Pelvic Organ Prolapse Flashcards
What is Pelvic Organ Prolapse?
The descent of one of the pelvic organs towards or through the vaginal opening resulting in protrusion on the vaginal walls
Who is normally affected by POP?
Post-menopausal women
How is POP defined?
It is defined according to the structure or organ which has prolapsed into the vagina and their position
What can occur in the anterior vaginal wall?
Cystocele
Urethrocele
Cystourethrocele: both bladder and urethra
What is cystocele?
The badder
What can cystocele lead to?
Stress incontinence
What is urethrocele?
Urethra
What is Cystourethrocele?
Both bladder and urethra
What can occur in the posterior vaginal wall?
Enterocele
Rectocele
What is enterocele?
Small intestine
What is rectocele?
Rectum
What can occur in the apical vaginal wall?
Uterine prolapse
Vaginal vault prolapse
What is uterineprolapse?
Uterus
What is vaginal vault prolapse?
The roof of the vagina
What are the main RF for POP?
Increasing age Multiparity Vaginal deliveries Obesity Spina bifida
What are the vaginal presentations of POP?
Sensation of bulge or protrusion Pressure Heaviness 'Bearing-down' Difficulty putting in a tampon
What are the urinary symptoms of POP?
Incontinence Frequency Urgency Hesitancy Feeling incomplete emptying
What is the management if POP is asymptomatic?
No treatment
What is the conservative management of POP?
Weight loss
Pelvic floor exercises
What is the surgical management of POP?
Ring surgery
What are the surgical options for Cystocele/cystourethrocele?
Anterior colporrhaphy
What are the surgical options for uterine prolapse?
Hysterectomy
Sacrohysteropexy
What is the surgical management of rectocele?
Posterior colporrhaphy
