Cystocele

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Tests and diagnosis

By Mayo Clinic staff

To diagnose a cystocele, your doctor will conduct a pelvic exam. During the pelvic exam, your doctor:

  • Will look for the telltale bulge in your vaginal wall that usually makes prolapse easy to diagnose
  • May ask you to bear down and push as if you are having a bowel movement so that he or she can see how far the bladder or other organs protrude into the vagina
  • May instruct you to contract the muscles of your pelvis (as if you are stopping the stream in the middle of urinating) to check the strength of your pelvic floor muscles
References
  1. Lentz GM. Anatomic Ddefects of the abdominal wall and pelvic floor. In: Katz VL, et al., eds. Comprehensive Gynecology. 5th ed. Philadelphia, Pa.: Mosby; 2007. http://www.mdconsult.com/das/book/body/172806660-4/0/1524/131.html?tocnode=53759383&fromURL=131.html#4-u1.0-B978-0-323-02951-3..50023-6_663. Accessed Nov. 24, 2009.
  2. Abed M, et al. Urinary incontinence and pelvic organ prolapse: Diagnosis and treatment for the primary care physician. The Medical Clinics of North America. 2008;92:1273.
  3. Mahajan ST. Anterior vaginal wall support abnormalities: Evaluation and treatment. http://www.uptodate.com/home/index.html. Accessed Nov. 24, 2009.
  4. Urinary incontinence in women. National Kidney and Urologic Diseases Information Clearinghouse. http://kidney.niddk.nih.gov/kudiseases/pubs/uiwomen/. Accessed Nov. 24, 2009.
  5. Gebhart JB (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 6, 2009.
  6. Gallenberg MM (expert opinion). Mayo Clinic, Rochester, Minn. Nov. 30, 2009.
DS00665 Jan. 12, 2010

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