Professional and Linguistic Assessments Board (PLAB) Practice Exam

Which treatment option is typically used for cystocele?

1. Ring pessary

2. Pelvic floor therapy

3. Vaginal mesh surgery

4. Hormonal therapy

The correct answer is: Ring pessary

The choice of a ring pessary as a treatment option for cystocele is highly relevant because a ring pessary is a non-invasive and effective intervention for this condition, which involves a bulging of the bladder into the front wall of the vagina. Pessaries are designed to provide support to pelvic organs, help maintain their position, and alleviate symptoms related to pelvic organ prolapse. A ring pessary, in particular, is shaped like a doughnut and offers a stable and supportive structure that helps reduce the pressure symptoms associated with cystocele, making it a popular first-line treatment. In contrast, while pelvic floor therapy might provide beneficial strengthening of pelvic muscles, it is often considered an adjunct or supportive therapy rather than a standalone treatment specifically for cystocele. Vaginal mesh surgery may be indicated in more severe cases or when other treatments have failed, but it is more invasive and carries risks associated with surgical procedures. Hormonal therapy is generally not considered a direct treatment for cystocele but is used mainly for addressing menopausal symptoms or other hormonal imbalances. Thus, the effectiveness, ease of use, and non-invasiveness of the ring pessary make it a typical first choice for treating cystocele.