Monday, 2-27-Pelvic relaxation and incontinence (Wootton) Flashcards

1
Q

anterior vaginal prolapse is known as a __

A

cystocele

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2
Q

lower posterior vaginal prolapse is known as ___

A

rectocele

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3
Q

apical vaginal prolapse AKA __

A

uterine prolapse

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4
Q

a sagging uterovaginal canal after hysterectomy AKA __

A

vaginal vault prolapse

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5
Q

tx options for woman with anterior vaginal prolapse?

A
  • do nothing
  • pelvic floor PT
  • pessary (those who want to avoid surgery)
  • surgical correction-anterior colporrhaphy
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6
Q

tx options for a uterine prolapse?

A
  • pessary
  • hysterectomy
  • colpocleisis
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7
Q

spontaneous leakage when coughing and sneezing?

A

stress incontinence

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8
Q

tests to dx stress urinary incontinence?

A
  • PE
  • q tip test
  • urodynamics
  • postvoid residual (less than 50 mL is normal)
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9
Q

tx options for stress urinary incontinence?

A
  • topical estrogen
  • pelvic floor PT/kegels
  • pessary
  • surgery
  • suburethral sling
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10
Q

clues to diagnosing a rectocele pt?

A

lots of babies
needing to splint to have a bowel movement
pressure sensation and fullness in vagina

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11
Q

best tx option for a rectocele?

A

surgery is best option

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12
Q

Tx for urge incontinence/overactive bladder?

A
  • Behavior modification –> decrease caffeine, limit fluids after 7 pm, bladder training
  • anti-spasmodics –> oxybutynin (Ditropan), tolterodine (Detrol)
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