Cystocele

Case contributed by Jerald Garvin Lim
Diagnosis almost certain

Presentation

Painless introital mass

Patient Data

Age: 65 years
Gender: Female
Fluoroscopy

Retrograde administration of contrast material via Foley catheter shows opacification of the urinary bladder with smooth margin. The contour of the urinary bladder extends inferiorly beyond the pelvic rim, and to a greater extent during Valsalva maneuver. 

The post-void radiograph shows no retained contrast material within the urinary bladder.

Case Discussion

Cystocele represents herniation of the urinary bladder through the weakened supportive fascia of the anterior vaginal compartment.

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