Author Topic: Rectocoele, Cystocele, Enterocele & Urethrocele  (Read 19570 times)

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Offline dr-awale

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Rectocoele, Cystocele, Enterocele & Urethrocele
« on: May 12, 2009, 07:54:16 PM »
Vaginal wall prolapse may occur independently of the uterus. Several types are described:


cystocoele - descent or bulging of the bladder into the upper two thirds of the anterior vaginal wall. It denotes weakness in the investing fascia of the vagina.

urethrocoele - bulging of the urethra into the lower one third of the anterior vaginal wall. It is more properly called urethral displacement, as the urethra is not dilated.

enterocoele - herniation of the pouch of Douglas into the upper posterior vaginal wall. The peritoneal sac may contain loops of bowel

rectocoele - prolapse of the rectum into the lower posterior vaginal wall. It is not to be confused with rectal prolapse.

inversion of the vagina or vaginal vault prolapse indicates a failure of the supports around the upper vagina. It may be seen after vaginal or abdominal hysterectomy.


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