9.7 Pelvic Floor Dysfunction

Question 1

Predisposing factors for genital prolapse

Answer 1

• Age and menopause: impact on pelvic floor integrity
• Childbirth and multiple pregnancies: strain on pelvic structure
• Family history : genetic predisposition to pelvic floor weakness
• Chronic Constipation and straining: increased Intraabdominal pressure
• Obesity and increased intraabdominal pressure
• Connective tissue disorder( e.g., Ehlers Danlos)
• Previous Pelvic Surgery: damage to pelvic floor support
• Heavy Lifting and strenuous physical activity : impact on pelvic floor muscles

Question 2

Uterine prolapse definition

Answer 2

based on organs involved

Cystocoele - anterior wall prolapse
Rectocoele - posterior- vaginal wall prolapse
Uterine prolapse
Vaginal vault prolapse - post-hysterectomy

Question 3

Cystocoele
Anatomy
Common symptoms

Answer 3

**A