Dr Jasdev Singh
Anterior Vaginal Repair – Cystocele
When the bladder bulges into the front wall of the vagina, a repair through the vagina can restore support and ease discomfort, with no cuts on the tummy.
Pelvic Organ Prolapse
Restoring support to the front wall of the vagina
A cystocele is a prolapse of the bladder into the front wall of the vagina. It can cause a bulge, a heavy dragging feeling, difficulty emptying the bladder or frequent infections. Anterior repair tightens the supporting tissue between the bladder and the vagina.
Prolapse is common, especially after childbirth and menopause. Many women put up with symptoms for years before asking for help.
Dr Jasdev discusses physiotherapy and pessaries (supportive devices placed in the vagina) as well as surgery.
Symptoms understood first
Leaking, bulging or discomfort is assessed carefully, including how much it affects your daily life.
Simpler options considered too
Pelvic floor exercises, physiotherapy and other treatments without surgery are discussed alongside operations.
Recovery planned in advance
You will know what to expect after the procedure and when your review is due.
What anterior repair may offer
- Relief from the bulge and dragging feeling
- Better bladder emptying for some women
- Surgery through the vagina, with no tummy wound
How your care is planned
Each stage is explained so you understand the cause of your symptoms, your options and what recovery involves. You can take time to decide.
Examine and grade the prolapse
Discuss physiotherapy, a pessary or surgery
Repair the front wall and support your recovery
How the surgery works
Under anaesthetic, a cut is made in the front wall of the vagina. The weakened tissue under the bladder is folded and stitched to give firmer support. Excess skin may be trimmed, and the wall is closed with dissolvable stitches. Your own tissue is used rather than mesh.
Who may benefit
Women with a bothersome bladder prolapse who have not improved enough with physiotherapy or a pessary, or who prefer surgical treatment. If you also leak urine, this is assessed at the same time, as it may need separate treatment.
What to expect
Most women stay one night. A catheter may be used for a short time. Recovery takes around six weeks, avoiding heavy lifting and sex during this time. You will have a review visit to check healing. Pelvic floor exercises after healing help protect the repair.
How Dr Jasdev works with you
He brings gynaecological surgical experience and a calm, private approach to symptoms that many women find hard to talk about. Plans follow current evidence and your own priorities. You will have time to ask questions before anything is decided. Women see him from Kuala Lumpur and across Malaysia.
What to bring to your appointment
These details help Dr Jasdev understand your symptoms and plan the right tests or treatment. If you cannot find everything, bring what you have.
- A list of your symptoms, including bladder and bowel symptoms
- Details of previous pelvic surgery or births
- A list of your medicines
What women often ask
Bladder and pelvic floor problems are common, yet many women wait years before asking about them. These questions can help you start.
Do I need surgery, or can I try something else first?
Will the prolapse come back?
Will it affect my sex life?
How long is recovery?
Your questions about anterior repair
What is an anterior vaginal repair?
It is surgery through the vagina to strengthen the tissue supporting the bladder, treating a cystocele.
Who is it suitable for?
Women with a bladder prolapse that causes symptoms, after treatments without surgery have been considered.
What tests are needed first?
A pelvic examination, a urine test and sometimes bladder function tests or a scan.
Is it painful or risky?
Discomfort is expected for a few weeks. Risks include bleeding, infection, difficulty passing urine, pain during sex and the prolapse returning.
Why see Dr Jasdev for prolapse repair?
He discusses every option, including those without surgery, and plans a repair to suit your symptoms and lifestyle.
How do I book?
Call or WhatsApp the clinic to arrange an assessment.
This page is general information and does not replace a consultation. Whether a procedure suits you, and its risks, recovery and alternatives, should be discussed with Dr Jasdev based on your own history.
Get support for prolapse symptoms
Book a consultation to discuss your options.