Pelvic Organ Prolapse Flashcards
1
Q
Define POP
A
Descent of pelvic organs into the vagina.
2
Q
Risk Factors
A
- Preg
- Normal vaginal delivery
- Obesity
- Menopause
- Hysterectomy
- Chronic increase in intra-abd pressure
- Genetic fx
- Spina bifuda
3
Q
Types of POP
A
- Cystocele
- Uterine/vault
- Enterocele - small intestine into pouch of Douglas
- Rectocele- rectum
- Urethrocele
4
Q
POP- Q staging
A
0- none
1- prolapse, distal part <1cm from hymen remnant
2- <1cm distal or proximal to hymnal remnant
3- >1cm below hymenal remnant
4- 7cm + in vaginal canal
5
Q
Baden Walker Halfway system
A
0- none
1
2
3
4
6
Q
A
7
Q
Baden Walker staging- POP
A
1- upper half vag
2-lower half vag
3-protrudes out
4-completely outside vag
8
Q
Conservative Mx
A
Pessary- 3-6mnths
●Patients dont qualify for theatre- risks
●Elderly
Kegal exercises
9
Q
Surgical Mx
A
TAH
W/MESH=
