gentile prolapse Flashcards
The uterus is normally ?
anteverted, anteflexed
what is the angle between the longitudinal axis of cervix, and that of the vagina
version
what is the angle between the longitudinal axis of the uterus, and that of the cervix
Flexion
Genital prolapse is the descent of one or more of the genital organ (urethra, bladder, uterus, rectum or Douglas pouch or rectouterine pouch”) through the Fascio muscular pelvic floor below their normal level
true or false?
true
Vaginal prolapse can’t occur without uterine prolapse. and uterus can descent without carrying vagina with it
true or false?
false,opposite
) Anterior vaginal wall prolapse is?
cystocele
Prolapse of the lower part of the anterior vaginal wall with the urethra is called
urethrocele
cysto-urethrocele is?
Complete anterior vaginal wall prolapse
Posterior vaginal wall prolapse is rectocele and entrocele
true or false?
true
the anterior wall of the rectum is also prolapsed with the
middle third of the posterior vaginal wall is?
rectocele
posterior vaginal wall descends lined by the peritoneum of the Douglas pouch and containing loops of the intestine is?
entrocele
(descent of the vaginal vault, where the top of the vagina descends )or inversion of the vagina) after hysterectomy is?
valut
occurs in cases of virginal and nulliparous prolapse due to congenital weakness of the cervical ligaments
related to?
Utero-vaginal
uterine prolapse have ?
Utero-vaginal and Vagino-uterine
occurs in cases of prolapse resulting from obstetric trauma.
related to?
Vagino-uterine
they are 3 degrees of uterine prolapse
true or false?
true
The cervix desent below its normal Ievel on straining but does not protrude from the vulva
is the 2nd degree of uterine prolapse
true or false?
false, 1st
The cervix protrudes from the vulva on straining is 2hnd degree
true or false?
true
Complete procidentia is ?
3rd degree of uterine prolapse.
what causing prolapse?
weakness of the supporting structures of the uterus and vagina, usually as a result of the trauma of childbirth
what are the Predisposing Factors?
- Weakness of the pelvic cellular tissue
2.Injury of the pelvic floor
is caused by the congestion and associated by chronic cervicitis?
. Leucorrhoea
list treatment of prolapse
Prophylactic treatment for Obstetric prolapse
Palliative treatment
provide a temporary solution to prolapse symptoms for pregnant women, women who have recently given birth or for women who are awaiting surgery is?
PESSARY FOR PROLABSE
what are types of pessaries?
ring
cup and stem
strength the pubococcygeus muscle is important for prolapses
true or false?
true
Physical therapy treatment: Is divided into which two phases?
Muscle re-education:
Resistive exercises for pubococcygeus muscle
provides the patient by powerful sensory and visible biofeedback, is able to measure pubococcygeus muscle up to 100 mmhg so that changes in pelvic floor strength can be measured
related to?
Kegel perineometer
treatment for stress incontinence is also suitable for early cases of genital prolapse. This method aims to strength: pubococcygeus, gluteal, anal, and abdominal muscles is?
CYRIAX METHOD