suture.

  • Laparoscopic retropubic suspension surgery

similar to open retropubic surgery however has higher complication rates.

  • Needle bladder neck suspension surgery

done through abdomen or vagina, but is the least successful procedure compared to the others.

  • Sling Surgery

uses a piece of body tissue, called fascia, or a man-made material to create a sling or hammock-like structure that cradles the sagging bladder neck.  Successful depending on condition of surrounding structures.

I suggest that you sit down with your doctor and discuss these techniques.  I have never heard of a bladder suspension surgery through the back, so you will need to get more specifics on that from your doctor. 

Since you have had surgeries in the past to make this area delicate, I believe your doctor is correct in taking a different route this time.  Bladder suspension in general is not dangerous. It is simple a matter of choosing the correct method of surgery.

I hope this is helpful. Let us know if you have any more questions.


January 31, 2015 - 2:39pm
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