Grades of cystocele and rectocele. In a woman, the rectum bulges into the back wall of the vagina. Diseases & Conditions Rectocele; 20021848562-overview. In taking her health history, which of the following would the nurse expect to find? A) Sporadic vaginal bleeding accompanied by chronic pelvic pain B) Heavy leukorrhea with vulvar pruritus C) Menstrual irregularities and hirsutism on the Furthermore, 87. Surgical options are generally only advised when the rectocele is severe (grade 3 or 4). Cystocele, B. What to Expect when you have a Cystocele and Rectocele Repair When is it used? Surgery is done to relieve bulging into the vagina that may be caused by a cystocele and rectocele. An enterocele is caused by the small bowel pushing into the vagina. Other organs can also prolapse into the vagina, including the uterus, the small intestine, and the rectum (rectocele). ) at the end of the case Pescatori et al liken the presence of a rectocele in ODS to an iceberg, in which the rectocele is only the tip visible above the water, while larger “underwater rocks” may be present and affect the outcome of surgery. Depending on the severity, cystocele may be. Grade 4 Cystocele: is the extrusion of the bladder base beyond the vaginal opening at rest to maximum possible descent. Anterior Colporrhaphy (Cystocele Repair) is the surgical repair of a defect in the vaginal wall, including a cystocele (when the bladder protrudes into the vagina) and a rectocele (when the rectum protrudes into the vagina). Occasionally, mesh (a prosthetic material or patch) can be used to reinforce the repair. Jul 29, 2024 · Rectocele refers to a The clinical examination may reveal a rectocele and other pelvic organ prolapses such as a cystocele, and to grade the severity of the Cystocele. During the exam, your provider looks for a tissue bulge into your vagina that indicates pelvic organ prolapse. Calling it minor (as in grade 1, where it doesn't protrude out of the vagina) seems like the severity is being downplayed. The small bowel may also bulge into the back wall of the vagina, this is called an enterocele. When is it used? Surgery is done to relieve bulging into the vagina that Feb 1, 2022 · Moreover, among patients with cystocele grade 3 the frequency of apical compartment prolapse is higher than in cases of grade 2 (r = 0. Apr 21, 2023 · A rectocele is a type of pelvic organ prolapse. Oct 17, 2022 · A cystocele, otherwise known as a protrusion of the bladder, occurs when the bladder descends into the vagina. Mild. Weight loss. This can be done by plication (stitching the tissue together). Search dates: March 8 Aug 24, 2018 · A rectocele is one type of pelvic organ prolapse. The uterus: Prolapse of the uterus (uterine prolapse) Often, a woman has more than one type. 4% uterine prolapse (Table 1). Massive eversion of the vagina with cystocele, enterocele, and rectocele. Shelf Pessary The Shelf pessary is a rigid type of pessary suited to more advanced prolapse. The tissue between the rectum and the vagina is known as the rectovaginal septum and this structure can become thin and weak over time, resulting in a rectocele. Like most symptoms of pelvic floor dysfunction, the treatment for cystocele falls into one of two categories; conservative (non-surgical) and invasive (surgical). Prolapse affecting the rear part of the pelvis (posterior A cystocele is mild-grade 1-when the bladder droops only a short way into the vagina. Most medical experts rank cystoceles and rectoceles on a graded system. Rectocele—The rectum bulges into the vagina. If the exam reveals bulging of the bladder or rectum but the uterus is not significantly prolapsed, a vaginal prolapse repair may be the best treatment option. Your bladder bulges a lot past the opening of your vagina. A rectocele can also be repaired through the abdomen, either laparoscopically or open. If the posterior vaginal prolapse causes few or no symptoms, simple self-care measures — such as performing Kegel exercises to strengthen pelvic muscles — might give relief. Enterocele: This refers to the bulging of the small bowel against the vaginal wall. Mar 6, 2013 · In terms of rectocele, the existence of which had a significant relationship with urge urinary incontinence, the present work showed no relationship between rectocele grade and intensity of incontinence; on the other hand, despite the relationship between stress urinary incontinence and cystocele, no relationship was found between cystocele Grade 1 is the mildest form of the condition, and grades 3 and 4 are the most serious. forceps delivery, vacuum delivery, tearing with a vaginal delivery, and episiotomy Dec 31, 2018 · Introduction. Grade 2 includes dropping into the vaginal opening. Anterior Colporrhaphy (Cystocele