Dawaa Reference

chronic

Cystocele (bladder prolapse)

Treatment options, dosing, cautions and Egyptian brands from the shipped Dawaa Reference card.

Evidence status

Checked against the sources named below

Sources3 sources

ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class GD66.00 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care · Pelvic Organ Prolapse - StatPearls (NCBI Bookshelf NBK563229) - https://www.ncbi.nlm.nih.gov/books/NBK563229/

Verified against1 document
  • No dose - referral pathway, no medicine given in primary care

Verified date2026-08

Presentation reference

Is it this?

Reference only, to read alongside your own examination.

Symptoms — what the patient reports (3)

  • A sense of vaginal bulge that may worsen with time or affect daily and sexual activity
  • Associated stress or urgency incontinence, difficulty voiding, or needing manual splinting to void
  • A feeling of pelvic pressure or sexual discomfort accompanying the bulge

Signs — what you find (5)

  • Anterior compartment descent is best elicited on split-speculum exam during Valsalva or coughing [cough]
  • A single-blade Sims speculum aids visualization of the anterior wall to identify a cystocele [genital prolapse]
  • Prolapse not fully seen supine may only be apparent with the patient standing
  • Pelvic floor muscle tone is graded as absent, weak, normal, or strong
  • Vaginal mucosa may show atrophy, irritation, or ulceration on inspection [atrophy]

Tests (3)

  • POP-Q or Baden-Walker scoring stages descent relative to the hymen on a 0 to 4 scale
  • Dynamic MRI or defecography may help in complex or multicompartment cases, though exam remains central
  • Post-void residual, urodynamics, or stress-cough testing evaluate coexisting urinary dysfunction

If not this — what else fits (3)

  • Urethral diverticulum, a Gartner duct cyst, or a Bartholin gland cyst or abscess can mimic a bulge as a vaginal mass
  • A vaginal neoplasm can present as a mass mimicking the prolapse bulge
  • Rectocele, enterocele, and prolapsed ureterocele are other anatomic variants that can resemble or coexist with a cystocele

SourceStatPearls "Pelvic Organ Prolapse" - disease-level clinical article

Presentation findings are traced to the source above.

1

NO DRUG THERAPY IN PRIMARY CARE (REFERRAL & ADVICE)

1st line
Adult dose and duration

Cystocele, the anterior-compartment form of pelvic organ prolapse; same GP role as prolapse generally - recognise, advise conservative measures, and refer for pessary or surgical repair. - Refer, with advice

Paediatric dose

Children follow the same pathway: recognise and refer. No primary-care medicine is implied.

Dose source

No dose - referral pathway, no medicine given in primary care

Why

Cystocele, the anterior-compartment form of pelvic organ prolapse; same GP role as prolapse generally - recognise, advise conservative measures, and refer for pessary or surgical repair.

Cautions
  • No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.
  • RED FLAG - Urinary retention, recurrent urinary tract infections, or a visible or palpable bulge causing ulceration: refer.

Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy.