61. Kegelmaster Discussion Forum Return To Index! The Kegelmaster For Uterine, Bladder (cystocele) Prolapse, Rectocele and More! May 12 2004 at 743 PM, Sari Wexler http://www.network54.com/Forum/message?forumid=80980&messageid=1084405434

62. SECONDARY CYSTOCELE REPAIR (SCR):THE ROLE OF PROLENE MESH SECONDARY cystocele REPAIR (SCR)THE ROLE OF PROLENE MESH. Authors SP Marinkovic, SL Stanton. Institution The cystocele is mobilised and reduced. http://www.icsoffice.org/publications/2000/Video/SECONDARY CYSTOCELE REPAIR (SCR

SECONDARY CYSTOCELE REPAIR (SCR):THE ROLE OF PROLENE MESH Authors: S P Marinkovic, S.L. Stanton Institution: Urogynecology Unit, St George's Hospital, London, United Kingdom Conference: ICS 2000 Tampere Type: Video Aim of Study: To demonstrate a vaginal approach to improve the support of anterior compartment prolapse (ACP) after failed cystocele repair with the interposition of Prolene GyneMesh (polypropylene mesh). Methods: All patients underwent multichannel urodynamics with their prolapse reduced to ensure there is no concomitant stress urinary incontinence. The patient is placed in a modified lithotomy position using Allen stirrups. The vagina is cleansed with betadine solution and draped in a sterile conventional manner. The midline of the anterior vaginal wall (AVW) is infused with 10 ml of 1 % lidocaine with 1:200000 adrenaline solution. The AVW is incised vertically one centimeter proximal to the external urethral meatus. The cystocele is mobilised and reduced. A 1-0 vicryl stitch is placed at the bladder neck (Kelly suture). The mesh is trimmed to adequately reduce the cystocele. A series of 2-0 vicryl stitches incorporate pubocervical fascia and the mesh. Redundant AVW is excised. The AVW is closed with continuous locking 1-0 vicryl suture. The bladder is drained with a Bonnano suprapubic catheter for 24-48 hours. Result: This vaginal procedure provides excellent and expedient reduction of recurrent cystocele. With one year's experience we have not encountered any recurrent cystocele, urethral or bladder injury, mesh erosion, de novo urgency or urinary retention.

63. SGS - Patient Education - Cystocele, Rectocele And Pelvic Support Surgery Cystocoele, rectocoele and pelvic support surgery. Frederick R. Jelovsek MD. Many women in the menopausal and perimenopausal age range http://www.sgsonline.org/edpro002.html

Cystocoele, rectocoele and pelvic support surgery Frederick R. Jelovsek MD Many women in the menopausal and perimenopausal age range, require surgery for pelvic support defects such as cystocoele (bladder dropping), rectocoele (rectum protruding), bladder neck dropping (stress incontinence), and uterine or post hysterectomy vaginal vault prolapse. There is not much information about these subjects in the usual health media so it is difficult for women to know what to expect as far as success rates, complications and recovery in general. At a past meeting of the Society of Gynecologic Surgeons, some of the scientific papers provided answers to questions that women may have about these subjects. How often do normal perimenopausal women lose urine with cough, sneeze or increase in abdominal pressure? In one study by Robinson D et al., women aged 45-55 who did not present for incontinence or evaluation of pelvic relaxation, were questioned to see how often they had episodes of urinary loss with intraabdominal straining. Some degree of urinary loss was reported by 2/3's (66%) but daily loss was only reported by 8%. Frequency of urinary loss Incidence (%) None Less than once per month Several times per month Several times per week Daily loss What degree or amount of pelvic relaxation is normal in the perimenopause?

