Symptoms of sexual dysfunction and altered body image often coexist with prolapse of the female reproductive organs.Nursing care requires a great deal of sensitivity,because many women are embarrassed by their condition.Your patient is a 44-year-old married woman who is complaining of painful intercourse and incontinence.Clinical evaluation reveals that the patient has a cystocele.Which treatment option is most appropriate for this patient?

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Depending on the cause,a cystocele can be readily corrected by surgery.Pelvic muscle floor training (Kegel exercises)will most definitely help with symptoms of urinary incontinence.This alone is not adequate treatment for this patient.Vaginal pessaries are an excellent treatment modality for uterine prolapse.Lifestyle changes such as weight loss,avoiding constipation,and reducing high-impact exercise,such as running,will all help the patient with pelvic organ prolapse.Although these modalities will provide relief,they will not correct the cystocele without surgical intervention.

Symptoms of Sexual Dysfunction and Altered Body Image Often Coexist