Repair) with or without Mesh. Jul 1, 1998 · Diagnosing and Treating a Rectocele A rectocele is a bulge into the vagina caused by the rectum prolapsing through an attenuated rectovaginal septum (Fig. described in a prospective evaluation of 160 women undergoing rectocele repair that preoperatively, 87% had bowel symptoms. Cystocele repair surgery A cystocele repair is a surgery to put your bladder back in its normal place. With a more severe-grade 2-cystocele, the bladder sinks far enough to reach the opening of the vagina. More flexible silicone Shelf pessaries have recently been manufactured. There are many things which can lead to weakening of the pelvic floor, including advanced age, multiple vaginal deliveries and birthing trauma during vaginal delivery (e. The bladder droops only a short way into the vagina. Am I wrong thinking that, considering the prolapse is clearly at the opening of the vagina as described as moderate, grade 2, and not the minor A cystocele is mild (grade 1) when the bladder droops only a short way into the vagina. Cystocele characterizes anterior wall herniation, rectocele refers to the posterior vaginal wall descent, and vaginal vault prolapse characterizes the descent of the uterus, cervix, or apex of the May 1, 2010 · Older terms describing pelvic organ prolapse (e. Arrow indicates level of introitus. 7. Once all measurements have been made the stage of the prolapse can be identified in relation to hymen; Stage 0: No prolapse is observed (points Aa, Ba, C, D, Ap and Bp are all < / = -3cm). Bladder training. During your consultation with the surgeon, they will perform a thorough history to determine the exact issues you would like addressed. Mar 22, 2022 · Both rectocele and cystocele are conditions that involve pelvic organs shifting out of place because of a weakened pelvic floor. The degree of cystocele, urethro-cele, rectocele, enterocele, and uterine descent were graded as 0 (none), 1 (minimal), 2 (moderate), and 3 (severe). Prolapsed bladders (also called cystoceles or fallen bladders) are separated into four grades based on how far the bladder droops into the vagina. Rectocele includes an additional grade. There are multiple underlying causes for the development of cystocele resulting in weakness of the muscles and the connective tissue surrounding the bladder and vagina. The most common symptom was incomplete evacuation (85%), followed by straining (74%), sensation of obstructed defecation (66%), anal incontinence (63% Diagrammatic representation of the various types of pelvic organ prolapse. The former is divided into anterior compartment prolapse (usually a cystocele or bladder prolapse), uterine prolapse (which is termed ‘procidentia’ if complete) and posterior compartment prolapse, which may be a rectocele (a diverticulum of the rectal ampulla herniating into the vagina) and/or an enterocele (a herniation of the small bowel Oct 3, 2022 · Pelvic organ prolapse is the descent of pelvic structures into the vagina due to ligament or muscular weakness. Sep 4, 2015 · Introduction and hypothesis We updated anatomic theories of pelvic organ support to determine pathophysiology in various forms of cystocele. When this happens, tissues or structures just behind the vaginal wall — in this case, the rectum — can bulge into the vagina. With a more advanced cystocele, your bladder and vaginal wall may drop down far enough that they reach or bulge into the vaginal canal and potentially out through the opening of the vagina. Cystocele (or bladder prolapse) is a condition in women where the bladder is no longer in its normal position. Pelvic organ prolapse (POP) refers to the protrusion of one or more female pelvic organs outside the pelvis through the vagina including uterus, bladder and intestines, and causes the pelvic organs to drop downward to the vaginal wall. A prolapsed bladder sinks into the anterior wall of the vagina. All MRI images and cine loops were obtained and interpreted by a single radiologist (Z. Surgical options are generally only advised for severe cystocele (grade 3 or 4). This can occur along with vaginal vault prolapse. Jan 5, 2024 · A cystocele alone can be treated with a retropubic (Burch) colposuspension, which comprises the suspension of the lateral aspects of the bladder from the pelvic sidewalls. Grade 2. Your surgeon may also use a specialized mesh to further support the muscles. Grades of Uterine Prolapse Cystocele—The bladder drops into the vagina. Grade 3 includes full prolapse and bulging into the vagina. Anterior prolapse repair is done through a cut, called in incision, in the wall of the vagina. Cystocele. It can be the womb (uterus), bowel, bladder or top of the vagina. Study with Quizlet and memorize flashcards containing