Pelvic Relaxation and Incontinence Flashcards
1
Q
cystocele, rectocele, uterine prolapse, stress incontinence, urge incontinence- sx’s
A
- cystocele- bladder complaints
- rectocele- urinary complaints
- uterine prolapse- falling out sensation
- stress incontinence- cough/sneeze/laugh
- urge incontinence- urgency, frequency
2
Q
anterior vaginal prolapse
A
(cystocele)
-bladder prolapse into vaginal space
3
Q
posterior vaginal prolapse
A
(rectocele)
-rectum pushing to vaginal space
4
Q
Apical vaginal/uterine prolapse
A
see picture
5
Q
vaginal vault prolapse
A
-sagging uterovaginal canal
post-hysterectomy
6
Q
Urethrocele
A
-urethral prolapse
7
Q
cystocele- sx’s
A
- pelvic pressure
- bulging cessation with standing
- inc intrabd pressure- smoking, stocking job, inc BMI
8
Q
Anterior vaginal prolapse- tx
A
- do nothing
- pelvic floor PT
- pessary
- surgical correction
9
Q
Uterine prolapse- sx’s
A
- doesnt empty bladder completely
- voids small amts frequently
10
Q
uterine prolapse- tx
A
- pessary
- hysterectomy
- colpocleisis (put everything back up and sew vagina closed)
11
Q
Stress incontinence- sx’s
A
- urinary incontinence with coughing/sneezing/laughing
- leaks urine
- wears pads
- has had vaginal delivers, big babies
12
Q
Stress incontinence- testing
A
- PE
- Q tip test
- urodynamics (monitors detrusor m)
- postvoid residual
13
Q
Stress incontinence- tx
A
- topical estrogen
- pelvic floor PT/ kegels
- pessary
- surgery
14
Q
rectocele- sx’s
A
- fullness in vagina
- needs to splint to have a BM (press on vagina to evacuate stool)
15
Q
rectocele- tx
A
-surgery
16
Q
Overactive bladder/Urge incontinence- sx’s
A
- urinary freq and urgency
- rush to bathroom to leaks urine
- voids a small amt
17
Q
Overactive bladder- tx
A
- dec caffeine, limits fluids after 7 pm, bladder training!!!
- oxybutynin
- tolterodine
