Monday, 2-27-Pelvic relaxation and incontinence (Wootton) Flashcards
anterior vaginal prolapse is known as a __
cystocele
lower posterior vaginal prolapse is known as ___
rectocele
apical vaginal prolapse AKA __
uterine prolapse
a sagging uterovaginal canal after hysterectomy AKA __
vaginal vault prolapse
tx options for woman with anterior vaginal prolapse?
- do nothing
- pelvic floor PT
- pessary (those who want to avoid surgery)
- surgical correction-anterior colporrhaphy
tx options for a uterine prolapse?
- pessary
- hysterectomy
- colpocleisis
spontaneous leakage when coughing and sneezing?
stress incontinence
tests to dx stress urinary incontinence?
- PE
- q tip test
- urodynamics
- postvoid residual (less than 50 mL is normal)
tx options for stress urinary incontinence?
- topical estrogen
- pelvic floor PT/kegels
- pessary
- surgery
- suburethral sling
clues to diagnosing a rectocele pt?
lots of babies
needing to splint to have a bowel movement
pressure sensation and fullness in vagina
best tx option for a rectocele?
surgery is best option
Tx for urge incontinence/overactive bladder?
- Behavior modification –> decrease caffeine, limit fluids after 7 pm, bladder training
- anti-spasmodics –> oxybutynin (Ditropan), tolterodine (Detrol)