A client comes to the OB/GYN clinic complaining of difficulty in emptying the bladder and frequency and urgency of urination. After examination, the health care provider will likely diagnose:

Question

A) Rectocele
B) Cystocele
C) Endometritis
D) Prolapsed uterus

Answer 1

Ans: B
Feedback:
Cystocele is herniation of the bladder into the vagina that occurs when the normal muscle support for the bladder is weakened, the bladder sags below the uterus, herniates through the anterior vaginal wall, and a cystocele forms. The symptoms include difficulty in emptying the bladder, frequency and urgency of urination, and stress incontinence. Rectocele is herniation of the rectum into the vagina; symptoms include discomfort because of the protrusion of the rectum and difficulty in defecation. Uterine prolapse is the bulging of the uterus into the vagina that occurs when the primary supportive ligaments are stretched; symptoms result from irritation of the exposed mucous membranes of the cervix and vagina and the discomfort of the protruding mass. Endometritis symptoms include abnormal vaginal bleeding, mild to severe uterine tenderness, fever, malaise, and foul-smelling discharge.