Flashcards in Pelvic Relaxation and Incontinence - Wootton Deck (10)
32 G4P4 female smoker w/ pelvic pressure and bulging sensation w/ prolonged standing. Denies urinary or bowel complaints. Normal menses. No pain on intercourse. Works in warehouse restocking merchandise. Obese...
Tx? (4 options)
- Do nothing
- Pelvic floor PT
- Surgical correction (anterior colporrhaphy)
2 good types of Pessary for cystocele
- Ring w/ support
- Gehrung (C-shape thing)
What is an anterior colpoprrhaphy?
Cut the anterior vaginal wall, suture the supporting tissues together, then the 2 parts of the wall itself
78, G2P2, "something is falling out", noticed when using bathroom, no pain or bleeding or discharge. Does not feel to empty bladder fully. 2 C-sections and umbilical hernia repair...
Tx? (3 options)
Which types of pessary would be good for uterine prolapse? (3)
What is colpocleisis?
Suturing of vaginal walls together, prevents future prolapse
62, G3P3, urinary incontinence w/ coughing and sneezing, cannot laugh without peeing herself. Wears pads. No pain or blood. Pees at night. Minor constipation...
Tests to order?
Tx options? (4)
Q-Tip test (look for movement of Q tip when cough/sneeze
Urodynamics (measures pressure-flow in tract)
- Topical estrogen
- Pelvic flood PT (kegels)
- Surgery (suburethral sling)
Best kind of pessary for stress incontinence?
Ring w/ thick portion to block/close urethra
45, G6P7, pressure sensation and fullness in vagina. No bladder complaints, needs to splint to have BM. Regular menstrual cycles. PMH = M.S., etc.
Surgery (posterior colpocleisis)