Pelvic Floor Flashcards
What is a disorder in which organs have lost their support and descend into the vagina
Pelvic organ prolapse
What are some factors of developing pelvic organ prolapse
Increasing age
Anything that puts pressure on the pelvic floor
Childbirth
Prior surgery
Name the prolapse
Urethra
Urethrocele
Name the prolapse
Bladder
Cystocele
Name the prolapse
Rectum
Rectocele
Name the prolapse
What prolapse can women get if they have had a hysterecomy
Vaginal vault prolapse
Name the prolapse
Bowel
Enterocele
What is a complete prolapse of uterus outside the hymenal ring
Procidentia
What is a hernia projecting into vagina
Colpocele
What are some sx of pelvic organ prolapse
Urinary or fecal incontince or retention
Sensation of mass or budge
Difficultly with intercourse
How do you treat a pelvic organ prolapse
If mild can monitor and pelvic floor excercises
What is a pessary
Removable device placed in vagina to support organs
How often must a pessary be maintained
Every week by pt or by provider every 3 months
Do you need to remove a pessary for intercourse
Yes
If a pt has a uterine prolapse and they want to have surgery, what type of surgery will they be having
Hysterectomy
What incontinice is due to detrusor over activity
Urge
What is the most common type of incontience
Urge
What are symptoms of urge incontinnce
Urgency, frequency, and not being able to get to the restroom on time
How do you treat urge incontinence
Bladder training, lifestyle modifications and kegal exercises
What meds can be used for urge incontince
Anticholenergics (Oxybutynin, Tolterodine, Festerodine)
What incontince is due to urethral incompetence or weak pelvic floor muscles
Stress
What signs/sx come with stress incontince
Leakage with intra-abd pressure (coughing, sneezing, laughing)
What is the treatment for stress incontience
Lifestyle modifications, kegal, pessary
What is the most effective treatment for stress incontince
Surgery-tension free vaginal tape
Burch procedure
What incontince is due to detrusor underactivity
Overflow
Who is overflow incontince most commonly in
Males with BPH problems
What is the treatment for overflow incontince
Voiding techniques
May need a catheter
Surgery if due to outlet obstruction
