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The cystocele, also known as a prolapsed bladder, is a medical condition in which a woman's bladder bulges into her vagina. [1] [5] Some may have no symptoms. [6] Others may have trouble starting urination, urinary incontinence, or frequent urination. [1] Complications may include recurrent urinary tract infections and urinary retention.
Symptoms can include pelvic pain, pressure, pain during sex, urinary incontinence (UI), overactive bladder, bowel incontinence, incomplete emptying of feces, constipation, myofascial pelvic pain and pelvic organ prolapse. [4] [5] When pelvic organ prolapse occurs, there may be visible organ protrusion or a lump felt in the vagina or anus.
The most distal prolapse is between 1 cm above and 1 cm below the hymen (at least one point is −1, 0, or +1). 3: The most distal prolapse is more than 1 cm below the hymen but no further than 2 cm less than TVL. 4: Represents complete procidentia or vault eversion; the most distal prolapse protrudes to at least (TVL−2) cm.
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However, the association between this type of prolapse and vaginal introital laxity is still unclear due to the lack of related data. [2] POP includes (a) the falling out of vagina, bladder and other genito-pelvic structures, (b) vaginal tissue bulging into and through the introitus, or (c) the prolapse of rectal tissues into the vaginal area. [8]
A urethrocele is the prolapse of the female urethra into the vagina. Weakening of the tissues that hold the urethra in place may cause it to protrude into the vagina. [3] [4] Urethroceles often occur with cystoceles (involving the urinary bladder as well as the urethra). [5] In this case, the term used is cystourethrocele. [6] [7]
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