He was able to describe and document both cystocele and uterine prolapse. In 1909, White noted the high rate of recurrence of cystocele repair. Vaginal cysts resemble other structures that protrude from the vagina such as rectocele and cystocele. This surgery, called colpocleisis, treats cystocele by closing the vaginal opening. Connective tissue disorders predispose women to developing cystocele and other pelvic organ prolapse. A number of scales exist to grade the severity of a cystocele. Defecography may demonstrate associated conditions like cystocele, vaginal vault prolapse or enterocele. Treatment of cystocele often accompanies the more invasive hysterectomy. It is also used to treat stress urinary incontinence, a retroverted uterus, cystocele and rectocele. In 1866, a method of correcting a cystocele was proposed that resembled current procedures. Since the failure rate in cystocele repair remains high, additional surgery may be needed. In 1730, Halder associated cystocele with childbirth. The pubocervical fascia may thin or tear and create the cystocele. They can also enlarge to substantial proportions and be mistaken for urethral diverticulum or cystocele. The incidence of cystocele is around 9 per 100 women-years.