A 65-year-old female complains of frequency and urgency of urination and episodes of urinary incontinence. On pelvic examination, there is smooth, soft bulge of the anterior vaginal wall that is more pronounced with straining
These findings are indicative of:
A. Rectocele
B. Cystocele
C. Uterine prolapse
D. Anteflexed uterus
ANS: B
A cystocele can contribute to urinary frequency, urgency, and infection, and stress incontinence. The bimanual examination reveals a smooth, soft bulge of the anterior vaginal wall that is more pronounced with straining. Kegel exercises may be helpful, but surgical repair may be needed.
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