Definition

Descent of one or more pelvic organs towards the vagina. A cystocele involves bladder support.

Symptoms

A vaginal bulge, heaviness, intimate discomfort, emptying difficulty or no symptoms.

How it may be discovered

Found through symptoms or examination, often after childbirth or with ageing.

When to seek care

Consult for a bulge, persistent discomfort or difficulty urinating.

Investigations and tests

Pelvic examination of the affected compartments; urinary assessment and residual measurement when needed.

Reaching a diagnosis

Anatomical stage is considered alongside symptoms rather than determining treatment alone.

Treatment options

Observation, rehabilitation, pessary or surgery. Selected cases may suit sacrocolpopexy; implants require specific counselling.

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