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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 ]
The degree of organ prolapse is assessed relative to the hiatus. The grading for organ prolapse relative to the hiatus is more strict. Any descent below the hiatus is considered abnormal, and descent greater than 4 cm is considered severe. [6] Ultrasound can also be used to diagnose pelvic floor dysfunction.
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.
Vesical tenesmus is a similar condition, experienced as a feeling of incomplete voiding despite the bladder being empty. Tenesmus is a closely related topic to obstructed defecation. The term is from Latin tēnesmus, from Ancient Greek τεινεσμός (teinesmos), from τείνω (teínō) 'to stretch, strain'.
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]
This examination may show anal fissures, prolapsed hemorrhoids, internal intussusception, rectal prolapse, or other anorectal lesions. Patients with occult rectal prolapse may show heperemia and edema of the anterior (front) rectal wall, colitis cystica profunda or solitary rectal ulcer syndrome (blood, mucus, area of erythema and ulceration).
Causes include blockage of the urethra, nerve problems, certain medications, and weak bladder muscles. [1] Blockage can be caused by benign prostatic hyperplasia (BPH), urethral strictures, bladder stones, a cystocele, constipation, or tumors. [1] Nerve problems can occur from diabetes, trauma, spinal cord problems, stroke, or heavy metal ...
It can occur in both children and adults, and in both men and women (although it is more common in women). It can be caused by physical defects or it can occur for other reasons or unknown reasons. Anismus that has a behavioral cause could be viewed as having similarities with parcopresis, or psychogenic fecal retention. [citation needed]
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