pelvic relaxation Flashcards
(22 cards)
s/s pelvic floor prolaps (4)
- pelvic pressure/pain
- bulging from vagina
- dyspareunia
- difficulty voiding or emptying bowels
what level: connective tissue support to upper vagina
delancey’s vaginal support level 1
what level: fascial arcus in mid vagina
delancey’s vaginal support level 2
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
cystocele / cystourethrocele / hypermobile urethra
anterior compartment prolapse
rectocele
posterior compartment prolapse
vaginal vault prolapse
Apical vaginal prolapse
what is the most important CT support to the upper vagina?
level 1 of delanceys vaginal support
loss of level 1 results in
uterin or vaginal vault prolapse
loss of support of anterior level 3 causes what?
hypermobile urethra
loss of support of posterior level 3 causes what?
perineocele
urethra >30 degrees from horizontal by Q tip test
hypermobile urethra
which birth position puts mother at incr risk for fecal incontinence?
occiput posterior
loss of urine related to movement of bladder neck and urethra triggered by abd straining
hypermobility
intrinsic weakening of bladder outlet closure mechanism
intrinsic sphincter deficiency
what type of incontinence is most common in women
hypermobility
involuntary loss of urine assc’d with baldder overdistension with no urge to urinate
overflow incontinence
causes of functional incontinence (3)
- decr mobility
- dementia
- injury (fistulas)
what grade: prolapsed tissue descends halfway to the hymen
baden-walker grade 1
what grade: prolapsed tissue extends to level of hymen
baden-walker grade 2
what grade: prolapsed tissue extends outside the hymen with straining
baden-walker grade 3
what grade: prolapsed tissue extends outside hymen without straining
baden-walker grade 4