64. Health Library - Repair of the bladder (cystocele) or urethra (urethrocele). A cystocele occurs when the wall of the bladder bulges through the wall of the vagina. http://yalenewhavenhealth.org/library/healthguide/IllnessConditions/topic.asp?hw

65. MoonDragon's Obgyn Information & Discussion - Vaginal Hernias (Cystocele, Entero MoonDragon s Obgyn Information Discussion Vaginal Hernias (cystocele, Enterocele, Rectocele, Urethrocele). This page is best http://www.moondragon.org/obgyn/disorders/vaghernias.html

This page is best viewed with 800x600 monitor display. VAGINAL HERNIAS (Cystocele, Enterocele, Rectocele, Urethrocele) "For Informational Use Only" For more detailed information contact your health care provider about options that may be available for your specific situation. BASIC INFORMATION DESCRIPTION Weakness in the pelvic supporting structure that allows the pelvic organs to descend into the vagina. Cystocele - is a descent of a portion of the bladder into the vagina. Enterocele - is a protrusion of the intestine through the back of the vaginal wall. Rectocele - is a protrusion of the rectum through the vaginal wall. Urethrocele - is a sagging of the urethra. When associated with a cystocele, it is called a cystourethrocele FREQUENT SIGNS AND SYMPTOMS Sometimes, no symptoms are apparent. Stress incontinence (urine leakage that occurs with coughing, sneezing or lifting. Incomplete emptying of the bladder. Increased urinary frequency. Urinary incontinence A sensation of vaginal fullness, pressure or "falling out". Pain during sexual intercourse.

66. Women's Center Conditions AZ cystocele (Fallen Bladder). cystocele (Fallen Bladder). What is a cystocele? What are the results of a cystocele? http://www.rush.edu/rumc/page-P06655.html

Family Medicine Gynecologic Oncology Heart Disease in Women Women's Center Conditions A-Z - Cystocele (Fallen Bladder) Cystocele (Fallen Bladder) What is a cystocele? Cystocele is the name for a hernia-like disorder in women that occurs when the wall between the bladder and the vagina weakens, causing the bladder to drop or sag into the vagina. What are the results of a cystocele? In addition to discomfort, the resulting dropped bladder can cause two kinds of problems to occur, including the following: urine leakage incomplete emptying of the bladder The dropped bladder stretches the opening into the urethra, and urine may leak when a woman does any action that causes pressure on the bladder, such as coughing. What are the grades of cystoceles? grade 1 mild - the bladder droops only a short way into the vagina. grade 2 more severe - the bladder has sunk into the vagina far enough to reach the opening of the vagina. grade 3 most advanced - the bladder bulges out through the opening of the vagina.

67. CYSTOCELE - Meaning And Definition Of The Word Milex Products Online Catalog PessariesPessary Recommended for Effective Support of a cystocele can also be manually shaped to thin out a rectocele. Gehrung Manually shapeable http://www.hyperdictionary.com/dictionary/cystocele

English Dictionary Computer Dictionary Thesaurus Dream Dictionary ... Medical Dictionary Search Dictionary: CYSTOCELE: Dictionary Entry and Meaning Pronunciation: 'sistu`seel WordNet Dictionary Definition: [n] hernia in which the ... childbirth Synonyms: colpocystocele See Also: colpocele vaginocele Webster's 1913 Dictionary Definition: Cys to cele s ... ABOUT HYPERDICTIONARY

68. A Cystocele Is An Downward... Hartford, Connecticut , Saint Francis Care - Hartf A cystocele is an downward Hartford page, A cystocele is an downward outpocketing or hernia of the bladder towards the vaginal opening. http://www.saintfranciscare.com/16194.cfm

@import url(main.css); About Us Health Information Adam Article Manager CareMail Signup ... Ways To Help Adam Article Manager Back Back to main Health Information page A cystocele is an downward outpocketing or hernia of the bladder towards the vaginal opening. The weakening of the muscular wall in this condition can cause urine to leak from the bladder when there is an increase in internal abdominal pressure such as in sneezing or coughing. Surgery such as an anterior vaginal wall repair may help this condition. Back Policies and Ownership Saint Francis Care 114 Woodland Street Hartford, Connecticut 06105 Site Search:

