216- pelvic floor disorders Flashcards

1
Q

three mm of levator ani according to this lady

A

puborectalis, pubococcygeus, iliococcygeus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what type of mm fibers are there in levator ani and what innervates

A

type 1 and 2, roots of s2-4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

genital hiatus

A

opening in pelvic floor for passage of urethra, rectum, vagina

Can become to big due to weakness of levator and lead to prolapse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

CT support of female pelvic organs

A

broad ligament, cardinal ligament, uterosacral ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is pelvic organ prolapse

A

vaginal hernia of one of pelvic organs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

perineal level support

A

bulbocavernosus, perineal membrane, transverse perineal mm, levator ani, external anal sphincter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

three types of prolapse

A

anterior vaginal wall support (cystocele)

Loss of apical support (uterine prolapse) (cardinal and uterosacral ligaments, broad lig is just orientation)

Posterior vaginal wall support (rectocele)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

three levels of pelvis support

A

I. apical. (cardinal, uterosacral ligament) defect results in uterine descent

II. midlevel. (lateral support) defect leads to cystocele or rectocele)

III. distal (urethral, perineal). defect leads to urinary or fecal incontinence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

basic problem in stress and urge incontinence

A

stress- urethra (valve) problem due to sneezing, coughing

Urge- bladder (reservoir, detrussor)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

receptors on detursor and urethra

A

detrusor: beta adrenergic (relaxes with symp stim) and cholinergic
Bladder neck/urethra: alpha adrenergic (contracts with symp stim)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what has to relax in order to defecate

A

IAS (automatically occurs following rectal distension) followed by EAS and puborectalis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what are modifiable risk factors for anal sphincter injurY?

A

vaginal delivery, esp with tools (forceps, vacuum, episiotomy), macrosomia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly