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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.
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 women, the condition usually occurs when the pelvic floor collapses after gynecological cancer treatment, childbirth or heavy lifting. [2] Injury incurred to fascia membranes and other connective structures can result in cystocele, rectocele or both. Treatment can involve dietary and lifestyle changes, physical therapy, or surgery. [3]
For women, there is a 20.5% risk for having a surgical intervention related to stress urinary incontinence. The literature suggests that white women are at increased risk for stress urinary incontinence. [12] Though pelvic floor dysfunction is thought to more commonly affect women, 16% of men have been identified with pelvic floor dysfunction. [13]
gynaecological symptoms, e.g. cystocele (prolapse of the bladder into the vagina) and rectocele (prolapse of the rectum into the vagina) [1] lower urinary tract symptoms, e.g. dysuria (painful urination), dyspareunia (pain during sexual intercourse), urinary incontinence and urgency [1]
Among women with chronic pelvic pain, the most common comorbidities are endometriosis (70%), postpartum pelvic pain (44%), bladder pain syndrome (61%) and irritable bowel syndrome (39%).
The absence of vaginal rugae seen in the normal vagina of a healthy woman may be an indication of a prolapsed bladder (cystocele) or rectocele. [13] [12] An enterocele, or bulging of the bowel into the vagina can also cause vaginal rugae to disappear. [16] The absence of vaginal rugae may also be an indicator of pelvic organ prolapse.
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