What is the preferred surgical option for treating a cystocele?

The preferred surgical option for treating a cystocele is perineorrhaphy. This procedure involves the surgical repair of the perineum, which can effectively address the prolapse of the bladder into the anterior wall of the vagina. During this repair, tissues are reinforced to restore normal anatomy and support the bladder, making it a straightforward and effective approach in cases of mild to moderate cystocele.

Perineorrhaphy is particularly advantageous because it is often performed through the vaginal route, which has a lower risk of complications compared to abdominal procedures and promotes quicker recovery. It addresses the immediate anatomical concerns associated with a cystocele, focusing on restoring pelvic support and improving urinary function.

The alternative options, such as an abdominal hysterectomy, may not directly address the cystocele itself, and laparoscopic repair, while minimally invasive, can be more complex and appropriate for different indications. The vaginal mesh procedure is another option that has gained attention but has also raised concerns regarding complications and patient safety, making it less favorable for many practitioners and patients when compared to direct surgical repair methods like perineorrhaphy. Thus, the choice of perineorrhaphy reflects a focus on effective, focused, and safer repair for cyst