Prolapse Flashcards

1
Q

Pelvic Organ Prolapse is?

A

Herniation of pelvic organs to or beyond vag walls

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2
Q

Anterior Compartment Prolapse is?

A

Hernia of ant vag wall,

C a/w cystocele (bladder distention)

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3
Q

Posterior Compartment Prolapse is?

A

Hernia of post vag segment,

C a/w rectocele

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4
Q

Apical Compartment Prolapse is?

A

Descention of vag apex into lower vag or introitus

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5
Q

Procidentia is?

A

Hernia of all compartments thru vag introitus

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6
Q

Enterocele is?

A

Intestines to or thru vag wall

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7
Q

Cystocele is?

A

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

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8
Q

Cystocele presentation?

A

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

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9
Q

Cystocele exam?

A

Lithotomy position

Pt cough or bear down

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10
Q

Cystocele diagnostics?

A

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

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11
Q

Cystocele management?

A

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

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12
Q

Rectocele is?

A

Hernia b/w rectum/vag

C post childbirth

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13
Q

Rectocele presentation?

A

Rectal fullness
Straining w/ BM
Vag buldging
Low back pain

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14
Q

Rectocele diagnostics?

A

Dynamic cystoproctography

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15
Q

Rectocele management:
Pts who want more kids?

Others?

A

Stool soft, Kegel, pessary

Rarely surgery: Colpoperineorraphy (stitch levator mm)

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16
Q

Vag Prolapse is?

Presentation?

Diagnostics?

A

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

Similar to others

Clinical

17
Q

Vag Prolapse management:

Wants sex?

Given up on sex?

A

vag suspension

colpectomy/clopoclesis (remove and close off)