Lecture 20 Pelvic Organ Prolapse & Female Urinary Incontinence Flashcards
What are the 3 distinct layers of the pelvic floor
Endo-pelvic fascia
Pelvic diaphragm
Urogenital Diaphragm
What is the Endo-pelvic fascia
Network of fibre-muscular connective-type tissue
Utero-sacral ligaments
What is the Pelvic Diaphragm
Levator ani
Coccygeus
What is the Urogenital Diaphragm
Superficial and Deep transverse perineal muscles with their fascial coverings
Where does the utero-sacral ligament tend to break
Medially around cervix
Where does the Pubocervical tend to break
Lateral attachments or immediately in front of the cervix
Where does the rectovaginal fascia tend to break
Centrally
if the recto-vaginal fascia breaks centrally with an upper defect what does that cause
Enterocele
if the recto-vaginal fascia breaks centrally with a lower defect what does that cause
Perineal descent & Rectocele
What are level I endopelvic support
Utero-sacral ligaments
Cardinal ligaments
What are level II endopelvic support
Pubocervical
Rectovaginal fascia
What are level III endopelvic support
Urogenital diaphragm
Perineal body
Name risk factors of pelvic organ prolapse
Pregnancy and Vaginal birth Advancing age Obesity Previous Pelvic Surgery Hormonal factors Quality of connective tissue Constipation Exercise
Define Urethrocele
Prolapse of the lower anterior vaginal wall involving the urethra only
Define Cystocele
Prolapse of the upper anterior vaginal wall through bladder
