⛈Cystocele: When Bladder Symptoms Are Not Just a Bladder Problem.

Cystocele, also known as anterior vaginal wall prolapse, occurs when the bladder loses its normal support and bulges into the vaginal wall due to weakness of the pelvic floor muscles and connective tissue.

🤔This condition is common, yet frequently overlooked or misdiagnosed, because many women assume their symptoms are simply part of aging, childbirth, or urinary infections.

In reality, cystocele is a pelvic floor disorder, not just a bladder issue.

👍Why does cystocele happen?

The pelvic floor supports the bladder, uterus, and rectum. When this support weakens, the bladder can descend toward the vagina.

🎯Common risk factors include:

*Vaginal childbirth, especially multiple or traumatic deliveries.

*Prolonged labor or instrumental delivery

Aging and menopause.

*Chronic coughing or constipation

Heavy lifting.

*Previous pelvic surgery

🧨Common symptoms of cystocele

Symptoms vary in severity and may worsen with standing or physical activity:

A feeling of vaginal pressure or heaviness

A bulge or fullness in the vagina.

Urinary leakage, especially with coughing or exertion.

Difficulty emptying the bladder completely

Recurrent urinary tract infections.

Relief of symptoms when lying down.

Importantly, not all urinary symptoms are caused by bladder disease. In many cases, the underlying issue is pelvic floor weakness.

🎯How is cystocele diagnosed?

Diagnosis is primarily clinical, based on pelvic examination.

Understanding which vaginal wall is involved is essential to avoid unnecessary treatments and to guide proper management.

☝️Management options

Treatment depends on symptom severity and patient needs:

Pelvic floor muscle training

Lifestyle modifications

Vaginal pessaries

Surgical repair in selected cases

Early diagnosis often allows conservative management and prevents progression.

✌Key Message

Urinary symptoms should never be ignored or normalized.

Cystocele is a treatable condition, and proper evaluation can significantly improve quality of life.

#DrRababCares 

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#PelvicFloorHealth

#WomenAwareness