A 65-year-old female complains of frequency and urgency of urination and episodes of urinary incontinence.On pelvic examination,there is smooth,soft bulge of the anterior vaginal wall that is more pronounced with straining.These findings are indicative of:

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The smooth, soft bulge of the anterior vaginal wall that is more pronounced with straining is indicative of a cystocele, which is a type of pelvic organ prolapse where the bladder protrudes into the anterior vaginal wall. This can lead to symptoms such as frequency and urgency of urination, as well as urinary incontinence. Rectocele would manifest as a bulge in the posterior vaginal wall, while uterine prolapse would involve descent of the uterus and cervix into the vaginal canal. Anteflexed uterus refers to a normal variation in uterine position and is not associated with the symptoms described.

A 65-Year-Old Female Complains of Frequency and Urgency of Urination