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Doctor insights on: Handling Cystocele Condition

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What kind of condition is a cystocele?

What kind of condition is a cystocele?

Prolapsed bladder: Sometimes acalled a prolapsed or "fallen" bladder and is a cyst-like swelling on front wall of vagina, due to poor pelvis muscle support. Caused by difficult vaginal birth deliveries or prolonged straining or coughing. Mild to moderate cystocele may be controlled by kegel exercises + Estrogens in post-menopausal women. Pessaries (temporary) or surgery ?Required for more severe or symptomatic cases. ...Read more

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Dr. Robert Harris
156 doctors shared insights

Prolapsed Bladder (Definition)

An outpouching of the bladder into the vagina, due to a weakness in the tissue wall separating ...Read more


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What is the current surgical method of choice for repairing a cystocele resulting from childbirth trauma? Cystocele has resulted in stress incontinence and physical therapy with pelvic health specialist is not enough. Condition is still present 2 years a

What is the current surgical method of choice for repairing a cystocele resulting from childbirth trauma? Cystocele has resulted in stress incontinence and physical therapy with pelvic health specialist is not enough.  Condition is still present 2 years a

Colporrhaphy: The bladder can be elevated back into the normal anatomic position via surgery. Often, the uterus and rectum are falling as well. If the only repair is o the bladder, the failure rate can be quite high. After completion of childbearing, complete vaginal repairs in conjunction with a hysterectomy is generally the most effective treatment. ...Read more

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How do you diagnosis a cystocele?

Exam: A cystocele is a weakening of the supporting tissue between a woman's vagina and bladder. I will cause a bulge in the superior aspect of the vagina .During the exam you may be asked to cough or bear down to further evaluate the extent of the problem. ...Read more

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Could cystocele be repaired using your own tissue?

Yes, it can: Currently, "native tissue repair" is preferred for most women with cystocele. Other prolapse should be ruled out. It is best to go to an experienced vaginal surgeon such as a urogynecologist. I hope this helps ...Read more

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What are the major presenting symptoms of cystocele?

What are the major presenting symptoms of cystocele?

It varies.: Many times a cystocele is asymptomatic. When there are symptoms the most common are a mass bulging into or through the vaginal opening, pelvic pressure or discomfort, and a variety of bladder symptoms. ...Read more

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What is the definition or description of: Cystocele?

What is the definition or description of: Cystocele?

Cystocele: Cystocele = Anterior prolapse of bladder- bladder bulges into vagina due to weakening of tissue between bladder and vaginal wall. ...Read more

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What are symptoms that would make you think of a cystocele?

What are symptoms that would make you think of a cystocele?

Seeing a bulge: at the entrance of the vagina. need for frequent urination. feeling of needing to urinate when not much is in the bladder. difficulty emptying the bladder none of these are 100% proof of a cystocele. you need to see a gynecologist or urogynecologist for further evaluation. hope this helps Dr. Morse ...Read more

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Can you b fisted with a cystocele? is it safe?

Yes: it is as safe as being fisted without a cystocele. might cause stretching and make the cystocele worse ...Read more

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What risk factors are associated with cystocele repair?

Any surgery has risk: Risks of cystocele repair include but are not limited to: bleeding, infection, injury to surrounding tissue, organs, nerves, urinary incontinence, inability to empty bladder, constipation, erosion or exposure of sutures or implanted graft materials, sexual dysfunction, extended hospitalization, anesthesia or medicine reactions, recurrence of prolapse, diasbility and death..... ...Read more

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What is the definition or description of: cystocele repair?

Hernia repair: A cytocele is a hernia of the pelvic floor in women. Correction of the hernia involves placing the bladder above the area of the hernia and then repairing the hernia so the bladder does not fall back through again. That can be done by using your own tissue, or using grafts. ...Read more

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Can a Cystocele grade 2 actually be reduced to a grade 1 with kegels and exercise?

Can a Cystocele grade 2 actually be reduced to a grade 1 with kegels and exercise?

May be: In my 42 years of obgyn practice I surprised by few cases that they were completely reduced after 5+ years and no surgery was necessary As you age the tissue lost its blood supply and turn fibrotic If your genetics is on your side and not to bare down for few years, it may improve Hate to say i can't recall any patient improved much with the kegels! high HRT worsen it ...Read more

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What methods are being used for cystocele repair since mesh was found to have problems?

What methods are being used for cystocele repair since mesh was found to have problems?

Most repairs can use: Your own tissue and stitches. Mesh is still appropriate in some cases. When used by an experienced gyn surgeon or urogynecologist it has reasonable risks. ...Read more

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Stage 2 cystocele when bearing down. Does that mean I am stage 0-1 until I bear down or am I stage 2 all day long?

Stage 2 cystocele when bearing down. Does that mean I am stage 0-1 until I bear down or am I stage 2 all day long?

Cystocele: Their is some subjective interpretation of degrees of pelvic organ prolapse. The doctor doing your exam or an experience Urogynecologist can give you a POP-Q score. This a more precise system for delineating degrees of pelvic organ prolapse. It applies more objective criteria for prolapse description. ...Read more

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What's the treatment for a woman's cystocele?

What's the treatment for a woman's cystocele?

Many options.: Observation - a cystocele does not necessarily need to be treated. Pessary - a pessary is a device that can be inserted into the vagina to support the bladder or any other organ that is dropping. Surgery - there are a variety of surgeries that can be used to repair cystocele. Consult with your doctor to determine which procedure would be best suited for your particular problem. ...Read more

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What are the causes of a mild cystocele of the bladder?

What are the causes of a mild  cystocele of the bladder?

Weak muscles: A cystocele is a herniation of the bladder into the vagina. Damage to the pelic muscle from childbirth, aging, or chronic straining are common causes. Performing pelvic muscle exercises us a good initial treatment. ...Read more

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Cystocele, prolapsed uterus, relaxation. What are the signs?

Cystocele, prolapsed uterus, relaxation. What are the signs?

It varies.: The most common symptoms are a mass bulging into the vaginal opening, pelvic pressure or discomfort, and difficulty with bowel or bladder function. Many women can feel something bulging through the vaginal opening. To check, place fingers at the vaginal opening while seated on a toilet and bear down as if you are trying to have a bowel movement. ...Read more

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What is a cystocele?

What is a cystocele?

Dropped Bladder: A cystocele is one category of pelvic organ prolapse. Childbirth, obesity & smoking are risk factors but it can happen to anyone. As we age our connective tissue weakens and various body parts begin to dropp and sag. A cystocele is when the tissue holding up the bladder weakens allowing the bladder to dip into the vagina. Some will notice a bulge or increased pressure feeling requiring surgery. ...Read more

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How would I know if I have cystocele?

Exam: A cystocele occurs when there is a weakness of the support tissue between the bladder and vagina. Some patients don't ever know this is happening until they have an exam. Others will feel pressure and actually see or feel something hanging out of vagina. A good resource is: www.voicesforpfd.org ...Read more

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What are the symptoms of a cystocele?

What are the symptoms of a cystocele?

Varied: A lot of the symptoms are related to the bladder....Frequency, recurrent uti, pressure, urgency, and incomplete emptying. Additionally, you might feel pelvic pressure and pain with intercourse. You might struggle with tampon placement or the feeling of something against your clothes. ...Read more

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How are you diagnosed with a cystocele?

How are you diagnosed with a cystocele?

Visually: If during a female exam the dr asks you to "bear down-as if having a bowel movement" we are looking for any weakness in the "pelvic floor"which is the area from the bottom of your pubic hair to your tail-bone.A bulge here suggests to us where the weakness is. ...Read more

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