Flashcards in Pelvic Floor Disorders Deck (28)
What are the 3 main categories of pelvic floor disorders?
Pelvic organ prolapse
List the 4 main types of urinary incontinence
List risk factors for urinary incontinence
What is urinary urgency?
Sudden compelling desire to pass urine that is difficult to resist
Does involuntary urine leakage occur in urge incontinence?
How is overactive bladder different from stress incontinence?
OAB involves involuntary detrusor contraction; stress can be caused by pressure or urethral hypermotility
How can incontinence be tested for on physical examination?
Standing or supine stress test
List the spectrum of treatments for overactive bladder, from least to most invasive
Pelvic floor exercise/physio
Which drug class is the most commonly used for overactive bladder? Name the most used agent
What drug class can help relax the bladder? Give an example
What is classified as a normal amount of urine to void a day?
Less than 8 times a day
Less than 2800 ml a day
What does cystometry measure?
Pressure-volume relationship of the bladder during filling, provocation and voiding
When does stress incontinence occur?
Sudden movements or increases in intrabdominal pressure
Which drug can be used for stress incontinence?
What surgical methods can be used for stress incontinence?
Low-tension vaginal tape
When is overactive bladder dry and when is it wet?
Wet when urge incontinence is present, dry when it is not
What is overflow incontinence?
Chronic urinary retention due to bladder outflow obstruction
What specific symptom do patients often complain about with overflow incontinence?
Stress incontinence does not involve urgency. True/False?
List risk factors for pelvic organ prolapse
Chronic constipation/coughing/heavy lifting
Connective tissue disorders
Which part of the vaginal wall does a cystocele come from?
Which part of the vaginal wall does a enterocele come from?
Which part of the vaginal wall does a rectocele come from?
List some clinical features of pelvic prolapse
Difficulty voiding, incomplete emptying
Splinting of vaginal wall
Pain with intercourse
How are pelvic prolapses classified?
1st degree: in vagina
2nd degree: at interiotus
3rd degree: outside vagina
Procidentia: completely outside vagina
What is the POP-Q system?
Pelvic organ prolapse quantification system
Measure each site of prolapse in relation to hymenal ring: if above hymen, -ve, if below hymen, +ve
What should be given if someone has pelvic prolapse with atrophic vaginitis?