terms like A woman is admitted for repair of cystocele and rectocele. Anterior vaginal wall prolapse, or cystocele, is defined as pathologic descent of the anterior vaginal wall and overlying bladder base. We retrieved 612 articles, of which 61 matched Nov 27, 2013 · Grade of cystocele • Divided into 4 grade 7. May 3, 2023 · There are three grades of cystocele: Grade 1 (mild). ) Cystoscopy done after indigo carmine was administered,(Indigo carmine is a dye injected during urogynecologic procedures for better visualization of structures/fluids etc. This procedure is also known as an Anterior and Posterior Repair. Basically, the bladder’s supportive tissue stretches or detaches and sinks against the front (or anterior) vaginal Feb 2, 2011 · The terminology avoids assigning a specific label, such as cystocele or rectocele, to the prolapsing part of the vagina, acknowledging that the actual organ(s) above the prolapse frequently cannot be determined by physical examination. The grading system shown in Table I Secondary prolapses, specifically rectocele prolapse (sagging of the connective tissue between the vagina and rectum) or cystocele prolapse (sagging of the connective tissue between the vagina and the bladder). A rectocele occurs when the musculature in the lower floor of the vagina weakens allowing the rectum to prolapse or protrude into the vagina. he sooner that a cystocele or rectocele is treated, the better the outcome. urinary bladder hernia. All It is possible to treat cystocele, but treatment options vary based on the grade and severity of your prolapse. The women can be asked to cough or “bear down” to assess the full descent of the prolapse. Cystocele is a hernia of the bladder wall into the vagina, causing a soft anterior fullness. TVL: total vaginal length after reducing the prolapse. A posterior vaginal prolapse, also known as a rectocele, occurs when the wall of tissue that separates the rectum from the vagina weakens or tears. Procedures Rectocele Treatment for Rectocele. Rectocele, C. ACOG: What happened when you saw your health care team? Lauren: When I went to see my midwife and ob-gyn, they said I had a grade-one rectocele and a grade-one cystocele, which means my bladder also had dropped down. It "drops" and bulges into the vagina when the supportive tissues between the bladder and vagina weaken and stretch. g. ) familiar with these techniques. Anterior Vaginal Wall Prolapse. Aug 30, 2021 · It is also common to repair the front wall of the vagina to provide support to the bladder, which is known as cystocele repair, and the back wall of the vagina to provide support to the rectum, which is known as rectocele repair. Rectocele: When the rectum (the last part of the large bowel) bulges into the vagina, it is called rectocele. Apr 6, 2023 · Anterior vaginal prolapse, also known as a cystocele (SIS-toe-seel) or a prolapsed bladder, is when the bladder drops from its usual position in the pelvis and pushes on the wall of the vagina. Grade 3 - Descent halfway past the hymen. Surgery is usually used only after you have tried other treatments such as: Doing muscle-strengthening exercises, called Kegel exercises. Why do you need to repair a rectocele? Healthcare providers usually only recommend surgical repair for rectocele if you have bothersome symptoms — like vaginal bulge, difficulty pooping, pain or sexual dysfunction — and nonsurgical treatments don’t help. 4% rectocele, and 13. A cystocele repair is a surgery to put your bladder back in its normal place. Female patients over the age of 30 who were having cystocele and rectocele repair surgery, treatment, or oral contraceptive pills were included in the study. (All of these problems are addressed in the body of the note below. Cystocele may be accompanied by urethrocele, which is not a hernia but a sagging of the urethra due to detachment from the pubic symphysis usually during childbirth Dec 30, 2022 · Grade 3 is severe cystocele, and the bladder is so low that it bulges through the vaginal introitus; Tests are then performed to assess the intensity of other symptoms and look for other signs Jul 1, 1998 · Grade 4: Maximum possible descent for each site Notes for using the grading system: Prolapse is graded at each site (cystocele, uterine prolapse, vault prolapse, rectocele, enterocele) with At baseline, 40. 