pelvic organ prolapse Flashcards
(23 cards)
what is pelvic organ prolapse
when 1 or more of the organs in the pelvis slip from normal position and bulge into vagina
why does pelvic organ prolapse occur
due to weak pelvic vaginal wall muscle
epideimilogy of pelvic organ prolapse
affects 1/10 women over 50
what is the most common type of prolapse
anterior and lateral prolapse
(cystocele)
what is cystocele
anterior and lateral prolapse
- prolapse of bladder
what do you call it when the urethra is associated with bladder prolapse
urethrocystocele
what is rectocele
posterior prolapse
prolapse of the rectum
what is vault prolapse
post hysterectomy when vagina folds in on itself and pops back through
what is procidentia
total uterus prolapse
can occur directly uterus itself or as a result of other organs
what is apical prolapse
enterocele
prolapse of intestines and stomach
risk factors for pelvic organ prolapse
anything that weakens abdomen
- multiparity
- uterine surgery
- increased age
- obese
- streneous activity
what are symptoms of pelvic organ prolapse
depends on type
+ palpable, visible bulge, pressure + sexual anxiety
symptoms of cystocele
urinary symptoms eg retention and incontinence
symptoms of rectocele
fecal symptoms eg constipation and diarrhoea
how to diagnose pelvic organ prolapse
speculum and bimanual exa
how to grade pelvic organ prolapse
POP - Q system grades 1-4
what is grade 1 prolapse
> 1cm from hymen
(away)
what is grade 2 prolapse
<1cm from hymen
(close)
what is grade 3 prolapse
> 1cm outside hymen
(outside but not by a lot)
what is grade 4 prolapse
procidentia
(total uterus prolapse)
conservative treatment of prolapse
weight loss, avoid constipation + lifting heavy, keigel excercises for 3-6m
medical treatment for prolapse
ring pessary
(re imserted every 4-6 months)
