Cystocele

Jump to: navigation, search

For patient information, click here

Cystocele
ICD-10 N81.1
ICD-9 618.01-618.02
DiseasesDB 3391
MeSH D052858

WikiDoc Resources for

Cystocele

Articles

Most recent articles on Cystocele

Most cited articles on Cystocele

Review articles on Cystocele

Articles on Cystocele in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Cystocele

Images of Cystocele

Photos of Cystocele

Podcasts & MP3s on Cystocele

Videos on Cystocele

Evidence Based Medicine

Cochrane Collaboration on Cystocele

Bandolier on Cystocele

TRIP on Cystocele

Clinical Trials

Ongoing Trials on Cystocele at Clinical Trials.gov

Trial results on Cystocele

Clinical Trials on Cystocele at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Cystocele

NICE Guidance on Cystocele

NHS PRODIGY Guidance

FDA on Cystocele

CDC on Cystocele

Books

Books on Cystocele

News

Cystocele in the news

Be alerted to news on Cystocele

News trends on Cystocele

Commentary

Blogs on Cystocele

Definitions

Definitions of Cystocele

Patient Resources / Community

Patient resources on Cystocele

Discussion groups on Cystocele

Patient Handouts on Cystocele

Directions to Hospitals Treating Cystocele

Risk calculators and risk factors for Cystocele

Healthcare Provider Resources

Symptoms of Cystocele

Causes & Risk Factors for Cystocele

Diagnostic studies for Cystocele

Treatment of Cystocele

Continuing Medical Education (CME)

CME Programs on Cystocele

International

Cystocele en Espanol

Cystocele en Francais

Business

Cystocele in the Marketplace

Patents on Cystocele

Experimental / Informatics

List of terms related to Cystocele

Editor-In-Chief: Steven C. Campbell, M.D., Ph.D., Professor of Surgery, Residency Program Director, Section of Urologic Oncology, Glickman Urological and Kidney Institute, Cleveland Clinic. You can email Dr. Campbell by clicking here. Office phone: 216-444-5595.

Overview

A cystocele (SIS-tuh-seal) is a medical condition that occurs when the wall between a woman's bladder and her vagina weakens and allows the bladder to droop into the vagina. This condition may cause discomfort and problems with emptying the bladder. A cystocele may result from muscle straining during childbirth, heavy lifting or repeated straining during bowel movements. Because the hormone estrogen helps keep the muscles around the vagina strong, cystocele is more common after menopause when levels of estrogen decrease.

A bladder that has dropped from its normal position may cause two kinds of problems—unwanted urine leakage and incomplete emptying of the bladder. In some women, a fallen bladder stretches the opening into the urethra, causing urine leakage when the woman coughs, sneezes, laughs, or moves in any way that puts pressure on the bladder.

A cystocele is mild (grade 1) when the bladder droops only a short way into the vagina. With more severe (grade 2) cystocele, the bladder sinks far enough to reach the opening of the vagina. The most advanced (grade 3) cystocele occurs when the bladder bulges out through the opening of the vagina.

A doctor may be able to diagnose a grade 2 or grade 3 cystocele from a description of symptoms and from physical examination of the vagina because the fallen part of the bladder will be visible. A 'voiding cystourethrogram' (sis-toe-yoo-REETH-roe-gram) is a test that involves taking x rays of the bladder during urination. This x-ray shows the shape of the bladder and lets the doctor see any problems that might block the normal flow of urine. Other tests may be needed to find or rule out problems in other parts of the urinary system.

Treatment options range from no treatment for a mild cystocele to surgery for a serious cystocele. If a cystocele is not bothersome, the doctor may only recommend avoiding heavy lifting or straining that could cause the cystocele to worsen. If symptoms are moderately bothersome, the doctor may recommend a pessary, a device placed in the vagina to hold the bladder in place. Pessaries come in a variety of shapes and sizes to allow the doctor to find the most comfortable fit for the patient. Pessaries must be removed regularly to avoid infection or ulcers.

Large cystoceles may require surgery to move the bladder back into a more normal position and keep it there. This operation may be performed by a gynecologist, a urologist, or a urogynecologist. The patient should be prepared to stay in the hospital for several days and take 4 to 6 weeks to recover fully.

References


Linked-in.jpg