48 Failure to recognize the associated complex pelvic floor dysfunction in patients with a rectocele will lead to Sep 26, 2020 · Grade 3 Cystocele: involves partial bladder passage through the opening of the vagina upon exertion and is considered severe. A. Posterior compartment containing either the small bowel loops (enterocele) or rectum (rectocele) POP is a gynecological condition that is very common among multiparous women and mostly postmenopausal women [1] over 50 (affects approximately 50% of women over age 50). The Baden–Walker Halfway Scoring System is used as the second most used system and assigns the classifications as mild (grade 1) when the bladder droops only a short way into the vagina; (grade 2) cystocele, the bladder sinks far enough to reach the opening of the vagina; and (grade 3) when the bladder bulges out through the opening of the Mar 9, 2015 · CHAPTER 54. Aug 10, 2022 · Treatment depends on how severe your prolapse is. Your bladder drops only a short way into your vagina. The approach will depend on the size of the rectocele and the symptoms associated with the Aug 1, 2017 · Grade Description Stage Description; 0: cystocele, rectocele, and vaginal vault prolapse. Enterocele—The small intestine bulges into the vagina. Diagnosis of anterior prolapse may involve: A pelvic exam. Aug 10, 2022 · A posterior vaginal prolapse, also known as a rectocele, occurs when the wall of tissue that separates the rectum from the vagina weakens or tears. After all the sutures have been placed, they are tied. Grade 2 - Descent to the hymen. Based on the grading scale I thought that classified it as moderate, grade 2. A stapled transanal rectal resection (STARR) procedure involves stapling the rectocele tissue Pelvic organ prolapse is when 1 or more of the organs in the pelvis slip down from their normal position and bulge into the vagina. Enterocele. scrotal cystocele The exact cause of a rectocele is unknown, but symptomatic rectoceles usually occur in conjunction with weakening of the pelvic floor. Pros and Cons Mar 21, 2018 · The anterior rectal wall bulge in rectoceles should be reported as pathological from grade °II, as a grade °I rectocele can be observed in nearly 78–99% of parous women, while rarely in men [7, 15, 16]: °0 = no outpouching, °I = outpouching up to 2 cm, °II = outpouching between 2 and 4 cm, and °III = outpouching at least 4 cm . A rectocele is a herniation (bulge) of the front wall of the rectum into the back wall of the vagina (see Figure 6). Chronic diseases include diabetes, hypertension, hepatic or renal failure, and cancer . Enterocele, D. Jan 8, 2024 · Invasive Rectocele and Cystocele Repairs. Mickey M. As you consider surgery, be sure to ask questions. It occurs when the supportive wall between your vagina and large intestine weakens, allowing tissue from the rectum to push against the back wall of Whether or not a hysterectomy is recommended at the time of prolapse repair depends on each patient’s symptoms and physical exam. Grade 4 - Descent is as far as possible past the hymen. 2 There is frequently an association with other anatomic support defects such as an enterocele or a cystocele. More severe. Rectocele is caused by prolonged pressure on the pelvic floor. Conclusions: Surgeons have responded to the increased contribution of apical support defects to cystocele/rectocele by modifying their diagnostic coding practices. Other types of prolapse are: anterior vaginal wall prolapse, or cystocele, where The back wall of the vagina: Prolapse of the rectum (rectocele) or small intestine (enterocele) The front wall of the vagina: Prolapse of the bladder (cystocele) or urethra (urethrocele) The top of the vagina: Vaginal (apical) prolapse. It is held on the anterior wall to examine for a rectocele, and the posterior wall for a cystocele. The medical term for this is a cystocele. Grade 1 (mild): Only a small portion of the bladder droops into the vagina. The medical term for this is a cystourethrocele. The various surgical approaches have different risks and benefits. This allows part of the wall of the rectum to bulge into the vagina. A rectocele can also be repaired through the abdomen, either laparoscopically, robotically or open. Study with Quizlet and memorize flashcards containing terms like 1. The treatment for rectocele, like most other forms of prolapse falls into one of two categories; conservative (non-surgical) and invasive (surgical). Cystocele repair surgery. This pessary can relieve symptoms of cystocele and rectocele prolapses but is also difficult to Treatment for Cystocele Treatment for a cystocele includes cystocele repair surgery, surgery to place a urethral sling, or both. [1] The bladder bulges through the anterior wall of the vagina, with which it is anatomically associated. , cystocele, urethrocele, rectocele) have been replaced because they imply an unrealistic certainty about the structures on the other side of the There are three grades of cystocele: Grade 1: The mildest grade of cystocele, characterized by the bladder dropping only a little into the vagina ; Grade 2: More moderate grade characterized by the bladder having dropped far enough