Cystocele and Rectocele Flashcards Preview

Reproductive system (inpt) > Cystocele and Rectocele > Flashcards

Flashcards in Cystocele and Rectocele Deck (8)
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1

what kind of women commonly get hernias?

multiparous

2

cystocele

hernia of the bladder wall into the vag- causes a soft anterior fullness

+/- urethrocele--> not a hernia, but a sagging of the urethra following its detachment from the pubic symphysis during childbirth

3

rectocele

hernationof the terminal recturm into the posterior vag, causing a collapsible pouch-like fullness

4

what is the classification system of these?

Baden-Walker Sys: standardizes the degree of descent of the anterior vaginal wall, cervix, or vaginal apex, and the posteriro vag wall
- have pt perform the valsalva maneuver while in the lithotomy position

5

what are the clinical features of a pelvic organ prolapse?

sensation of a bulge or protursion, urinary or fecal incontinence, sense of incomplete bladder empyting and dyspareunia

6

tx of cystocele and rectocele?

depends on the extent of the prolapse and the pts age/desire for menstruation, prgeo or colitis

7

general tx

supportive:
-high fiber diet and laxatiives
-weight reduction in obese pts and limiation of straining/lifting
-Kegel
-Pessaries

8

surgical tx

only cure is corrective surgery
-most common is vaginal or abdominal hysterectomy w.. vaginal vault suspension by ethier uteroscacral or sacrospinous fixation vaginally or abdominal sacral colpopexy
-also, anit-incontinence procedure, uterine suspension