Can numerous fibroids and an enlarged uterus cause bladder prolapse? Why does my gynecologist think my bladder bulging into my vaginal canal is a fibroid even after I was sent to a urologist for stress incontinence issues?

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Typically, uterine fibroids would not cause bladder prolapse. However, they can certainly make the symptoms and/or the degree of prolapse worse, depending upon the size and location of the fibroid. It is also possible that a fibroid in the right location could actually cause the front wall of the vagina—where the bladder is—to protrude. An ob/gyn can often figure this out with a pelvic examination, but sometimes an ultrasound or MRI is needed.

—-Answered by Matthew D. Barber, MD

Your doctors are guiding you well, now imagine lower body- in front is urinary tract, middle is vagina and reproductive tract and behind is rectum and large intestine, invariably the organs are tilted towards front side-anterior. If uterus has fibroids, it will put pressure on bladder which will proplapse or fall down due to pressure of fibroids and bulge into vagina, capacity of bladder to hold urine becomes less, resulting in incontinence.

—-By Dr. Neelam Nath