Pelvic Floor

Question 1

What is a disorder in which organs have lost their support and descend into the vagina

Answer 1

Pelvic organ prolapse

Question 2

What are some factors of developing pelvic organ prolapse

Answer 2

Increasing age
Anything that puts pressure on the pelvic floor
Childbirth
Prior surgery

Question 3

Name the prolapse

Urethra

Answer 3

Urethrocele

Question 4

Name the prolapse

Bladder

Answer 4

Cystocele

Question 5

Name the prolapse

Rectum

Answer 5

Rectocele

Question 6

Name the prolapse

What prolapse can women get if they have had a hysterecomy

Answer 6

Vaginal vault prolapse

Question 7

Name the prolapse

Bowel

Answer 7

Enterocele

Question 8

What is a complete prolapse of uterus outside the hymenal ring

Answer 8

Procidentia

Question 9

What is a hernia projecting into vagina

Answer 9

Colpocele

Question 10

What are some sx of pelvic organ prolapse

Answer 10

Urinary or fecal incontince or retention
Sensation of mass or budge
Difficultly with intercourse

Question 11

How do you treat a pelvic organ prolapse

Answer 11

If mild can monitor and pelvic floor excercises

Question 12

What is a pessary

Answer 12

Removable device placed in vagina to support organs

Question 13

How often must a pessary be maintained

Answer 13

Every week by pt or by provider every 3 months

Question 14

Do you need to remove a pessary for intercourse

Answer 14

Yes

Question 15

If a pt has a uterine prolapse and they want to have surgery, what type of surgery will they be having

Answer 15

Hysterectomy

Question 16

What incontinice is due to detrusor over activity

Answer 16

Urge

Question 17

What is the most common type of incontience

Answer 17

Urge

Question 18

What are symptoms of urge incontinnce

Answer 18

Urgency, frequency, and not being able to get to the restroom on time

Question 19

How do you treat urge incontinence

Answer 19

Bladder training, lifestyle modifications and kegal exercises

Question 20

What meds can be used for urge incontince

Answer 20

Anticholenergics (Oxybutynin, Tolterodine, Festerodine)

Question 21

What incontince is due to urethral incompetence or weak pelvic floor muscles

Answer 21

Stress

Question 22

What signs/sx come with stress incontince

Answer 22

Leakage with intra-abd pressure (coughing, sneezing, laughing)

Question 23

What is the treatment for stress incontience

Answer 23

Lifestyle modifications, kegal, pessary

Question 24

What is the most effective treatment for stress incontince

Answer 24

Surgery-tension free vaginal tape

Burch procedure

Question 25

What incontince is due to detrusor underactivity

Answer 25

Overflow

Question 26

Who is overflow incontince most commonly in

Answer 26

Males with BPH problems

Question 27

What is the treatment for overflow incontince

Answer 27

Voiding techniques
May need a catheter
Surgery if due to outlet obstruction