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The defect to the fascia is located and reattached to the arcus tendineus using sutures. A cystocele caused by a lateral defect may be treated through an abdominal incision made transversely (from side to side) just above the pubic hairline.

The space between the pubic bone and bladder is identified and opened and the pubocervical fascia reattached to the arcus tendineus using methods similar to the vaginal paravaginal repair.

The patient is first given general or regional anesthesia.

A speculum is inserted into the vagina to hold it open during the procedure.

A patient's recovery time following laparoscopic surgery is shorter and less painful than following a traditional laparotomy (a larger surgical incision into the abdominal cavity). A urologist is a medical doctor who specializes in the diagnosis and treatment of diseases of the urinary tract and genital organs. BUT IT DOES INTERFER WITH MY HUSBAND AND MY SEX LIFE.

Physical examination is most often used to diagnose a cystocele. IT IS BASICALLY A TURN OFF FOR MY HUSBAND-AND THEN I TOO GET DISGUSTED. The OB/GYN said it was pretty bad, I guess as far as the stretching.

Surgery is generally reserved for stage III and IV cystoceles.White women undergo pelvic prolapse surgery at a rate of 19.6 per 10,000 and a mean age of 54.3, while 6.4 per 10,000 African American women have surgery at a mean age of 49.3.A 2002 study indicated cystocele repair accounts for 8% of all prolapse repair surgeries; in 1997, approximately 18,500 cystocele repairs were performed.Cystocele repair was combined with rectal prolapse repair in 10% of prolapse surgeries, with hysterectomy (surgical removal of the uterus) in 6%, and with both procedures in 16%.The goals of cystocele repair are to relieve a patient's symptoms, to improve or maintain urinary and sexual function, to return pelvic structures to their original position, and to prevent the formation of new defects.

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