What is the Difference Between Cystocele and Rectocele?

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The main difference between a cystocele and a rectocele lies in the organs involved and their position within the pelvic region. Both conditions occur when the pelvic muscles and tissues weaken and stretch, causing the respective organs to bulge into the vagina.

  • Cystocele: In this condition, the bladder wall bulges into the vagina due to a defect in the fascia between the bladder and vagina. This occurs when the pelvic muscles and tissues, such as the pubocervical vesical fascia, weaken.
  • Rectocele: In this condition, the rectum wall bulges into the vagina due to a defect in the fascia between the rectum and the vagina. This occurs when the pelvic muscles and tissues, such as the rectovaginal fascia, weaken.

Both conditions can cause various symptoms, such as pain or pressure in the vagina or rectum, pain during sex, and problems passing stool or fully emptying the bladder or rectum. Treatment options for cystoceles and rectoceles can range from conservative approaches like pelvic floor exercises and pessary use to surgical repair in more severe cases.

Comparative Table: Cystocele vs Rectocele

Here is a table comparing the differences between cystocele and rectocele:

Feature Cystocele Rectocele
Definition A medical condition where a part of the bladder wall bulges into the vagina. A medical condition where a part of the rectum wall bulges into the vagina.
Also Known As Fallen bladder. Fallen rectum.
Located in the Anterior vaginal wall. Posterior vaginal wall.
Grading Typically divided into grades I, II, and III, with grade I being mild and grade III being severe. Not graded in the same manner as cystocele.

Both cystocele and rectocele are types of pelvic organ prolapse, which occur due to the weakening of the pelvic floor muscles and supporting structures, leading to the descent of one or more pelvic structures (bladder, uterus, vagina) from their normal anatomical location.