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Pelvic Organ Prolapse Flashcards

1
Q

What is Pelvic Organ Prolapse?

A

The descent of one of the pelvic organs towards or through the vaginal opening resulting in protrusion on the vaginal walls

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2
Q

Who is normally affected by POP?

A

Post-menopausal women

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3
Q

How is POP defined?

A

It is defined according to the structure or organ which has prolapsed into the vagina and their position

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4
Q

What can occur in the anterior vaginal wall?

A

Cystocele
Urethrocele
Cystourethrocele: both bladder and urethra

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5
Q

What is cystocele?

A

The badder

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6
Q

What can cystocele lead to?

A

Stress incontinence

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7
Q

What is urethrocele?

A

Urethra

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8
Q

What is Cystourethrocele?

A

Both bladder and urethra

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9
Q

What can occur in the posterior vaginal wall?

A

Enterocele

Rectocele

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10
Q

What is enterocele?

A

Small intestine

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11
Q

What is rectocele?

A

Rectum

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12
Q

What can occur in the apical vaginal wall?

A

Uterine prolapse
Vaginal vault prolapse

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13
Q

What is uterineprolapse?

A

Uterus

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14
Q

What is vaginal vault prolapse?

A

The roof of the vagina

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15
Q

What are the main RF for POP?

A 
Increasing age
Multiparity
Vaginal deliveries
Obesity
Spina bifida
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16
Q

What are the vaginal presentations of POP?

A 
Sensation of bulge or protrusion 
Pressure
Heaviness
'Bearing-down'
Difficulty putting in a tampon
17
Q

What are the urinary symptoms of POP?

A 
Incontinence
Frequency
Urgency
Hesitancy
Feeling incomplete emptying
18
Q

What is the management if POP is asymptomatic?

A

No treatment

19
Q

What is the conservative management of POP?

A

Weight loss

Pelvic floor exercises

20
Q

What is the surgical management of POP?

A

Ring surgery

21
Q

What are the surgical options for Cystocele/cystourethrocele?

A

Anterior colporrhaphy

22
Q

What are the surgical options for uterine prolapse?

A

Hysterectomy
Sacrohysteropexy

23
Q

What is the surgical management of rectocele?

A

Posterior colporrhaphy

Reproduction (88 decks)

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