Anatomy of urinary incontinence and prolapse Flashcards

1
Q

Three layers of the pelvic floor from deep to superficial

A

Pelvic diaphragm
Muscles of the deep perineal pouch
Perineal membrane

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2
Q

Two main muscles of the pelvic diaphragm

A

Levator ani

Coccygeus

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3
Q

Three parts of levator ani

A

Puborectalis
Pubococcygeus
Iliococcygeus

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4
Q

Nerve supply to levator ani

A

Pudendal nerve

Nerve to levator ani

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5
Q

Additional ligaments which support the pelvic organs

A

Uterosacral
Transverse cervical (cardinal)
Lateral ligament of bladder
Lateral rectal ligament

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6
Q

Location of the bulbourethral glands

A

Within the deep perineal pouch

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7
Q

Muscles of the deep perineal pouch

A

Deep transvere perineal muscle

Compressor urethrae

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8
Q

Last layer of passive support for the pelvic organs

A

The perineal membrane

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9
Q

Where does the superficial perineal pouch lie?

A

Below the perineal membrane

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10
Q

Where are the bulb, crura and associated muscles of the penis located?

A

Superficial perineal pouch

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11
Q

Associated muscles of the penis

A

Bulbospongiousus and ischiocavernosus

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12
Q

What forms the a) bulb and b) crura of the penis?

A

a) corpus spongiosum

b) corpus cavernosa

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13
Q

The clitoris and crura are formed by what?

A

Corpus cavernosum

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14
Q

Where are the vestibular glands located?

A

Within the superficial perineal pouch below the opening of the vagina

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15
Q

Under what circumstances does the pelvic floor actively contract?

A

Increase in abdominal pressure e.g. coughing sneezing laughing

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16
Q

Structures which help maintain a) urinary and b) faecal continence

A

a) external urethral sphincter, compressor urethrae, levator ani
b) puborectalis

17
Q

How might childbirth compromise pelvic floor function?

A

Pudendal nerve damage, stretching/tearing of structures

18
Q

What is uterine prolapse?

A

Descent of the uterus, described in terms of degrees of severity from 1-3, where the uterus protrudes through the vagina

19
Q

How does vaginal prolapse present?

A

As a lump in the vaginal wall