Urethrocele

A urethrocele is a bulge or protrusion of the anterior wall of the urethra into the vagina. This condition usually occurs in women after menopause due to weakening of the pelvic floor tissues.

With a urethrocele, a protrusion of the urethral mucosa occurs through its anterior wall into the vaginal lumen. The size of the bulge can vary from small to significant.

Symptoms of urethrocele:

1. Frequent urge to urinate
2. Feeling of incomplete emptying of the bladder
3. Difficulty urinating
4. Urinary incontinence when laughing, coughing or exercising
5. Recurrent urinary tract infections

Diagnosis of urethrocele includes examination and palpation of the urethral area, as well as examinations such as urethrocystoscopy and MRI of the pelvis.

Treatment varies depending on the severity of symptoms and the size of the bulge. It may include exercises for the pelvic floor muscles, the use of a pessary, and surgical correction.

**Urethrocoele** is an enlargement of the urethra or urethra. In this article we will tell you what urethroceles are and how they can be cured. You will also learn about the causes of the disease, methods of diagnosis and treatment.

**What is urethrocel?**

A urethrocoel is a uvulus inside the urethra, which leads to the descent of the distal end of the urethra into it and also reduces its elasticity.

Changing the size of the bladder canal leads to disruption of its emptying, deterioration of the patency of the urinary tract and frequent infections. **Causes of urethrocil formation**

The causes of urethrocemesis can be:

Urethral trauma: Damage to the urethral wall as a result of penetrating trauma, surgery, stones, hematomas and other injuries lead to ischemia of the urethral wall. Local infections: Fungal and viral infections of the urethra cause an inflammatory process that can lead to shrinkage of the urothelium. Infections in the urinary tract (cystitis, prostatitis) - urethroscemia becomes a chronic process of inflammation of the urethral wall with the formation of granulation tissue and compactions. Perineal muscle strain syndrome: neuromuscular weakness, anemia, presence of severe overactive bladder (OAB), female or male use of an external catheter with foreign body trauma. Postoperative defects: insufficient differentiation of tissues formed after operations in the pelvic area, localized in the lower part of the bladder and urethra, or large wounds as a result of unsuccessful ureteral transplantation or removal of the prostate gland (for example, with multiple myeloma). Flabbiness of the vascular system: varicose veins, leading to venous insufficiency of the pelvic organs. Urethral atresia is a rare congenital anomaly of the urethral tract, as a result of which it becomes closed. The atretic bladder does not contain a transverse urethral membrane and an expanded external opening of the urethra (urostomy). This is accompanied by a violation of the outflow of urine and compression of the urethra and disruption of its function. This anomaly is most often characterized by the presence of watery cavities in the bladder cavity. Normal physical pressure inside the bladder is about 25 centimeters of mercury. In the absence of a urethrocele, this pressure does not change over time. Friction of the soaked walls accelerates their degenerative changes. Stagnation of urema is the cause of the formation of uremic cells. The wall of the bladder becomes more loose; when the walls are eroded, thin, brittle plates separate, which can rupture, causing perforation. The penetration of urine into the genitourinary system is accompanied by the formation of uremic masses, abscesses, phlegmons, and fistulas. Individual red blood cells, blood cells, metabolic products and microorganisms settle inside the tissues of urinary deposits and disrupt the uroepithelium, forming carcinoma