Risks factors include family history, menopausal status, having vaginal childbirth (especially of larger babies or with assistance of deliveries), multiparity, chronic cough, chronic constipation, straining due to lifting, obesity, prior pelvic surgery including hysterectomy, and other prolapse surgery.
Most often, cystoceles will be found incidentally during routine pelvic exam. Patients may present with a complaint of a bulge from the vagina or increased pelvic, bladder, or vaginal pressure. These symptoms will often resolve when patient is supine. Other patients may note new-onset vaginal spotting with wiping (often postmenopausally) or issues with urinary retention.
Related topic: Uterovaginal prolapse
N81.10 – Cystocele, unspecified
252005008 – Female cystocele
Differential Diagnosis & Pitfalls