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    Cystocele, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Cystocele, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Cystocele, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook80 pages44 minutes

    Cystocele, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    This book describes Cystocele, Diagnosis and Treatment and Related Diseases
    A cystocele (also termed a prolapsed, herniated, dropped, or fallen bladder where the urine or “water” is stored) happens when ligaments that maintain the bladder up and the muscle between a woman’s vagina and bladder stretches or weakens, permitting the bladder to sag into the vagina.
    There are 3 grades of cystocele:
    1. Grade 1 (mild): The bladder drops only a short way into the vagina.
    2. Grade 2 (moderate): The bladder drops to the opening of the vagina.
    3. Grade 3 (severe): The bladder bulges through the opening of the vagina.
    Causes
    The organs inside a woman's pelvis are the uterus, the bladder and rectum (lowest intestinal part).
    Normally, these are propped up and kept in position by certain structures such as ligaments and the muscles at the bottom of the pelvis (pelvic floor muscles).
    Genitourinary (GU) prolapse happens when these normal support structures are weakened and are no longer effectual
    The effect is that one (or more) of the organs inside the pelvis prolapses (falls down) into vagina.
    The space available for the organ to drop down into is the vagina
    A prolapse of the bladder into the vagina is a cystocele
    This is the most frequent form of GU prolapse
    A uterine prolapse is the second most frequent form of GU prolapse.
    Risk factors for a cystocele are:
    1. Childbirth: Vaginal births, which may require straining the muscles of the floor of the pelvis.
    2. Family history of cystocele or a congenital disorder
    3. Obesity or women who are overweight.
    4. Intense physical activity, including lifting heavy objects.
    5. Hysterectomy because the surgery may have weakened the ligaments and pelvic floor muscles
    6. Constipation and repeated muscle straining during bowel movements
    7. Increased pressure inside the abdomen
    8. Frequent coughing or Women who have persistent (chronic) lung problems
    9. Aging or Increasing age
    10. Drop in the hormone estrogen
    Symptoms
    1. The need to pass urine often, both during the day and at night, having to run to the bathroom often to pass water, or just a feeling as if the patient has to urinate a lot.
    2. Unwanted leakage of urine (incontinence) leaking of urine on coughing, sneezing, laughing, straining or lifting
    The prolapsed (fallen) bladder may stretch the opening of the urethra (the tube through which urine passes).
    3. Incomplete emptying of the bladder
    4. Frequent urinary tract infections.
    5. Feeling of fullness, heaviness, or pain in the pelvic area or lower back.
    6. The bladder bulging into or out of the vagina or the need to use the finger to push back the prolapse to enable urine to pass
    There is a feeling of a lump in the vagina or having a feeling of something 'dragging' or 'coming down'
    Diagnosis
    A Grade 2 or Grade 3 cystocele can be diagnosed from a history of symptoms and from a vaginal examination.
    Other test may be needed to detect Grade 1 cystocele
    1. Cystourethrogram
    2. Urodynamics
    3. Cystoscopy (cystourethroscopy)
    4. Fluoroscopy
    Types of treatment:
    Watchful waiting
    If the woman has little symptoms, the woman may choose to wait to see how her symptoms develop.
    In some women, symptoms do not get any worse over time, and they may even get better.
    Lifestyle changes
    a. Lose weight
    b. Stop smoking
    c. Kegel exercises
    Pessary
    If symptoms are moderate, a device called a pessary may be inserted into the vagina and kept there in place to hold the bladder
    Surgery
    A serious cystocele may need reconstructive surgery called an anterior repair to move the bladder into a normal position.
    In this form of surgery, an incision or cut is made in the wall of the vagina and the tissue that divides the bladder from the vagina is made tighter.
    TABLE OF CONTENT
    Introduction
    Chapter 1 Cystocele
    C

    LanguageEnglish
    PublisherKenneth Kee
    Release dateMar 26, 2019
    ISBN9780463135556
    Cystocele, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Cystocele, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Cystocele,

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2019 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes Cystocele, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

      (What You Need to Treat Cystocele)

      This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog: http://afamilydoctorstale.blogspot.com.

      This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

      From which many free articles from the blog was taken and put together into 800 eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical disorders.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Cystocele

      What is a Cystocele?

      A cystocele (also termed a prolapsed, herniated, dropped, or fallen bladder where the urine or water is stored) happens when ligaments that maintain the bladder up and the muscle between a woman’s vagina and bladder stretches or weakens, permitting the bladder to sag into the vagina.

      There are 3 grades of cystocele:

      1. Grade 1 (mild): The bladder drops only a short way into the vagina.

      2. Grade 2 (moderate): The bladder drops to the

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