Pelvic Relaxation And Incontinence Flashcards

1
Q

What is a cystocele?

A

Anterior wall of vagina prolapse

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2
Q

What is a rectocele?

A

Lower posterior vaginal prolapse

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3
Q

What is vaginal vault prolapse?

A

After hysterectomy, vagina sinks into vaginal canal.

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4
Q

What is a urethrocele?

A

Urethral prolapse and bladder prolapse

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5
Q

When we hear a patient say pelvic pressure and bulging cessation, what are we thinking?

A

Prolapse

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6
Q

4 treatment options for a cystocele?

A

Do nothing
Pelvic floor PT
Pessary
Surgical correction (anterior colporrhaphy)

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7
Q

What are we thinking if the patient comes in and says, “something is falling out” and I can feel something that is “out of me” when I wipe, what I am thinking?

A

Uterine prolapse

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8
Q

What is another symptom that can present with uterine prolapse?

A

Voids small amounts frequently and doesn’t empty bladder because uterus is kinking/compressing bladder ad urethra.

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9
Q

3 treatment options for uterine prolapse?

A

Pessary
Hysterectomy
Colpocleisis

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10
Q

What is a colpocleisis? What is important to know about this?

A

Shove the uterus back into the vaginal canal and sew it back there/close it up. These people can never use their vagina again?

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11
Q

Patient says she wets herself when she laughs, sneezes, coughs and wears pads/diapers, what are we thinking?

A

Stress incontinence

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12
Q

What are three extra tests we can do to confirm stress in continence?

A

Q tip
Urodynamics
Postvoid residual

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13
Q

What is the q tip test and what would be a result that tells you stress inconitnence?

A

Stick the q tip in the urethra and if the angle is greater than 30 degrees when she bears down, hyperactivity urethra.

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14
Q

What is the post void residual test?

A

Have the lady empty her bladder and then check the volume. If its less than 50 mls you know its not an overflow problem.

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15
Q

4 treatment options for stress incontience?

A

Topical estrogen
Pelvic floor PT
Pessary
Surgery - suburethral sling via vaginal approach or abdominal approach

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16
Q

Patient tells you she has to stick her fingers in her vagina and push on her posterior wall to poop, this is called splinting, what are we taking?

A

Rectocele

17
Q

What is the best and only treatment option for a rectocele?

A

Surgery

18
Q

Patient presents with urinary urgency and frequency, especially at night, what are we thinking?

A

Urge incontinence

19
Q

What do you want to always check and do with urge incontience symptoms in a patent?

A

Urinalysis to check for UTI because UTIS present with frequency

20
Q

2 treatment options for urge incontinence and overactive bladder?

A
Behavior modifications (need to gain control over bladder again)
Antispasmodics
21
Q

What are the two antispasmodics to give for overactive bladder?

A

Oxybutynin

Tolterodine

22
Q

What two muscles make up the pelvic diaphragm?

A

Levator ani

Coccygeus

23
Q

What two muscles make up the levator ani?

A

Pubococcygeus

Iliococcygeus