Pelvic Organ Prolapse

Question 1

bulge or protrusion of pelvic organs and their associated vaginal segments into or through the vagina

Answer 1

Pelvic Organ Prolapse

Question 2

Risk factors for pelvic organ prolapse

Answer 2

-vaginal delivery
-hysterectomy
-obesity
-history of previous prolapse operation
-race

Question 3

first line of support, buttressed intimately with the pelvic diaphragm

Answer 3

Endopelvic connective tissue

Question 4

What compose the endopelvic connective tissue

Answer 4

-levator ani muscle
-coccygeus muscle

Question 5

-uterosacral/cardinal ligament complex
-serve to maintain the vaginal
length and axis.

Answer 5

Level I

Question 6

-support consists of the paravaginal attachments of the lateral vagina and endopelvic
fascia to the arcus tendineus
- maintain the midline position of the vagina

Answer 6

Level II

Question 7

distal vagina and is made up of the muscles and connective tissue surrounding the distal vagina and perineum.

Answer 7

Level III

Question 8

protrusion of the rectum into the vaginal lumen resulting from weakness in the muscular wall of the rectum

Answer 8

Rectocele

Question 9

descent of the urinary bladder with the anterior vaginal wall

Answer 9

Cystocele

Question 10

occur when the pubocervical musculoconnective tissue weakens midline or detaches from its lateral or superior connecting points

Answer 10

Cystocele

Question 11

result of poor cardinal or uterosacral ligament apical support,

Answer 11

Uterine prolapse

Question 12

involves prolapse of the uterus and vagina

Answer 12

Procidentia

Question 13

Can occur after hysterectomy, represent eversion of the entire vagina

Answer 13

Total vaginal vault prolapse

Question 14

Pelvic support structures include

Answer 14

-MUSCLES AND CONNECTIVE TISSUE of the PELVIC FLOOR
-FIBROMUSCULAR TISSUE of the VAGINAL WALL
-ENDOPELVIC CONNECTIVE TISSUE

Question 15

Attaches the upper vagina and cervix posteriorly

Answer 15

Cardinal/uterosacral complex