What symptom might indicate a worsening condition for a patient with a cystocele?

Difficulty passing urine can indicate a worsening condition for a patient with a cystocele. A cystocele occurs when the bladder protrudes into the anterior wall of the vagina, often leading to obstruction of the urinary tract. This can affect the normal flow of urine, resulting in issues such as difficulty urinating or incomplete bladder emptying. As the cystocele progresses or if it becomes more pronounced, these urinary symptoms may worsen, suggesting that intervention may be necessary to address not only the cystocele but also the potential complications associated with urinary retention or obstruction.

Increased vaginal bleeding may occur for various reasons, but it is not a common symptom associated with cystocele specifically. Similarly, while pain during intercourse may occur due to structural changes or tension in the pelvic region, it does not directly indicate a worsening of the cystocele itself. Severe abdominal pain could be indicative of other conditions or complications, but it is not a symptom typically associated with cystocele.