An older female client tells the nurse in the clinic that she has a cystocele that was diagnosed a year ago. she has urinary frequency and burning on urination. the client asks, "the primary healthcare provider wanted me to have surgery for the cystocele last year; but, i can manage with peripads. it won't hurt not to have surgery, will it? " how should the nurse respond?

Cystocele is a medical condition also known as Anterior Prolapse or a Prolapsed bladder. This condition arises in women when the the supportive tissues between the urinary bladder and the vaginal wall is torn away during childbirth or weakens that causes the bladder to come out in the vagina. It may lead to bladder infection, difficulty during urination and frequent urination. The treatment of cystocele depends upon its severity.
In case of the older female client the cystocele is causing discomfort and she has already taken the self care measurement by using peripads.
She is managing the disease with the peripads and wants to avoid the surgery.

The nurse should explain the severity of the disease and explain her about how she has managed the disease with self care since last year. The nurse should explain the benefits associated with the surgery and how can she be relaxed in the coming years after surgery.

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