Pelvic Organ Prolapse

Question 1

Pelvic Organ Prolapse - Quantitative and the Baden Walker Halfway system both relate structures in the pelvis to which structure for reference?

Answer 1

Hymen.

Question 2

What prolapse is most common after hysterectomy?

Treatment?

Answer 2

Vaginal vault prolapse.

Resusped vaginal vault to a sacral ligament.

Question 3

Muscles that form the Levator ani (3)?

Answer 3

Pubococcygeus, illiococcygeus, and the puborectalis.

Question 4

Risk factors for pelvic prolapse (3)?

Answer 4

Chronic abdominal pressure, traumatic delivery, menopause.

Question 5

During a split speculum exam, when a patient who is suspected to have pelvic organ prolapse bears down, what prolapse would cause a downward movement of the anterior vaginal wall?
What prolapse would cause an upward bulging of the posterior vaginal wall?

Answer 5

Cystocele.

Rectocele or enterocele.

Question 6

Treatments for prolapse (4)?

Answer 6

Kegels, pessaries, estrogen replacement, surgical correction (hysterectomy for uterine).