pelvic organ prolapse Flashcards
1
Q
What is a prolapse
A
Protrusion of an organ or structure beyond its normal anatomical position
2
Q
What is female pelvic organ prolapse
A
Descent of the pelvic organs towards or out through the vagina
3
Q
What are the risk factors for female pelvic organ prolapse
A
- Forceps delivery
- Large baby
- Prolonged 2nd stage
- The more children you birth vaginally, the greater the risk
- Continence procedures such as bladder neck surgeries
- heavy lifting
- Constipation
- Exercise
4
Q
What are the vaginal symptoms of a pelvic organ prolapse in women
A
- Sensation of a bulge
- Seeing a bulge
- Pressure
- Heaviness
- Difficulty inserting a tampon
5
Q
What are the urinary symptoms in women with a pelvic organ prolapse
A
- Urinary incontinence
- Frequency
- Urgency
- Weak stream
- Hesitanve
- Incomplete emptying feeling
- Manual reduction of the prolapse to complete or start urinating
6
Q
What are the bowel symptoms in women with pelvic organ prolapse
A
- Incontinence
- liquid or solid stool
- Feeling of incomplete emptying
- Straining
- Urgency
- Pushing on the vagina or perineum to complete defecation
7
Q
What is the non-surgical treatment for pelvic organ prolapse in women
A
- Pelvic floor muscle training
- ## Pessaries
8
Q
What are pessaries
A
- Medical device inserted into the vagina to provide support for the pelvic viscera
9
Q
What is the surgical treatment for Pelvic organ prolapse in women
A
- Anterior wall vaginal repair for anterior wall prolapse
- Posterior wall vaginal repair for posterior prolapse
- vaginal hysterectomy
10
Q
Why do pelvic organ prolapses occur in women
A
Progressive weakness in the pelvic floor muscles
