Dawaa Reference

Clinical reference

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.