Urethrocele

Urethrocele is a condition that causes the urethra to descend from its normal anatomical position and bulges into the vagina. It may also be referred to as a urethral prolapse.

When the pelvic floor, tissues and muscles fibres, fascia become weakened or traumatised there is not enough strength to hold the urethra in place which causes the tube-like structure (urethra) to curve, bulge or kink.

The bladder can be one cause of this, if the bladder descends (cystocele) then the urethra does not have the strength to support the weight of the bladder.

The bladder can be one cause of this, if the bladder descends (cystocele) then the urethra does not have the strength to support the weight of the bladder.

 

Urethrocele can sometimes be asymptomatic, and women can live a normal life. The support of the use of a pessary can help a lot.  But it's important to also do some urethral sphincter exercises. Contact Pelvic Angel for these effective and proven exercises.

 

Symptoms of a urethrocele

 

These are a few of the symptoms recorded by patients who have been diagnosed with a urethrocele.

 

Urinary Incontinence – The inability to control the involuntary loss of urine upon activities such as laughing, sneezing, jumping, lifting objects, coughing or doing exercise. It is also good to note that if the urethra is kinked, the loss of urine may not occur due to the kink, and patients then find when they use a pessary that straightens the urethra, they leak.

 

Cystitis – Some experience bladder/urine infections and emptying the bladder difficult becomes difficult leaving residue in the bladder. They also may experience an increased frequency of urinating.

 

UTI - Urinary Tract Infection - The weakness of the urethra leaving chance that the sphincter muscle can not hold the urethra watertight closed and this, in turn, leaves room for bacteria to enter into the urethra.

Often the cause of UTI's are the lubricants used. It's worth changing brand to see if it makes a difference.

 

Dyspareunia – Some women complain of pain during sexual intercourse. 

 

It is also common for women to have urethrocele and a cystocele at the same time as the bladder descends so will the shift of the urethra.

This is termed as a cystourethrocele.

Pessaries suitable for urethrocele & cystourethrocele

Ring with knob
INCOLITE
T Pessary Type R
Marland.jpg

Rings with knob                             IncoLite                                               T Pessary Type R                         Marland

These are just a few of the suitable pessaries available. If you would like to know more please contact Pelvic Angel and book a full in-depth appointment to find the right pessary for you.

If you are a professional treating pelvic organ prolapse or incontinence issues please contact Pelvic Angel for full pessary training.