pelvic relaxation

Question 1

s/s pelvic floor prolaps (4)

Answer 1

1. pelvic pressure/pain
2. bulging from vagina
3. dyspareunia
4. difficulty voiding or emptying bowels

Question 2

what level: connective tissue support to upper vagina

Answer 2

delancey’s vaginal support level 1

Question 3

what level: fascial arcus in mid vagina

Answer 3

delancey’s vaginal support level 2

Question 4

what level: anterior fusion of ant vagina + urethra & muscles invovled in urethral support; posterior fusion of posterior vagina & perineal wall

Answer 4

delancey’s vaginal support level 3

Question 5

cystocele / cystourethrocele / hypermobile urethra

Answer 5

anterior compartment prolapse

Question 6

rectocele

Answer 6

posterior compartment prolapse

Question 7

vaginal vault prolapse

Answer 7

Apical vaginal prolapse

Question 8

what is the most important CT support to the upper vagina?

Answer 8

level 1 of delanceys vaginal support

Question 9

loss of level 1 results in

Answer 9

uterin or vaginal vault prolapse

Question 10

loss of support of anterior level 3 causes what?

Answer 10

hypermobile urethra

Question 11

loss of support of posterior level 3 causes what?

Answer 11

perineocele

Question 12

urethra >30 degrees from horizontal by Q tip test

Answer 12

hypermobile urethra

Question 13

which birth position puts mother at incr risk for fecal incontinence?

Answer 13

occiput posterior

Question 14

loss of urine related to movement of bladder neck and urethra triggered by abd straining

Answer 14

hypermobility

Question 15

intrinsic weakening of bladder outlet closure mechanism

Answer 15

intrinsic sphincter deficiency

Question 16

what type of incontinence is most common in women

Answer 16

hypermobility

Question 17

involuntary loss of urine assc’d with baldder overdistension with no urge to urinate

Answer 17

overflow incontinence

Question 18

causes of functional incontinence (3)

Answer 18

1. decr mobility
2. dementia
3. injury (fistulas)

Question 19

what grade: prolapsed tissue descends halfway to the hymen

Answer 19

baden-walker grade 1

Question 20

what grade: prolapsed tissue extends to level of hymen

Answer 20

baden-walker grade 2

Question 21

what grade: prolapsed tissue extends outside the hymen with straining

Answer 21

baden-walker grade 3

Question 22

what grade: prolapsed tissue extends outside hymen without straining

Answer 22

baden-walker grade 4