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B, Lateral dynamic fluoroscopic image obtained with patient
straining during cystographic phase shows similarly shaped large cystocele
(c). Note pubococcygeal line (solid line). Cystocele (dotted
line) extends 8.5 cm below pubococcygeal line. Also note that
fluoroscopic image is considerably more magnified than image in A, and
pubococcygeal line in A has greater tilt because of supine position of
patient.
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Fig. 1. —65-year-old woman with urinary incontinence, voiding
dysfunction, and external vaginal prolapse.