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Cystocoele

A Cystocoele occurs when the wall between a woman's bladder and her vagina weakens and allows the bladder to droop into the vagina. 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. Cystocele disorder is the descent or bulging of the bladder into the upper two thirds of the anterior vaginal wall. If the front wall of the vagina (below the bladder) is prolapsing it is called a cystocoele (pronounced sisto-seal). A cystocoele may be associated with leaking of urine when coughing or laughing. A doctor may be able to diagnose a grade 2 or grade 3 cystocoele 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. If a cystocoele is not bothersome, the doctor may only recommend avoiding heavy lifting or straining that could cause the cystocoele 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. This operation may be performed by a gynaecologist, a urologist, or a urogynaecologist. The patient should be prepared to stay in the hospital for several days and take 4 to 6 weeks to recover fully.

Causes of Cystocoele

The common Causes of Cystocoele :

  • Chronic constipation.
  • Weakening of vaginal muscles caused by a lack of estrogen after menopause.
  • Straining with bowel movements
  • Episiotomy during birth.
  • Chronic cough.
  • Difficult vaginal births
  • The weakness may be caused by prior injury to the urethral area, neurological injury, some medications, or after surgery of the prostate or pelvic area.
  • Repeated straining during bowel movements.
  • Normally during the filling and storage phase, the bladder begins to fill with urine from the kidneys.
  • Weakening of vaginal muscles caused by a lack of estrogen after.

Symptoms of Cystocoele

Some common Symptoms of Cystocoele :

  • Pain or pressure in the pelvis.
  • Exercising.
  • Frequent bladder infections .
  • Increased discomfort when you strain, cough, bear down or lift.
  • Needing to apply pressure on vagina to pass stool.
  • Standing
  • Feeling of tissue bulging out of vagina
  • Difficult passage of stool.
  • Coughing.

Treatment of Cystocoele

  • Kegel exercises (squeezing the pelvic floor muscles) may help to strengthen the muscles around the vagina and bladder.
  • your tolerance for specific medications, procedures, or therapies.
  • Treatment with medications tends to be more successful in patients with mild-to-moderate stress incontinence.
  • Medication.
  • Surgery.
  • A vaginal pessary is a plastic or rubber ring that's inserted in the vagina to support the bladder by pushing it up and back into place.
  • Expectations for the course of the disease .


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