Flashcards in Pelvic Organ PRolapse Deck (21):
Level 1 pelvic support fails? What falls?
Cervix and uterus will drag bladder later on
Level 2 pelvic support failure?
Level 3 pelvic support failure?
Rectocele, lax perineal body
"Need to push my perineum to defecate"
Cystocele is what?
Anterior vaginal wall
What is Rectocele
Posterior vaginal wall is descending
Level 1 defect allowing small bowel to prolapse down into pouch of Douglas
Levator ani does what?
Reinforced endopelvic fascia.
Doesn't cause prolapse itself
Aetiology of prolapse?
Parity multi vaginal
Main reason for prolapse?
Pelvic muscle weakness
Endofascial support failure
Causes of Nullipara us prolapse?
Heavy weight lifting
Chronic cough, obesity, smoking, DM
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
Does prolapse cause incontinence
Sometimes, but normally not, usually the weakening of the endofascial supports causes prolapse
Most common presentation of cystocele else?
Life threatening prolapse?
Bladder and urethral obstruction due to a huge prolapse
Pulling of ureters
What is bivalve speculum examination?
What is sims speculum?
Left lateral position
Patient feels less exposed
Easier to assess prolapse
Urogynecology, examination how?
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
How to visualize the reference points in examination?
9 reference points