into the vagina to reach the vaginal opening ; Grade 3: Most advanced of all the stages, characterized by the Rectocele Causes. Urethral Cystocele and rectocele. Treatment for a cystocele includes cystocele repair surgery, surgery to place a urethral sling, or both. Pb: perineal body length. With more severe (grade 2) cystocele, the bladder sinks far enough to reach the opening of the vagina. Cystocele (or “dropped bladder”) is the most common type of female prolapse and one of the few types of bladder prolapse that may impact the body. In taking her health history, which of the following would the nurse expect to find? A)Sporadic vaginal bleeding accompanied by chronic pelvic pain B)Heavy leukorrhea with vulvar pruritus C)Menstrual irregularities and hirsutism on the chin D What is a cystocele and rectocele repair? A cystocele and rectocele repair is an operation that lifts and tightens the tissue around the bladder and rectum so these organs no longer push against the vagina. How is a cystocele treated? Treatment depends on the grade of the cystocele and may include: Activity changes. This type of prolapse is called a cystocele. Treatment might involve: Observation. With a rectocele, weaknesses in the pelvic floor cause the rectum to bulge onto your back vaginal wall. Grade 3 (severe). Cystoceles are grouped into grades: Grade 1. Risk factors for rectocele may include: Pregnancy and childbirth, especially repeated vaginal deliveries and/or tearing or episiotomy during delivery; Aging; Chronic constipation; Obesity; Chronic cough or bronchitis; Rectocele Symptoms Rectal Pressure A large, exteriorized rectocele places the patient at risk for vaginal mucosal erosion and ulceration, and accelerates progression of the rectocele due to further weakening of the posterior vaginal wall. She said it sounded like a rectocele – a kind of prolapse where the rectum drops down and bulges into the vagina. Apr 6, 2023 · Diagnosis. When the wall between a woman's bladder and the vagina weakens, the bladder may drop or sag into the vagina. During the 5-year time period, the majority of women (9,251, 55. Losing weight may reduce symptoms. Suits mild to severe prolapse depending on the type of prolapse. Posterior vaginal wall prolapse: when the rectum (lower part of the large bowel) bulges into the back wall of the vagina, also called a rectocele. Once the fascia is detached from the tendinous arch, a paravaginal fascial repair is added 3. Karram. Unfortunately, their surgical choices remain largely rooted in an older paradigm. This disorder is called a cystocele. The following remedies for mild or moderate cystocele include: Activity changes : Avoid certain strenuous activities, such as heavy lifting or straining during bowel movements, which can exacerbate the condition. 64; p < 0. Grade 3 is a cystocele that protrudes halfway beyond the introitus; and if it occurs with an everted vaginal cuff or cervix, it is called a “procidentia,” complete pelvic floor collapse, or grade 4 cystocele. Your surgeon will fix the wall between your bladder and vagina to keep your bladder from moving again. Vaginal Vault Prolapse—The top of the vagina loses its support and drops. These conditions occur mostly in women and it is thought that it may be a weak area in the female anatomy as the back wall of the vagina rests against the front wall of Treatment for Cystocele. Pain or discomfort during sexual intercourse; Difficulty using tampons How is a cystocele treated? Treatment depends on the grade of the cystocele and may include: Activity changes. Oct 2, 2019 · Grade 3—most severe form, where the bladder sags through the opening of the vagina; Cystocele. In a rectocele, there is a defect in the fascia between the rectum and the vagina. Pelvic organ prolapse (POP) is subcategorized according to the compartment of descent. The most advanced (grade 3) cystocele occurs when the bladder bulges out through the opening of the vagina. 7% Aug 3, 2022 · There can be prolapse of the bladder into the vagina. In the majority of patients with massive eversion of a post-hysterectomy vagina, an enterocele is present. Your bladder drops to the opening or slightly outside of your vagina. Gh: Genital hiatus length. A woman is admitted for repair of cystocele and rectocele. With the rectocele still depressed, a No. Unlike many other reconstructive surgeries used to treat pelvic organ prolapse (POP), your provider can perform the procedure without having to make a large incision (cut) into your abdomen. OUTCOMES OF SURGICAL REPAIR Suitable for use with uterine, cystocele, rectocele, small bowel and/or rectum. See also. This approach has been proven safe and effective, but there may not be any benefit over other types of rectocele repair. Rectocele repair is also sometimes called posterior colporrhaphy. Yes, this means your bladder is able to all but exit the body through the vaginal opening. (Reproduced from Bhatia NN. Grade 1: This is also called mild cystocele. 