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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.
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.
Symptoms can include pelvic pain, pressure, pain during sex, urinary incontinence (UI), overactive bladder, bowel incontinence, incomplete emptying of feces, constipation, myofascial pelvic pain and pelvic organ prolapse. [4] [5] When pelvic organ prolapse occurs, there may be visible organ protrusion or a lump felt in the vagina or anus.
Pelvic pain is a general term that may have many causes, listed below. The subcategorical term urologic chronic pelvic pain syndrome (UCPPS) is an umbrella term adopted for use in research into urologic pain syndromes associated with the male and female pelvis. [9]
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]
Ablation procedures – used in treating both bladder tumours [22] and bladder outlet obstruction, such as prostate conditions. [23] Bladder-neck incision (BNI) Removal of the prostate – open, robotic, and endoscopic techniques are used. Stenting of the prostate [24] and urethra. Transurethral resection of the prostate (TURP)
When the onset is sudden, symptoms include an inability to urinate and lower abdominal pain. [1] When of gradual onset, symptoms may include loss of bladder control, mild lower abdominal pain, and a weak urine stream. [1] Those with long-term problems are at risk of urinary tract infections. [1]
A urethral stricture is a narrowing of the urethra, the tube connected to the bladder that allows urination. The narrowing reduces the flow of urine and makes it more difficult or even painful to empty the bladder. [1] Urethral stricture is caused by injury, instrumentation, infection, and certain non-infectious forms of urethritis. The ...