The anterior wall of the vagina is adjacent to the bladder and the posterior wall is adjacent to the large intestine, and the uterus and cervix are stiuated on the top. In genital prolapse, one or few of these walls bulge out of the vagina.
The most common prolapse area is the anterior wall. In anterior prolapse, the bladder and the tube that drains urine out of the bladder, called the urethra, prolapse.
Depending on the severity of bladder prolapse, urinary symptoms arise in the patient. If prolapse is mild, the patient has urinary incontinence when coughing and sneezing, and straining. The majority of our patients suffer from this type of urinary incontinence. If prolapse is severe, the urethra is twisted downwards on itself and the patient cannot urinate. Some of these patients can urinate manually by raising the bladder from the vagina using their fingers.
If this condition persists in patients who cannot urinate in this way, the tubes (ureter) carrying urine from the kidneys to the bladder are dilated, impairing the renal functions.