Pelvic Organ Prolapse Flashcards
what is a prolapse
protrusion of an organ or structure beyond its anatomical boundaries
what is a POP
descent of pelvic organs towards or through the vagina
what is the end-pelvic fasica
network of fibromuscular connective type tissue
- Uterosacral ligamenets
- Pubocervical fasciae
- rectovaginal fasica
what is the Pubocervical fasica
trapezoidal fibromuscular tissue
provides main support of anterior wall
what is the rectovaginal fascia
fibroymusculo elastic tissue
what is the endopelvic support
3 layers from back to front
what are the risk factors to POP
obesity forceps delivery large baby age previous pelvic surgery
what is a cytocele
bladder bulges into the vagina
what is a urethrocele
proplaspe of lower vagina wall including urethra
what is an enterocele
prolapse of upper posterior wall including loops of small bowel
what is a rectocele
prolapse of lower posterior wall including rectum
what are the vaginal symptoms of a prolapse
bulge
pressure
heaviness
what are the urinary symptoms of a prolpase
incontinence
urinary urge
weak or prolonged stream
what are the investigations of a POP
USS
MRI
urodynamic
what are the treatment for POP
avoid constipation
pelvic floor excersies
pessaries
surgery