1-0 absorbable suture is used to suture the margins of the levator ani muscles in an interrupted fashion. Apr 26, 2024 · The most common site of prolapse is the front, also called anterior, vaginal wall. Jun 27, 2024 · In certain cases, some of the weakened muscle tissue that is forming the rectocele may be removed and the wall between the rectum and the vagina may need to be reinforced. The rectocele is depressed in the midline with the surgeon’s finger to reveal the margin of the puborectalis portion of the levator ani muscle. B. 8% had cystocele, 18. 9% of women had POP (grades 1-3); 34. Uterine Prolapse—The uterus drops into the vagina. An anterior prolapse most often involves the bladder. Vaginal Repair of Cystocele, Rectocele, and Enterocele. Nov 18, 2019 · Grade 1 - Descent halfway to the hymen. I hadn’t Colporrhaphy is a surgery used to repair weaknesses in your vaginal walls that are causing unpleasant symptoms. Differential diagnosis. Not doing certain activities, such as heavy lifting or straining during bowel movements, that could cause the cystocele to get worse. You may be examined while lying down and possibly while standing up. The search included review articles and was limited to English language studies. 6). 0% of all studied diagnostic groups were managed by cystocele/rectocele repair alone. Women may or may not present with symptoms of rectocele at the time. The approach will depend on the size of the rectocele and the symptoms associated with the rectocele. In this Apr 5, 2022 · Cystocele and rectocele recur in the mid-vaginal plane were the most important outcome factors [3,4]. This is the most common type of pelvic organ prolapse. She has nine living children. Here we are in agreement with the majority of the studies that showed a strong correlation between the anterior compartment (point Ba in the POP-Q classification) and apex (point C) (r = 0. Staging of Prolapse [edit | edit source]. by turning the urine red. What causes a cystocele? Apr 6, 2023 · Vaginal hysterectomy, Hysterectomy, Laparoscopic surgery, Sacral nerve stimulation, Botox injection, Robotic surgery, P elvic floor reconstruction, Minimally Complete procidentia with cystocele and rectocele. Effect of pregnancy and childbirth on urinary incontinence and pelvic organ prolapse; Etiology and evaluation of chronic constipation in adults; Fecal incontinence in adults: Etiology and evaluation; Female urinary incontinence: Evaluation; Management of chronic constipation in adults Jul 1, 1998 · Fluorourodynamic view of grade 4 cystocele with characteristic "dumbbell" shape. Methods PubMed/MEDLINE, ScienceDirect, Cochrane Library, and Web of Science databases were searched using the terms pelvic floor, cystocele, anatomy, connective tissue, endopelvic fascia, and pelvic mobility. A rectocele is a bulge (hernia) that occurs in the front wall of the rectum and pushes it into the vagina. Dec 14, 2019 · A grade 2 cystocele occurs when the cystocele is present at the introitus. 86; p It is a common finding that is largely asymptomatic and rarely needs surgical repair. Prolapse Severity. Grade 2 (moderate). Mar 27, 2020 · Space-filling pessaries are ideal for treating higher grades of prolapse and incontinence. Investigation • • • • • Pelvic examination Voiding cystourethrogram Urodynamics Cystoscopy Fluoroscopy. Rectocele. 0005). 1 In the UK, POP accounts for 20% of women waiting for major gynecological surgery and is a leading indication for hysterectomy in postmenopausal Cystocele: Fallen or Dropped Bladder. A symptomatic rectocele is best diagnosed if evacuation is aided by supporting the rectocele. The most advanced-grade 3-cystocele occurs when the bladder bulges out through the opening of the vagina. prolapse beyond the H-line. Prevalence of isolated and combined pelvic support defects at baseline, year 1, and year 5 of evaluation in WHI E+P participants is presented in Table 2. May 16, 2019 · Defecatory dysfunction is common in women with a symptomatic rectocele. Grade 1 is mild, with only slight bulging or movement out of position. Or, both the urethra and the bladder can prolapse into the vagina at the same time. This is also called a cystocele or cystourethrocele. Sep 7, 2022 · - Cystocele and rectocele; RELATED TOPICS. This includes pressing the rectocele back into the rectum through the vagina during evacuation, or pressing between the rectum and the vagina in order to aid evacuation. Dec 12, 2022 · Treatment for Cystocele. iayesx oobh ntjnbz ztww hbidsj buom wwty kpkm iayc fxnc