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Это один из видов опущения (пролапса) органов мочеполовой системы у женщин [2](https://centr-hirurgii-spb.ru/diseases/tsistotsele/). \n\nВыделяют три степени цистоцеле [2](https://centr-hirurgii-spb.ru/diseases/tsistotsele/): \n1. **I степень (лёгкая)** — мочевой пузырь не опускается ниже средней трети влагалища, выявляется лишь при натуживании [2](https://centr-hirurgii-spb.ru/diseases/tsistotsele/). \n2. **II степень (умеренная)** — орган определяется в нижней трети влагалища вплоть до входа в него, легко заметен при стандартном осмотре на кресле [2](https://centr-hirurgii-spb.ru/diseases/tsistotsele/). \n3. **III степень (тяжёлая)** — мочевой пузырь выпадает за пределы влагалища [2](https://centr-hirurgii-spb.ru/diseases/tsistotsele/).\n\n\n\n## Причины\nНекоторые факторы, которые способствуют развитию цистоцеле: \n* **Естественные роды** — травмируются связки тазового дна, особенно высок риск у женщин с крупным плодом [7](https://hadassah.moscow/ginekologia/cistocele/)[8](https://xn--d1abuo3e.xn--p1ai/diseases/tsistotele/). \n* **Повышенное внутрибрюшное давление** — длительная нагрузка на мышцы тазового дна из-за некоторых хронических заболеваний (ожирение, бронхиальная астма, склонность к запорам) [8](https://xn--d1abuo3e.xn--p1ai/diseases/tsistotele/). \n* **Гормональные нарушения** — при нехватке эстрогенов тонус тазовых связок снижается [7](https://hadassah.moscow/ginekologia/cistocele/). \n* **Коллагенопатии** — слабость связок на фоне дисплазии соединительной ткани, часто генетической природы [8](https://xn--d1abuo3e.xn--p1ai/diseases/tsistotele/).\n\n## Симптомы\nВыраженность симптомов зависит от степени цистоцеле [2](https://centr-hirurgii-spb.ru/diseases/tsistotsele/). Некоторые признаки: \n* **Ощущение инородного тела во влагалище** — становится сильнее к концу дня, после поднятия тяжестей, кашля, чихания [2](https://centr-hirurgii-spb.ru/diseases/tsistotsele/)[7](https://hadassah.moscow/ginekologia/cistocele/). \n* **Расстройства мочеиспускания**: частые позывы помочиться, задержка мочеиспускания, прерывистая струя мочи, ощущение неполного опорожнения мочевого пузыря [2](https://centr-hirurgii-spb.ru/diseases/tsistotsele/). \n* **При тяжёлом цистоцеле** — постоянные боли в животе и пояснице, ощущение постороннего предмета во влагалище становится постоянным, усиливается при ходьбе и сидении [2](https://centr-hirurgii-spb.ru/diseases/tsistotsele/).\n\n## Диагностика\nДиагностика цистоцеле обычно проводится гинекологом или урологом [1](https://semeynaya.ru/directions/urologiya/tsistotsele/). Для определения степени выпадения органов используют специальные методы исследования, например: \n* **Гинекологический осмотр** — врач оценивает характерное выпячивание передней влагалищной стенки в спокойном состоянии и после натуживания [2](https://centr-hirurgii-spb.ru/diseases/tsistotsele/). \n* **УЗИ органов малого таза** — помогает определить их расположение и выявить сопутствующие заболевания [7](https://hadassah.moscow/ginekologia/cistocele/). \n* **Комплексное уродинамическое исследование** — направлено на оценку функций мочевого пузыря [7](https://hadassah.moscow/ginekologia/cistocele/).\n\n## Лечение\nЛечение цистоцеле зависит от стадии заболевания и индивидуальных особенностей пациентки [1](https://semeynaya.ru/directions/urologiya/tsistotsele/)[17](https://www.smclinic.ru/diseases/tsistotsele/). Некоторые методы: \n* **Консервативное лечение** — нехирургические методики применяются на 1–2 стадиях развития цистоцеле [17](https://www.smclinic.ru/diseases/tsistotsele/). Например, рекомендуют снизить вес, соблюдать диетическое питание для профилактики запоров, избегать подъёма тяжестей [17](https://www.smclinic.ru/diseases/tsistotsele/). \n* **Хирургическое лечение** — при неэффективности консервативной терапии рассматривают вопрос о хирургическом лечении [17](https://www.smclinic.ru/diseases/tsistotsele/). 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