Pelvic Floor Flashcards
Name 5 functions of the pelvic floor.
Support pelvic organs Maintain intra-abdominal pressure during coughing Facilitate childbirth Facilitate defecation and micturition Maintain continence
What do the cardinal ligaments do?
Hold the cervix and upper vagina in place
What is the role of the round ligament?
Maintain the anteverted position of the uterus.
The lower half of the vagina is supported by fusion of what?
Vaginal endopelvic fascia
Perineal body posteriorly
Levator ani laterally
Urethra anteriorly
What muscles are most commonly involved in perineal trauma (sexual and obstetric?
Perineal muscles
Give some riskfactors for POP.
Management?
Age Obesity other raised intra-abdominal pressure Previous surgery Postmenopausal Spinabifida, muscular dystrophy CT disorders Marfan and EDS
Pessaries
Surgical (corporrhaphy)
Vaginal hysterectomy
3 ways to prevent OASIS
Episiotomy
Perineal protection at crowning can be protective
Ensure mother isn’t pushing when the head is crowning
What is the most common cause of SUI in men?
What is surgical treatment for stress urinary incontinence?
Prostatectomy
Colposuspension
Paravaginal fascia is attached to the cooper’s ligament
What is haematocolpus?
Vagina filling with menstrual blood
What are some signs of posterior compartment pelvic flor dysfunction?
Give some causes.
vaginal or rectal lump Constipation Dyssynergic defecation (anismus) Anal incontinecne Incomplete evacuation
Rectocele/ rectal prolapse Opiates and iron supplements Dehydration’s Immobility Pregnancy Post op pain
What is the most common cause of faecal incontinece?
Obstetric anal sphincter injury.
