Prolapse Flashcards Preview

Q4 Women's Health > Prolapse > Flashcards

Flashcards in Prolapse Deck (17):
1

Pelvic Organ Prolapse is?

Herniation of pelvic organs to or beyond vag walls

2

Anterior Compartment Prolapse is?

Hernia of ant vag wall,
C a/w cystocele (bladder distention)

3

Posterior Compartment Prolapse is?

Hernia of post vag segment,
C a/w rectocele

4

Apical Compartment Prolapse is?

Descention of vag apex into lower vag or introitus

5

Procidentia is?

Hernia of all compartments thru vag introitus

6

Enterocele is?

Intestines to or thru vag wall

7

Cystocele is?

Bladder into vag
U a/w childbirth
C a/w urethrocele

8

Cystocele presentation?

Pelvic pressure/"sitting on something"
Low back pain
Straining aggravates sxs
Urinary issues

9

Cystocele exam?

Lithotomy position
Pt cough or bear down

10

Cystocele diagnostics?

U clinical
(P) IVP or US,
(P) MRI (pelvic mm)

11

Cystocele management?

Kegels/Weights
Pessary (block in vag)
Rarely surgery: anterior colporrhaphy (sling)

12

Rectocele is?

Hernia b/w rectum/vag
C post childbirth

13

Rectocele presentation?

Rectal fullness
Straining w/ BM
Vag buldging
Low back pain

14

Rectocele diagnostics?

Dynamic cystoproctography

15

Rectocele management:
Pts who want more kids?

Others?

Stool soft, Kegel, pessary

Rarely surgery: Colpoperineorraphy (stitch levator mm)

16

Vag Prolapse is?

Presentation?

Diagnostics?

Dropped vag apex from lost mm/lig support
U follows hysterectomy

Similar to others

Clinical

17

Vag Prolapse management:

Wants sex?

Given up on sex?

vag suspension

colpectomy/clopoclesis (remove and close off)