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Flashcards in pelvic relaxation Deck (22)
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1

s/s pelvic floor prolaps (4)

1. pelvic pressure/pain
2. bulging from vagina
3. dyspareunia
4. difficulty voiding or emptying bowels

2

what level: connective tissue support to upper vagina

delancey's vaginal support level 1

3

what level: fascial arcus in mid vagina

delancey's vaginal support level 2

4

what level: anterior fusion of ant vagina + urethra & muscles invovled in urethral support; posterior fusion of posterior vagina & perineal wall

delancey's vaginal support level 3

5

cystocele / cystourethrocele / hypermobile urethra

anterior compartment prolapse

6

rectocele

posterior compartment prolapse

7

vaginal vault prolapse

Apical vaginal prolapse

8

what is the most important CT support to the upper vagina?

level 1 of delanceys vaginal support

9

loss of level 1 results in

uterin or vaginal vault prolapse

10

loss of support of anterior level 3 causes what?

hypermobile urethra

11

loss of support of posterior level 3 causes what?

perineocele

12

urethra >30 degrees from horizontal by Q tip test

hypermobile urethra

13

which birth position puts mother at incr risk for fecal incontinence?

occiput posterior

14

loss of urine related to movement of bladder neck and urethra triggered by abd straining

hypermobility

15

intrinsic weakening of bladder outlet closure mechanism

intrinsic sphincter deficiency

16

what type of incontinence is most common in women

hypermobility

17

involuntary loss of urine assc'd with baldder overdistension with no urge to urinate

overflow incontinence

18

causes of functional incontinence (3)

1. decr mobility
2. dementia
3. injury (fistulas)

19

what grade: prolapsed tissue descends halfway to the hymen

baden-walker grade 1

20

what grade: prolapsed tissue extends to level of hymen

baden-walker grade 2

21

what grade: prolapsed tissue extends outside the hymen with straining

baden-walker grade 3

22

what grade: prolapsed tissue extends outside hymen without straining

baden-walker grade 4