GYN- Prolapse Flashcards
1
Q
what makes up the pelvic floor?
A
levator muscles, fascia, ligaments, nerves
2
Q
what is procidentia?
A
uterine prolapse
3
Q
What is vaginal vault prolapse
A
inversion of vagina into vaginal canl, MC s/p hysterectomy
4
Q
1/1 vs 2/2 vs 3/3 vs 4/4 prolapse
A
1/1: in upper 2/3 of vagina
2/2 down to introitus
3/3 partially protrudes outside vagina
4/4 entire structure outside vagina
5
Q
what is the etiology of prolapse
A
chroinic inc abd pressure (coughing, constipation, heavy lifting, tumors) and pelvic floor weakness (intrinsic weakness, birth trauma, atrophy with aging)
6
Q
Sx prolapse
A
pelvic pressure/pain
dyspareunia
bowel or bladder dysfucntion
urinary incontienence
7
Q
what are non-surgical treatement options for prolapse?
A
kegels, pessaries, E replacement
