1. Cystocele Kyle Shropshire Claire Leathersich

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

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

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

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

6. 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

7. 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

8. 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

9. 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

10. 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

11. Websites Used http://depts.washington.edu/uroweb/ima ges/pessary-lg.jpg http://depts.washington.edu/uroweb/ima ges/pessary-lg.jpg http://content.answers.com/main/conten t/img/galeSurgery/gesu_01_img0069.jp g http://content.answers.com/main/conten t/img/galeSurgery/gesu_01_img0069.jp g http://www.kidney.niddk.nih.gov/kudisea ses/pubs/cystocele/ http://www.kidney.niddk.nih.gov/kudisea ses/pubs/cystocele/