Gyn Prolapse Flashcards

1
Q

Mx of Vagnial prolapsee

A

Lose weight, stop smoke, avoid liftin

medical - pelvic floor exercises
Oestrogens - HRT methodds, esp Sx
vaginal ring pessary - change every 6m
can cause discharge, UTI, interfere with sex ( shelf pessary)

Surgery - pelvic repair–
sarcocolopexy -fixing of vagina to sacrum -vault prolapse
, coloprrhaphy -mesh sides of the vagina (use in anteroceles, etc)

Hysterectomy

Colopcleisis- clsoing all parts of vagina if dont intend to have sex and other methods not helping

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