Urethrocele

Urethrocele
Synonyms	Urethral prolapse
Pronounce	N/A
Specialty	N/A
Symptoms	Urinary incontinence, urinary urgency, urinary frequency, pelvic pressure
Complications	Urinary tract infection, urinary retention
Onset	Often post-menopausal
Duration	Chronic
Types	N/A
Causes	Weakening of pelvic support structures
Risks	Childbirth, obesity, chronic cough, constipation
Diagnosis	Pelvic examination, urodynamic testing
Differential diagnosis	Cystocele, rectocele, vaginal prolapse
Prevention	N/A
Treatment	Pelvic floor exercises, pessary, surgery
Medication	Topical estrogen
Prognosis	N/A
Frequency	Common in post-menopausal women
Deaths	N/A

Urethrocele is a medical condition that involves the prolapse, or dropping, of the urethra into the vagina. This condition is most commonly seen in women who have experienced multiple childbirths or who have undergone menopause.

Causes

The primary cause of urethrocele is the weakening of the pelvic muscles and tissues. This can occur due to a variety of factors, including pregnancy, childbirth, menopause, and aging. Other potential causes include chronic coughing, constipation, and heavy lifting, which can all put strain on the pelvic muscles.

Symptoms

The symptoms of urethrocele can vary depending on the severity of the condition. Some women may not experience any symptoms, while others may experience discomfort or pain during sexual intercourse, a feeling of fullness in the vagina, urinary incontinence, and recurrent urinary tract infections.

Diagnosis

Diagnosis of urethrocele typically involves a physical examination by a healthcare provider. This may include a pelvic exam, during which the provider will look for any signs of prolapse. Additional tests, such as a urinalysis or ultrasound, may also be performed to rule out other conditions.

Treatment

Treatment for urethrocele can range from conservative management to surgical intervention. Conservative treatments may include pelvic floor exercises, pessary use, and lifestyle changes such as weight loss and avoiding heavy lifting. In more severe cases, surgery may be required to repair the prolapsed urethra.

See Also

• Cystocele
• Rectocele
• Pelvic organ prolapse