Pelvic Organ PRolapse Flashcards Preview

Jason's MD3 Women's > Pelvic Organ PRolapse > Flashcards

Flashcards in Pelvic Organ PRolapse Deck (21):
1

Level 1 pelvic support fails? What falls?

Cervix and uterus will drag bladder later on

2

Level 2 pelvic support failure?

Get cytocele

3

Level 3 pelvic support failure?

Rectocele, lax perineal body
"Need to push my perineum to defecate"

4

Cystocele is what?

Anterior vaginal wall

5

What is Rectocele

Posterior vaginal wall is descending

6

Anterocele is?

Level 1 defect allowing small bowel to prolapse down into pouch of Douglas

7

Levator ani does what?

Reinforced endopelvic fascia.
Doesn't cause prolapse itself

8

Aetiology of prolapse?

Parity multi vaginal
Age
Menopause
Previous Sx

9

Main reason for prolapse?

Pelvic muscle weakness
Endofascial support failure

Constipation
chronic Cough

10

Causes of Nullipara us prolapse?

Tumour
Deinnervation
Heavy weight lifting
Ehler-danlos, Marfan's
Chronic cough, obesity, smoking, DM
Constipation

Chronic steroids

11

Risk factors in childbirth that lead to prolapse

Any baby more than 10 pounds
More than 4 children
Mid pelvis instruments
More than 2 hours of pushing

12

Does prolapse cause incontinence

Sometimes, but normally not, usually the weakening of the endofascial supports causes prolapse

13

Most common presentation of cystocele else?

Lump/bulge
Pain/stretch
Bladder symptoms
Incomplete voiding
Dyspareunia

14

Rectocele causes?

Incomplete defecation

15

Life threatening prolapse?

Bladder and urethral obstruction due to a huge prolapse
Pulling of ureters

16

What is bivalve speculum examination?

Dorsal position

17

What is sims speculum?

Left lateral position
Patient feels less exposed
Easier to assess prolapse

18

Urogynecology, examination how?

Full bladder
Cough test

19

Grading of prolapse is in reference to?

Before hymen: stage 1
Leading point to the hymen - stage 2
past hymen - stage 3
Everything out - stage 4

20

How to visualize the reference points in examination?

9 reference points
POP-Q examination

21

What is pessary

Ring in vaginal to hold it up