In simple words: A cystocele happens when the bladder pushes into the vagina. This is usually because the muscles and tissues supporting the bladder have weakened. It can range from a small bulge to a more significant protrusion.

N81.1, Cystocele, refers to the prolapse or downward displacement of the urinary bladder into the vagina.This condition can vary in severity, ranging from mild bulging to significant protrusion.It's often associated with other pelvic organ prolapses, such as urethrocele (prolapse of the urethra) or uterine prolapse. The underlying cause is typically weakening of the pelvic floor muscles and supportive tissues.

Example 1: A 60-year-old woman presents with symptoms of urinary frequency, urgency, and a feeling of pressure in her vagina. Pelvic examination reveals a cystocele., A 45-year-old woman who recently underwent vaginal delivery experiences stress incontinence and a bulge in her vagina. A cystocele is diagnosed., A 72-year-old woman with a history of multiple vaginal deliveries reports difficulty emptying her bladder completely.Physical exam reveals a significant cystocele.

Patient history detailing symptoms (urinary frequency, urgency, incontinence, pelvic pressure), physical examination findings (visual inspection of the vagina and bladder prolapse), and imaging studies (if performed, such as ultrasound or cystourethroscopy).

** Further classification may be required based on the severity of the cystocele and associated symptoms.Always refer to the latest ICD-10-CM coding guidelines for the most up-to-date information.