69. Rectocele, Cystocele & Enterocele - Related Conditions To A Prolapsed Uterus Rectocele, cystocele and enterocele may be seen in conjunction with a prolapsed uteus. http://www.inletmedical.org/html/prolapsed_uterus_related.htm

Send this link to a friend Search this site When the supports to the pelvic floor are injured by childbirth or other causes, only one pelvic organ may prolapse. However, more often than not several types of pelvic organ prolapse are involved. These pelvic support defects are similar to hernias and include the following: Rectocele (herniation of the rectum) - occurs when the tissue layers between the rectum and the vagina weaken, allowing the rectum to herniate and cause a bulging into the back of the vagina. Cystocele (herniation of the bladder) - occurs when the tissues between the bladder and the vagina weaken, allowing the bladder to bulge into the front of the vagina. Enterocele (herniation of the colon and small bowel) - occurs when the colon and/or small bowel herniate into the upper part of the vaginal wall. You may have one of these types of hernias alone or several at the same time. Depending on their severity, these defects can cause abnormal functioning of the bladder, rectum or vagina. As a result, you may experience urinary incontinence, difficult bowel movements, and pelvic pain including pain during sexual intercourse. Like other hernias, a rectocele, cystocele or enterocele can remain stable in size or get larger. These pelvic floor defects require surgery to repair.

70. Practical Use Of The Pessary - May 1, 2000 - American Academy Of Family Physicia 5. Types of Vaginal Prolapse Variants of vaginal prolapse include rectocele, enterocele, cystocele and vault prolapse. FIGURE 3. cystocele and rectocele. http://www.aafp.org/afp/20000501/2719.html

Advanced Search Practical Use of the Pessary ANTHONY J. VIERA, LT, MC, USNR, Naval Hospital Guam, Dededo, Guam MARGARET LARKINS-PETTIGREW, LCDR, MC, USNR Naval Hospital Jacksonville, Jacksonville, Florida A patient information handout on using the pessary, written by the authors of this article, is provided on page 2729. The pessary is an effective tool in the management of a number of gynecologic problems. The pessary is most commonly used in the management of pelvic support defects such as cystocele and rectocele. Pessaries can also be used in the treatment of stress urinary incontinence. The wide variety of pessary styles may cause confusion for physicians during the initial selection of the pessary. However, an understanding of the different styles and their uses will enable physicians to make an appropriate choice. Complications can be minimized with simple vaginal hygiene and regular follow-up visits. (Am Fam Physician 2000;61:2719-26,2729.) T he pessary is one of the oldest medical devices available (Figure 1) . The type of pessary that is appropriate for each patient depends on the condition being treated. Although many physicians are unfamiliar with the pessary, it remains a useful device for the nonsurgical management of a number of gynecologic conditions

71. Cystocele (dropped Bladder) - OhioHealth A dropped or prolapsed bladder (cystocele) occurs when the bladder wall droops into the vaginal space. cystocele (dropped bladder), Question http://www.ohiohealth.com/healthreference/reference/9DE281FF-D837-4C51-96E0397EE

72. Paravaginal Repair In The Management Of Anterior Vaginal Wall Prolapse Physical examination features to suggest this include preservation of rugal folds and resolution of the cystocele with replacement of the lateral vaginal sulcus http://www.womens-health.co.uk/para.htm

Paravaginal Repair in the Management of Anterior Vaginal Wall Prolapse The only problem in plastic gynaecology left unsolved by the gynaecologists of the past century is that of permanent cure of cystocele. George R White, 1909 Anterior vaginal prolapse - Why? Vaginal birth Breakdown of lateral vaginal supports Abnormal collagen, pudendal nerve damage It is well accepted that damage incurred during vaginal delivery predisposes to the development of prolapse. There is less agreement on the nature of the damage. Others have described a more discrete breaking down of the lateral vaginal supports, resulting in a paravaginal defect. Physical examination features to suggest this include preservation of rugal folds and resolution of the cystocele with replacement of the lateral vaginal sulcus. Anterior vaginal supports In the absence of prolapse, the upper two thirds of the anterior vagina lies almost horizontally, supported by the underlying levator muscles. The white line extends from the back of the pubic bone to the ischial spine. This combination provides effective support against the forces of intra-abdominal pressure. Anterior colporrhaphy Excision of redundant vaginal tissue Bladder neck (Kelly) plication Success rate: 80-97% Author Recurrence Follow-up (years) Goff 1933 Moore 1955 Friedman 1970 Stanton 1982 Macer 1978 Walter 1982 Porges 1994 Paravaginal repair White 1912 Stretching of the firm attachment of the bladder to the uterus Stretching of the ligamentous attachment of the bladder.

