pelvic floor disorders Flashcards
predisposing factors to weakness of pelvic floor muscles
older women obesity large baby prolonged 2nd stage instrumental delivery prev regional surgery hormonal change e.g. menopause innate connective tissue issue chronic constipation heavy lifting occupation weightlifting/high impact sport
causes of prolapse/UI
weakness PFM inflammation urethral hypermobility urethral scarring raised intra-abdo pressure medication radiotherapy obesity
management of SUI : lifestyle
stop smoking
lose weight
healthy eating to avoid constipation
stop drinking alcohol/caffeine
management of SUI : conservative
pelvic floor muscle training
management of SUI : pharmacological
duloxetine
management of SUI : surgical
colposuspension
mid-urethral swing
management for OAB: lifestyle
normalise fluid intake
reduce caffeine, fizzy drinks, chocolate
stop smoking
weight loss
management of OAB : conservative
bladder training programmae
management of OAB : surgical
botox
neuromodulation
management of OAB : pharmacological
antimuscarinic
management of POP: physiotherapy
PFMT
management of POP: pessaries
shelf pessary
ring pessary
management of POP: surgical aims
relieve symptoms
restore/maintain bladder + bowel function
maintain vaginal capacity for sexual function
