Pelvic organ prolapse

Question 1

Defined as herniation of ___ into/beyond ___

Anterior compartment prolapse assc w ___ (cystocele)

Poster compartment prolapse assc w ___ (rectocele)

Apical prolapse can involve prolapse of
SI
Vaginal apex
U/C

Complete prolapse of all compartments through intoitus termed ___

Answer 1

pelvic organs, vaginal walls

bladder herniation

rectal herniation

enterocele
post hysterectomy
uterus/cervix

procidentia

Question 2

RF
P (more w )
A
O
P
C

sx depends on
may have \_\_\_/\_\_ vaginally
Stress \_\_\_ assc w \_\_\_
C or I 
may require \_\_ to have bowel mvmnt
D

Answer 2

parity (vaginal delivery)
age
obesity
prior hysterectomy
chronic constipation

compartment involved
pressure/bulge
urinary incontinence, hypermobility
constipation, incomplete defacation
splinting
dyspareunia

Question 3

Dx based on
Stage/eval via
Eval urinary sx w

Answer 3

hx/exam
POPQ
urodynamic tests

Question 4

Tx often

cx is ___ so many choose to __ rather than have ___

Pessaries for those not ___
requires ___ and ___

P
Surgery
vaginal procedures to \_\_
vag/ab procedures to \_\_\_
Vaginal \_\_\_

Answer 4

conservative

chronic, managment, surgery

sexually active, removal/cleaning

pelvic floor PT

repair herniation
reestablish support
obliteration (colpocleisis)