73. Cystocele Advertisement. back. A cystocele is an downward outpocketing or hernia of the bladder towards the vaginal opening. The weakening http://www.drkoop.com/imagepages/9064.htm

Advertisement Search Dr. Koop Web MEDLINE Special Offers TV Specials Top Features Schizophrenia Hair Loss Liver Disease Allergies ... Impotence Resources Subscribe to our Free Newsletter Health Encyclopedia ... Privacy Policy Advertisement Advertisement A cystocele is an downward outpocketing or hernia of the bladder towards the vaginal opening. The weakening of the muscular wall in this condition can cause urine to leak from the bladder when there is an increase in internal abdominal pressure such as in sneezing or coughing. Surgery such as an anterior vaginal wall repair may help this condition. Review Date: 12/5/2001 12:00:00 AM Reviewed By:A.D.A.M. Medical Illustration Team Advertisement Natural Medicine Center Atkins/Low Carb Diets Stress Test Free Eczema Information Kit Hiatal Hernia Mental Disorder Advertisement The drkoop.com URL and web site is not associated with C. Everett Koop, M.D., former Surgeon General of the United States. Advertisement Advertisement

74. Re: Cystocele Subject Re cystocele Forum The Urology Forum Topic Area Incontinence Posted by HFHS MDAT on October 12, 1998 at 211617 In Reply to cystocele posted by http://www.medhelp.org/forums/urology/archive/1916.html

Questions in The Urology Forum are currently being answered by by Kevin Pho, M.D., who is board certified in Internal Medicine. Dr. Pho has a private practice in Internal Medicine and is also affiliated with an academic medical center where he works in emergency and inpatient venues. Subject: Re: cystocele Forum: The Urology Forum Topic Area: Incontinence Posted by HFHS M.D.-AT on October 12, 1998 at 21:16:17: In Reply to: cystocele posted by Pat on October 05, 1998 at 21:00:47: : Dear Doctor, : I have been talking to the neuro doctors and they have been quite helpful. Now I have a question for you. I have just gotton my med. records for the past ten years actually I have seen these doctors in 7 years so it is much longer then that. : Anyway, in 1980 I went through some tests for my bladder,this report said "upon voiding, the urethra was demonstrated to be nearly horizontal in position with a low poaterior position of the urinary bladder. this strongly suggests the presence of a cystocele." : What does all this mean and what is acystocele? Nothing was ever done or said about this.Thank you for being here. Pat

75. Cystocele venues. Subject cystocele Topic Area Incontinence Forum The Urology Forum Question Posted By Pat on Monday, October 05, 1998 http://www.medhelp.org/forums/urology/archive/2344.html

Questions in The Urology Forum are currently being answered by by Kevin Pho, M.D., who is board certified in Internal Medicine. Dr. Pho has a private practice in Internal Medicine and is also affiliated with an academic medical center where he works in emergency and inpatient venues. Subject: cystocele Topic Area: Incontinence Forum: The Urology Forum Question Posted By: Pat on Monday, October 05, 1998 I am a 36 year old woman who recently had 2 children. After giving birth to the first, I began to notice a swelling in my vagina. I have had problems with sensory urgencyfeeling the need to urinate when standing or exercising. I have no pain from the vaginal swelling, but wonder if this is the cause of my urgency? I have seen a gyneocologist who did urodynamic testing and determined that I have sensory urgency and a cystocele, and recommended surgerical bladder repair and a hysterectomy. I would like a second opinion, especially as to the need for a hysterectomy. Would a urologist, or a gyneocologist specializing in urinary

