Cystocele Kyle Shropshire Claire Leathersich

Description Occurs when the wall between the wall between a women’s bladder and vagina weakens and the bladder falls into the vagina

Grade 1 When the bladder drops a short way into the vagina

Grade 2 The bladder sinks low enough to reach the opening of the vagina

Grade 3 When the bladder bulges out through the opening of the vagina

Causes Muscle straining from birth Heavy lifting During bowel movements Estrogen is a hormone that keeps the muscles around the vagina strong, and during menopause the body stops forming estrogen causing the vagina to weaken

Diagnose Grade 2 and 3 cystocele can be seen by the doctor Grade 1 may require an xray called a cystourethrogram A cystourethrogram views the bladder while urination occurs allowing the doctor to observe any blockages

Treatment- Grade 1 No treatment is needed Unless it becomes bothersome the doctor might suggest to just avoid strenuous activities that could worsen the condition of the cystocele

Treatment- Grade 2 Doctor may use a pessary device to hold the bladder in place Pessary devices must be removed regularly to avoid infection and ulcers

Treatment- Grade 3 Large cystoceles may need surgery to move the bladder into a more normal position This may be preformed by a urologist, a gynecologist or a urogynecologist

Websites Used ges/pessary-lg.jpg ges/pessary-lg.jpg t/img/galeSurgery/gesu_01_img0069.jp g t/img/galeSurgery/gesu_01_img0069.jp g ses/pubs/cystocele/ ses/pubs/cystocele/