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Fallen Urinary Bladder

MedGen UID:
1208
•Concept ID:
C0010695
•
Disease or Syndrome
Synonyms: Cystocele; Prolapse, Urinary Bladder; Urinary Bladder Prolapse

Definition

A HERNIA-like condition in which the weakened pelvic muscles cause the URINARY BLADDER to drop from its normal position. Fallen urinary bladder is more common in females with the bladder dropping into the VAGINA and less common in males with the bladder dropping into the SCROTUM. [from MeSH]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVFallen Urinary Bladder

Professional guidelines

PubMed

Management of Occult Urinary Incontinence with Prolapse Surgery.
Cohn JA, Smith AL
Curr Urol Rep 2019 Mar 30;20(5):23. doi: 10.1007/s11934-019-0885-5. PMID: 30929095
Nonsurgical Treatment Options for Women With Pelvic Organ Prolapse.
Tso C, Lee W, Austin-Ketch T, Winkler H, Zitkus B
Nurs Womens Health 2018 Jun;22(3):228-239. doi: 10.1016/j.nwh.2018.03.007. PMID: 29885711
Falls risk reduction and treatment of overactive bladder symptoms with antimuscarinic agents: a scoping review.
Hunter KF, Wagg A, Kerridge T, Chick H, Chambers T
Neurourol Urodyn 2011 Apr;30(4):490-4. Epub 2011 Jan 20 doi: 10.1002/nau.21051. PMID: 21254199

Recent clinical studies

Etiology

Analysis of the anatomical and biomechanical characteristics of the pelvic floor in cystocele.
Song C, Wen W, Pan L, Sun J, Bai Y, Tang J, Zhong C, Han B, Xia S, Zhu Y
Acta Obstet Gynecol Scand 2023 Dec;102(12):1661-1673. Epub 2023 Aug 26 doi: 10.1111/aogs.14657. PMID: 37632276Free PMC Article
What women want now!
Shah GS, Phillips C
Eur J Obstet Gynecol Reprod Biol 2023 Jul;286:118-120. Epub 2023 May 16 doi: 10.1016/j.ejogrb.2023.05.014. PMID: 37244000
Bladder cancer in Ireland: a 21-year review.
O'Meara S, Bhatt NR, Flynn RJ, Manecksha RP, Thomas AZ
Ir J Med Sci 2021 May;190(2):531-538. Epub 2020 Jul 29 doi: 10.1007/s11845-020-02318-z. PMID: 32725349
Simplified Laparoscopic Sacrohysteropexy.
Jan H, Ghai V, Thakar R
J Minim Invasive Gynecol 2018 Nov-Dec;25(7):1134. Epub 2018 Jan 31 doi: 10.1016/j.jmig.2018.01.014. PMID: 29371171
Surgical management of pelvic organ prolapse in women.
Maher C, Feiner B, Baessler K, Schmid C
Cochrane Database Syst Rev 2013 Apr 30;(4):CD004014. doi: 10.1002/14651858.CD004014.pub5. PMID: 23633316

Diagnosis

Analysis of the anatomical and biomechanical characteristics of the pelvic floor in cystocele.
Song C, Wen W, Pan L, Sun J, Bai Y, Tang J, Zhong C, Han B, Xia S, Zhu Y
Acta Obstet Gynecol Scand 2023 Dec;102(12):1661-1673. Epub 2023 Aug 26 doi: 10.1111/aogs.14657. PMID: 37632276Free PMC Article
Pelvic organ prolapse in nulliparae.
Dietz HP, Chavez-Coloma L, Friedman T, Turel F
Aust N Z J Obstet Gynaecol 2022 Jun;62(3):420-425. Epub 2022 Jan 20 doi: 10.1111/ajo.13481. PMID: 35048356Free PMC Article
Bladder cancer in Ireland: a 21-year review.
O'Meara S, Bhatt NR, Flynn RJ, Manecksha RP, Thomas AZ
Ir J Med Sci 2021 May;190(2):531-538. Epub 2020 Jul 29 doi: 10.1007/s11845-020-02318-z. PMID: 32725349
Pelvic floor dysfunctions: how to image patients?
Iacobellis F, Reginelli A, Berritto D, Gagliardi G, Laporta A, Brillantino A, Renzi A, Scaglione M, Masselli G, Barile A, Romano L, Cappabianca S, Grassi R
Jpn J Radiol 2020 Jan;38(1):47-63. Epub 2019 Dec 16 doi: 10.1007/s11604-019-00903-6. PMID: 31845071
Videourodynamics: indications and technique.
Marks BK, Goldman HB
Urol Clin North Am 2014 Aug;41(3):383-91, vii-viii. Epub 2014 Jun 13 doi: 10.1016/j.ucl.2014.04.008. PMID: 25063594

