Monday, 2-27-Pelvic relaxation and incontinence (Wootton) Flashcards Preview

Repro 2-Final > Monday, 2-27-Pelvic relaxation and incontinence (Wootton) > Flashcards

Flashcards in Monday, 2-27-Pelvic relaxation and incontinence (Wootton) Deck (12):
1

anterior vaginal prolapse is known as a __

cystocele

2

lower posterior vaginal prolapse is known as ___

rectocele

3

apical vaginal prolapse AKA __

uterine prolapse

4

a sagging uterovaginal canal after hysterectomy AKA __

vaginal vault prolapse

5

tx options for woman with anterior vaginal prolapse?

-do nothing
-pelvic floor PT
-pessary (those who want to avoid surgery)
-surgical correction-anterior colporrhaphy

6

tx options for a uterine prolapse?

-pessary
-hysterectomy
-colpocleisis

7

spontaneous leakage when coughing and sneezing?

stress incontinence

8

tests to dx stress urinary incontinence?

-PE
-q tip test
-urodynamics
-postvoid residual (less than 50 mL is normal)

9

tx options for stress urinary incontinence?

-topical estrogen
-pelvic floor PT/kegels
-pessary
-surgery
-suburethral sling

10

clues to diagnosing a rectocele pt?

lots of babies
needing to splint to have a bowel movement
pressure sensation and fullness in vagina

11

best tx option for a rectocele?

surgery is best option

12

Tx for urge incontinence/overactive bladder?

-Behavior modification --> decrease caffeine, limit fluids after 7 pm, bladder training
-anti-spasmodics --> oxybutynin (Ditropan), tolterodine (Detrol)