Physiology and Pelvic Floor Disorders Flashcards
How often is it normal to pee?
Every 3-4 hours
What bowel symptom is important to ask about?
Constipation
Why is a vaginal/rectal exam important?
Pelvic floor muscle assessment
Outline the different lifestyle interventions for incontinence.
- Healthy BMI
- Avoid constipation
- Smoking cessation
- Avoid heavy lifting
- Caffeine reduction
Outline the treatment of bladder symptoms.
- Caffeine reduction
- Bladder training
- Voiding/ double voiding techniques
- Pelvic floor exercises
- Constipation relief
What poo on the Bristol Stool chart is best?
4 - ‘goldilocks poo’
What can Lepicol be used for?
Medication can be used in patients who have difficulty wiping clean after a bowel movement
If Lepicol is used for patients who have difficulty wiping after a bowel movement, what must it therefore contain?
High in fibre
What programme is used for treatment of bowel symptoms?
‘Holding on’ programme
How long should pelvic floor exercises be practiced for?
Practised for 15-20 weeks
What is EMG?
Computer or handheld visual +/or auditory training programme
Give examples of core stability exercises.
Lumbo-Pelvic Cylinder …
- Pelvic floor
- Transversus abdominis
- Diaphragm
- Lumbar multifidus
Pilates
Gym ball
Women are encouraged to do pelvic floor muscle exercises throughout pregnancy and after giving birth
True
Women who have had a forceps delivery or third/fourth degree tear (involving anal sphincter complex) have one-to-one contact where exercise technique is discussed
True
Follow-up clinic for third/fourth degree tears at 10-12/52 PN…complete assessment and more tailored programme of exercises and further treatment if indicated.
True