76. Loyola Univ. Health Sys. - Urology - Cystocele (Fallen Bladder) Fallen Bladder) cystocele (Fallen Bladder) What is a cystocele? cystocele into the vagina. What are the Results of a cystocele? http://www.luhs.org/health/topics/urology/cystocel.htm

You are here: Home Health Information Health Topics Urology Cystocele (Fallen Bladder) What is a Cystocele? Cystocele is the name for a hernia-like disorder in women that occurs when the wall between the bladder and the vagina weakens, causing the bladder to drop or sag into the vagina. What are the Results of a Cystocele? In addition to discomfort, the resulting dropped bladder can cause two kinds of problems to occur: urine leakage incomplete emptying of the bladder The dropped bladder stretches the opening into the urethra, and urine may leak when a woman does any action that causes pressure on the bladder, such as coughing.

77. Urology - Cystocele (Fallen Bladder) (La Urología - El Cistocele (Hernia De La Translate this page El Cistocele (Hernia de la Vejiga) ¿Qué es el cistocele? El cistocele es un trastorno parecido a la hernia, que afecta a las mujeres http://uuhsc.utah.edu/healthinfo/spanish/urology/cystocel.htm

El Cistocele (Hernia de la Vejiga) El cistocele es un trastorno parecido a la hernia, que afecta a las mujeres cuando la pared entre la vejiga y la vagina se debilita, ocasionando que la vejiga caiga o baje por la vagina. Escape de orina. Vaciado incompleto de la vejiga. Grado 1 Grado 2 Grado 3 Un cistocele puede ser el resultado de lo siguiente: Levantar mucho peso. Menopausia Tratamiento del cistocele: Su tolerancia a determinados medicamentos, procedimientos o terapias. Sus expectativas para la trayectoria de la enfermedad. El tratamiento puede incluir: Pesario - dispositivo colocado en la vagina para mantener la vejiga en su lugar. Haz click aquí para ir a la página de Los Recursos en la Red de La Urología Página Principal de La Urología Índice Health Topics Index Search ... University of Utah Health Sciences Center Contenido Medico revisado en Mayo del 2001

78. Definition Of Cystocele - BrainyDictionary definition of cystocele, cystocele (n.) Hernia in which the urinary bladder protrudes; vesical hernia. http://www.brainydictionary.com/words/cy/cystocele150839.html

BrainyAtlas BrainyDictionary BrainyEncyclopedia BrainyGeography BrainyHistory BrainyQuote ... Dictionary Home Search Definitions definition of cystocele Cystocele (n.) Hernia in which the urinary bladder protrudes; vesical hernia. Dictionary Browser: definition of cystidean definition of cystine definition of cystis definition of cystitis ... definition of cystocarp cystocele definition of cystoid definition of cystoidea definition of cystoidean definition of cystolith ... definition of cystolithic More Fun With Words Definition of Tazza (n.) An ornamental cup or vase with a large, flat, shallow bowl, resting on a pedestal and often having handles. Definition of Mooncalf (n.) A monster; a false conception; a mass of fleshy matter, generated in the uterus. (n.) A dolt; a stupid fellow. Definition of Regularity (n.) The condition or quality of being regular; as, regularity of outline; the regularity of motion. Cease to think that the decrees of the gods can be changed by prayers. - Virgil Dictionary Home BrainyCentral About Us Inquire Privacy Terms

79. Pelvic Prolapse Is Not Always Chronic And Progressive The annual incidences of cystocele, rectocele, and uterine prolapse were 9.3, 5.7, and 1.5 cases per 100 womenyears, respectively. http://www.medscape.com/viewarticle/469528

80. Cystoceles, Rectoceles, And Enteroceles Diagnosing and Treating a cystocele. Simply defined, a cystocele is a protrusion of the bladder into the vagina due to defects in pelvic support (Fig. http://www.medscape.com/viewarticle/408887_4

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