Some of the factors that may increase the risk of developing anterior prolapse or cystocele are:
Age: The risk of anterior prolapse increases with your age. Mostly, the risk increases after menopause when there is a decreased production of estrogen.
Surgical procedure: The surgical techniques such as hysterectomy may weaken the pelvic floor muscles leading the bladder to prolapse into the vagina.
Increased intra-abdominal pressure: Chronic lung disease, straining with chronic constipation, persistent cough caused by smoking, and repeated heavy lifting might increase the pressure in the abdomen and result in weakened pelvic floor muscles.
Obesity: Overweight or obesity may increase your risk of anterior prolapse.