Cystocele and Urethrocele

Oct 16, 2008

Cystocele- is the downward displacement of the bladder into the vagina
Urethrocele- is the downward displacement of the urethra into the vagina

Possible Causes :

  • by genital atrophy associated with aging occurs
  • congenital
  • obstetric trauma
Signs and symptoms:
  • pelvic pressure or heaviness
  • backache
  • urinary urgency , frequency, incontinence, incomplete emptying
  • coughing , sneezing, long standing will cause more intra-abdominal pressure
  • relieved by resting or lying down
Management:
Surgery
  • Anterior vaginal colporrhaphy -repair of the anterior vaginal wall
Post- operative care:
  • care of the catheter - should be in proper place and check if urine flowing freely
  • check packing for presence of bleeding
  • perineal care after each voiding or defecation
  • heat lamp to dry incision and helps in the healing process
  • apply ice packs locally to relieve discomfort
  • analgesic for pain as prescribed by the physician

Nursing Intervention
  • Encourage to increase fluid intake to prevents bacterial flora in the bladder
  • Catheterize if necessary as per doctor's advised
  • advised patient for Kegel's pelvic floor exercise - keep your pelvic floor muscles toned, tightens the vaginal muscles -hold for a count and then relax. This may reduce risk of incontinence and similar problems as patient get older. Kegel exercises can also help to control urinary incontinence.

2 comments:

Tey said...

hmmm I am having problem urinating for 3 years now. My doctor said my urinary bladder is going down. Any tips?
Ester's Embracing Health
Ester's Health Blog
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Tey said...

you know what, I already have that in mind before you response to my message and I thank you for confirming my thoughts. I will definitely follow you advice
Ester's Embracing Health
Ester's Health Blog
Concealed Mind
Brief Sentiments

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