Pelvic Prolapse Flashcards
1
Q
What are the types of POP?
A
Uterine prolapse
Vault prolapse
Rectocele
Cystocele
2
Q
What is uterine prolapse?
A
Uterus descends into the vagina
3
Q
What is vault prolapse?
A
Occurs in those without a uterus, when vault descends into the vagina
4
Q
What is rectocele?
A
Defect in posterior wall - allows rectum to prolapse into vagina
5
Q
What is cystocele?
A
Defect in anterior wall - allows bladder to prolapse into vagina
6
Q
What are risk factors for POP?
A
Multiple vaginal deliveries Instrumental/traumatic deliveries Increasing age Obesity Chronic constipation
7
Q
What are features of POP?
A
‘Feeling something coming down’
Palpable lump
Bowel symptoms
Bladder symptoms
8
Q
What examinations are done for POP?
A
Pelvic exam
Speculum
Sims speculum = single speculum used to support other wall
9
Q
What are the grades of POP?
A
0 = normal 1 = lowest part >1cm above introitus 2 = lowest part within 1cm of introitus 3 = lowest part >1cm below introitus 4 = full descent
10
Q
How is POP managed?
A
Conservatively
- weight loss
- physiotherapy
- lifestyle changes
Pessaries
Surgery
