Uterine prolapse with cystocele

Case contributed by Dr Heba Abdelmonem


Palpable perineal lesion and dysuria.

Patient Data

Age: 65 years
Gender: Female

Abnormal passage of the inferior part of the urinary bladder filled with contrast giving a characteristic dumbbell shape together with the uterus, cervix, and vagina through a splayed levator ani muscles down through the vaginal lumen till outside the body. A densely calcified lesion within the anterior uterine wall mostly calcified fibroid.

Case Discussion

Contrast filled bladder protrudes outside the body together with uterus, cervix and, vagnia in keeping with cystocele and pelvic organs prolapse. 

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