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A cystocele (/ËsÉªstÉsiËl/ SIS-tÉ-seel) is a medical condition that occurs when the tough fibrous wall between a woman's bladder and her vagina (the pubocervical fascia) is torn by childbirth, allowing the bladder to herniate into the vagina.Urethroceles often occur with cystoceles. cystocele is mild (grade 1) when the bladder droops only a short way into the vagina. With more severe (grade 2) cystocele, the bladder sinks far enough to reach the opening of the vagina.
A lateral-defect cystocele occurs when the attachment of the bladder to the pelvic side wall weakens (the vesicopelvic fascia becomes detached from the tendinous arc). The most common defect is a combined central and lateral defect followed by a lateral defect alone, followed by a central defect alone. As a cystocele progresses, the amount of descent into the roof of the vagina increases. Cystoceles are graded as follows: GRADE 1= mild. GRADE 2= bladder to vaginal opening (introitus) with strain. GRADE 3= bladder outside vaginal opening with strain. GRADE 4= bladder outside vaginal opening at all times. The symptoms of a cystocele are typically one or more of the following: a bulge or lump protruding from the vagina. kinking of the urethra causing obstruction and hence: the need for âmanual reductionâ (pushing back) of the cystocele in order to urinate.