Therapy

Analysis of the anatomical and biomechanical characteristics of the pelvic floor in cystocele.
Song C, Wen W, Pan L, Sun J, Bai Y, Tang J, Zhong C, Han B, Xia S, Zhu Y
Acta Obstet Gynecol Scand 2023 Dec;102(12):1661-1673. Epub 2023 Aug 26 doi: 10.1111/aogs.14657. PMID: 37632276Free PMC Article
Nonsurgical Treatment Options for Women With Pelvic Organ Prolapse.
Tso C, Lee W, Austin-Ketch T, Winkler H, Zitkus B
Nurs Womens Health 2018 Jun;22(3):228-239. doi: 10.1016/j.nwh.2018.03.007. PMID: 29885711
Simplified Laparoscopic Sacrohysteropexy.
Jan H, Ghai V, Thakar R
J Minim Invasive Gynecol 2018 Nov-Dec;25(7):1134. Epub 2018 Jan 31 doi: 10.1016/j.jmig.2018.01.014. PMID: 29371171
Anterior vaginal compartment surgery.
Maher C
Int Urogynecol J 2013 Nov;24(11):1791-802. doi: 10.1007/s00192-013-2170-3. PMID: 24142055
Surgical management of pelvic organ prolapse in women.
Maher C, Feiner B, Baessler K, Schmid C
Cochrane Database Syst Rev 2013 Apr 30;(4):CD004014. doi: 10.1002/14651858.CD004014.pub5. PMID: 23633316

Prognosis

What women want now!
Shah GS, Phillips C
Eur J Obstet Gynecol Reprod Biol 2023 Jul;286:118-120. Epub 2023 May 16 doi: 10.1016/j.ejogrb.2023.05.014. PMID: 37244000
Improving of long-term follow-up after cystocele repair.
Dubinskaya ED, Gasparov AS, Babichevа IA, Kolesnikova SN
J Gynecol Obstet Hum Reprod 2022 Feb;51(2):102278. Epub 2021 Nov 30 doi: 10.1016/j.jogoh.2021.102278. PMID: 34861425
Predictors of occult stress urinary incontinence.
Karjalainen PK, Gillor M, Dietz HP
Aust N Z J Obstet Gynaecol 2021 Apr;61(2):263-269. Epub 2020 Dec 25 doi: 10.1111/ajo.13290. PMID: 33368207
Bladder cancer in Ireland: a 21-year review.
O'Meara S, Bhatt NR, Flynn RJ, Manecksha RP, Thomas AZ
Ir J Med Sci 2021 May;190(2):531-538. Epub 2020 Jul 29 doi: 10.1007/s11845-020-02318-z. PMID: 32725349
Extent of radical hysterectomy: evolving emphasis.
Hoffman MS
Gynecol Oncol 2004 Jul;94(1):1-9. doi: 10.1016/j.ygyno.2004.05.025. PMID: 15262112

Clinical prediction guides

Analysis of the anatomical and biomechanical characteristics of the pelvic floor in cystocele.
Song C, Wen W, Pan L, Sun J, Bai Y, Tang J, Zhong C, Han B, Xia S, Zhu Y
Acta Obstet Gynecol Scand 2023 Dec;102(12):1661-1673. Epub 2023 Aug 26 doi: 10.1111/aogs.14657. PMID: 37632276Free PMC Article
Surgical anatomy of the mid-vagina.
Haylen BT, Vu D, Wong A, Livingstone S
Neurourol Urodyn 2022 Aug;41(6):1293-1304. Epub 2022 Jun 22 doi: 10.1002/nau.24994. PMID: 35731184Free PMC Article
Predictors of occult stress urinary incontinence.
Karjalainen PK, Gillor M, Dietz HP
Aust N Z J Obstet Gynaecol 2021 Apr;61(2):263-269. Epub 2020 Dec 25 doi: 10.1111/ajo.13290. PMID: 33368207
Bladder cancer in Ireland: a 21-year review.
O'Meara S, Bhatt NR, Flynn RJ, Manecksha RP, Thomas AZ
Ir J Med Sci 2021 May;190(2):531-538. Epub 2020 Jul 29 doi: 10.1007/s11845-020-02318-z. PMID: 32725349
Ultrasound in the assessment of pelvic organ prolapse.
Dietz HP
Best Pract Res Clin Obstet Gynaecol 2019 Jan;54:12-30. Epub 2018 Jun 28 doi: 10.1016/j.bpobgyn.2018.06.006. PMID: 30082146

Recent systematic reviews

Magnetic resonance defecography versus clinical examination and fluoroscopy: a systematic review and meta-analysis.
Ramage L, Simillis C, Yen C, Lutterodt C, Qiu S, Tan E, Kontovounisios C, Tekkis P
Tech Coloproctol 2017 Dec;21(12):915-927. Epub 2017 Nov 1 doi: 10.1007/s10151-017-1704-y. PMID: 29094218
Diagnostic Accuracy and Clinical Implications of Translabial Ultrasound for the Assessment of Levator Ani Defects and Levator Ani Biometry in Women With Pelvic Organ Prolapse: A Systematic Review.
Notten KJB, Vergeldt TFM, van Kuijk SMJ, Weemhoff M, Roovers JWR
Female Pelvic Med Reconstr Surg 2017 Nov/Dec;23(6):420-428. doi: 10.1097/SPV.0000000000000402. PMID: 28134704
Mesh Surgery for Anterior Vaginal Wall Prolapse: A Meta-analysis.
Juliato CR, Santos Júnior LC, Haddad JM, Castro RA, Lima M, Castro EB
Rev Bras Ginecol Obstet 2016 Jul;38(7):356-64. Epub 2016 Jul 29 doi: 10.1055/s-0036-1585074. PMID: 27472812Free PMC Article
Surgical management of pelvic organ prolapse in women.
Maher C, Feiner B, Baessler K, Schmid C
Cochrane Database Syst Rev 2013 Apr 30;(4):CD004014. doi: 10.1002/14651858.CD004014.pub5. PMID: 23633316
Genital prolapse in women.
Onwude JL
BMJ Clin Evid 2007 Mar 1;2007 PMID: 19454058

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