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Which of the following is true about a cystocele?

  1. It involves the urinary bladder.

  2. It commonly occurs post-menopause.

  3. It is less common than uterine prolapse.

  4. It primarily affects men.

The correct answer is: It involves the urinary bladder.

A cystocele is a condition that specifically involves the urinary bladder. It occurs when the wall between the bladder and the vagina weakens, causing the bladder to bulge into the vaginal wall. This can lead to discomfort, urinary issues, and other complications. Understanding the nature of a cystocele is crucial for recognizing its symptoms and effects on urinary function, particularly in women, as it is often associated with childbirth and conditions that increase intra-abdominal pressure. While it is also true that a cystocele frequently occurs in post-menopausal women due to hormonal changes that affect connective tissue strength, the defining characteristic of a cystocele is its direct involvement with the urinary bladder itself.