A 67-year-old woman presented to the office complaining of urinary urgency. For the past 6 months, the patient has had urinary urgency associated with increased straining during urination. In addition, she has had multiple urinary tract infections that have been treated well. She has 5 children, all of whom were delivered via vaginal delivery. BMI is 35 kg/m2. On examination, a bulge is shown in the vaginal introitus during straining. The perineal sensation is intact. Urinalysis has no significant abnormalities. Which of the following is the cause of this patient's presentation?

Question

Quizplus · Accepted Answer

Eductional Objective: Damage to the Levator ani muscles leads to the abnormal movement of pelvic content into the vagina, this is defined as the pelvic organ prolapse. 
Herniation of the rectum in the posterior wall of the vagina (Rectocele) leads to constipation, while herniation of the bladder in the anterior vaginal wall (Cystocele) leads to urinary urgency and recurrent urinary tract infections.

A 67-Year-Old Woman Presented to the Office Complaining of Urinary