cystocele lateral symptoms
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 âmanual reductionâ (pushing back) of the cystocele in order to urinate.