lateral cystocele

A lateral cystocele, also known as an anterior prolapse or bladder prolapse, occurs when the bladder bulges into the vaginal space due to weakened muscles and tissues that support it.

Common signs and symptoms:

• Feeling of fullness or heaviness in the pelvis [1]
• Sensation of a bulge or pressure in the vagina [2][3]
• Difficulty starting or maintaining urine flow, leading to urinary incontinence [4][5]
• Frequent urination or feeling of incomplete emptying of the bladder [6]
• Pain or discomfort when lifting heavy objects, coughing, or straining pelvic muscles [7][8]

Advanced symptoms:

• Vaginal bulge or the feeling that something is falling out of the vagina [9][10]
• Pressure in the vagina or pelvis that worsens with straining, lifting, or standing for long periods [11][12]

It's essential to note that these symptoms may vary in severity and can be influenced by factors such as age, obesity, and previous surgeries. If you're experiencing any of these symptoms, it's crucial to consult a healthcare provider for proper diagnosis and treatment.

References: [1] - Search result 3 [2] - Search result 7 [3] - Search result 5 [4] - Search result 6 [5] - Search result 11 [6] - Search result 2 [7] - Search result 9 [8] - Search result 13 [9] - Search result 10 [10] - Search result 14 [11] - Search result 13 [12] - Search result 5

Based on the provided context, it appears that diagnostic tests for a lateral cystocele (a type of bladder prolapse) may include:

• A complete medical history and physical exam [14]
• Cystourethogram (also called a voiding cystogram), which is an X-ray of the bladder during urination and with the bladder and urethra [14]
• Pelvic floor strength tests, which assess the strength of the pelvic floor and sphincter muscles during a pelvic exam [15]

Additionally, other tests may be needed to determine if there are any problems in the other areas of the urinary system.

It's worth noting that a cystocele is diagnosed with a combination of these tests, not just one specific test. The diagnosis involves evaluating the symptoms and physical findings, as well as the results of these diagnostic procedures.

References: [14] Cystocele is diagnosed with a complete medical history and physical exam, cystourethogram and more tests to determine other problems in the urinary system. [15] Tests for pelvic organ prolapse can include: Pelvic floor strength tests. A healthcare professional tests the strength of the pelvic floor and sphincter muscles during a pelvic exam.

A lateral cystocele, also known as a paravaginal defect or a lateral vaginal wall prolapse, occurs when the lateral wall of the vagina detaches from the Arcus tendineus fascia pelvis. This can lead to a protrusion of the bladder into the vagina.

When considering the differential diagnosis for a lateral cystocele, several conditions should be taken into account:

• Rectal or uterine prolapse: These conditions can mimic the symptoms of a lateral cystocele and should be included in the differential diagnosis.
• Ovarian or uterine abnormalities: Abnormalities in the ovaries or uterus can also cause similar symptoms and should be ruled out.
• Urethral diverticulum: A urethral diverticulum is a condition where there is an abnormal pouching of the urethra, which can cause similar symptoms to a lateral cystocele.

According to [10], prolapse anterior to the interuretic bar (Mercier’s bar) is concerned with as anterior cystocele or urethrovaginal prolapse, whereas prolapse posterior to Mercier’s bar is more likely to be a lateral defect cystocele.

In addition, [13] notes that lateral defect cystoceles are caused by attenuation or tearing of the arcus tendineus fascia pelvis (ATFP), which can lead to a detachment of the lateral vaginal wall from the ATFP.

Therefore, when considering the differential diagnosis for a lateral cystocele, it is essential to rule out these conditions and consider the specific anatomy and symptoms presented by the patient.

References:

• [10] Diagnosing and Treating a Cystocele
• [13] Anterior compartment prolapse was classically treated by anterior colporrhaphy...