Pelvis Floor Dysfunction

Question 1

Risks of prolapse

Answer 1

MEnopause atrophy - weakness
Birth trauma. - vaginal, forceps
Connective tissue

Question 2

Degree of uterine prolapse

Answer 2

1- within intriotus
2- at intriotus
3 - procidentia, outside - bloody discharge

Question 3

Urinary incontinence - causes of frequency and urgency

Answer 3

Uti
Overactive bladder
Bladder pathology
Pelvic mass

Stress
Urodynamic

Question 4

Treatment for stress incontence

Answer 4

Conservation - physio
Medical - duloxatine SNRI
Surgery - TVT (tensation free vaginal tape), TOT (trans obturator tspe), sling
Colopo-suspetion

Question 5

Treatment for urge incontience

Answer 5

Bladder retraining
Reduce caffeine
Anti-muscurinic eg oxybutinin
Oestrogen

Question 6

Investigations for stress incontinence?

Answer 6

Msu, freq/vol chart

Urodynamic studies

Question 7

What is the management for prolapse?

Answer 7

Conservative - physio (younger women) and vaginal pessaries (with oestrogen)
Surgery