Cystocele

Commonly called “bladder drop”, a cystocele refers to the dropping or sagging of the vagina in the anterior or upper compartment. The pubocervical fascia is connective tissue that is between the bladder and anterior vaginal wall and serves as its support structure. The anterior vaginal wall is attached to the cervix at the upper portion and has attachments to the pubic bone on the lower portion.

 

Richard Wasserman
Dr. Richard M. Wasserman, M.D.

On the lateral sides of the pubocervical fascia is attached to muscles of the pelvic floor. When the pubocervical fascia detaches from its upper, lower or lateral attachments a cystocele can occur. A cystocele can become large enough to result in a set of symptoms that may become bothersome. The most common symptoms associated with a cystocele are: tissue protruding from the vagina, pelvic pressure, loss of ability to empty bladder to completion, pain with intercourse, positional bladder voiding, and vaginal pain. There are both surgical and non surgical approaches to addressing a symptomatic cystocele.

Below is a comparison diagram of normal female anatomy to a diagram of cystocele.

The below is a larger view of normal female anatomy, followed by a larger view of cystocele.

Normal Female Anatomy:

Cystocele:

For cystocele treatment options, please contact Dr. Richard M. Wasserman, M.D. at Nevada Surgery and Cancer Care, Las Vegas, Nevada at - 1-866-374-7531.

 

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