Cystourethrocele (herniation of bladder neck) indicates urethral hypermobility -> stress incontinence. Vaginal delivery is a risk factor.

• Classically leads to urine leakage with increased intra-abdominal pressure due to sneezing, coughing, laughing, and exercising
• Risk factors for stress incontinence include obesity and multiple vaginal deliveries (as is the case with this patient)
• Key idea: All types of urethroceles are associated with stress incontinence because urethroceles can disrupt the normal positioning/function of urinary sphincters