Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

WACS > POP (Pelvic organ prolapse) > Flashcards

POP (Pelvic organ prolapse) Flashcards

1
Q

T/F: 8 times more women than men suffer from a pelvic organ
dysfunction

A

T

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

T/F: Pelvic organ disorders - usually under-reported

A

T

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Ratio surgery for prolapse vs incontinence:

A

2:1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Prevalence of POP

A

31% in women aged 29-59 yrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

POP is seen in 31% of women aged –

A

29 -59yrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

T/F: 20% of women on gynaecology waiting lists have POP

A

T

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

% of women with POP on gynaecology waiting lists

A

20%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

% lifetime risk of at least one operation in women with POP

A

11%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

% of reoperation cases seen in POP

A

30%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Ration of women that will suffer sphincter muscle damage due to
vaginal childbirth

A

1 out of 3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

% of women with POP that also have faecal incontinence

A

20%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

% of patients with urinary incontinence that also suffer faecal incontinence

A

30%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

% of patients with POP that also have urinary incontinence

A

60%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

% of patients with urinary incontinence that have some degree of POP

A

40%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

T/F: More than 50% of women aged 50 and older suffer one or
more of the problems caused by pelvic floor dysfunction

A

T

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

% of women by age 80 that will have undergone surgery for prolapse

A

> 10%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Lifetime risk of surgery for POP is

A

11%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Prevalence of POP in parous women

A

50%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

% of parous women with symptomatic POP

A

20%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

% of postmenopausal women with anterior prolapse

A

51%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

% of postmenopausal women with posterior prolapse

A

27%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

% of postmenopausal women with uterine/vault prolapse

A

20%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

% of TAH in women with prolapse

A

11.6%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

% of TAH done for benign conditions

A

1.8%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

T/F: Smoking can cause POP

A

T

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

T/F: Long distance running can prevent prolapse

A

F
Can cause prolapse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

% of nulliparous women affected by POP

A

2%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

3 surgeries for POP

A

Burch
Manchester
Hysterectomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

T/F: POP is commoner in Caucasians & Hispanics & less so in Afro Caribbeans

A

T
? cultural differences in reporting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

How many levels of support does the uterus have

A

3
Levels 1 to 3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Level I support of the uterus:

A

The cardinal uterosacral ligament
complex

32
Q

Level II support of the uterus:

A

The pubo- cervical and rectovaginal fascia

33
Q

Level III support of the uterus:

A

The pubo-urethral ligaments
anteriorly & the perineal body posteriorly

34
Q

The cardinal uterosacral ligament
complex = ? uterine support level

A

Level I

35
Q

The pubo- cervical and rectovaginal fascia = ? uterine support level

A

Level II

36
Q

The pubo-urethral ligaments
anteriorly & the perineal body posteriorly = ? uterine support level

A

Level III

37
Q

Pelvic floor muscle training (PFMT) is an effective treatment option for women with – vaginal prolapse

A

stage I–II
including PHVP

38
Q

Improvement/cure rate of pelvic floor exercises

A

17 - 79%

39
Q

Dose and duration of pelvic floor exercises

A

8 contractions 3 times a day
Short squeezes (2 secs) and long squeezes (10 secs)

40
Q

T/F: Pelvic floor exercises are more effective if supervised

A

T

41
Q

T/F: Vaginal pessaries are alternative treatment option for women with stage II–IV PHVP

A

T

42
Q

T/F: Vaginal pessaries are equally beneficial for both POP or UI

A

T

43
Q

Satisfaction rate of vaginal pessary use

A

72-92% ( symptom relief)

44
Q

The commonly used pessary

A

The ring (with or without knob)

45
Q

T/F: The ring pessary is also known as the incontinence ring

A

T

46
Q

T/F: The ring pessary is recommended in sexually active women

A

T

47
Q

The ring pessary is useful in which degree of prolapse

A

first or mild second-degree uterine
prolapse associated with a mild cystocele

48
Q

Most commonly used pessary for uterine prolapse

A

Gellhorn

49
Q

T/F: Gellhorn pessary is helpful in SUI

A

T

50
Q

Gellhorn pessary provides support in which degree of prolapse

A

3rd degree uterine prolapse and procidentia

51
Q

T/F: Gellhorn pessary is suitable for rectoceles

A

F
Provides less support for a
rectocele since there is less
support of the posterior segment.

52
Q

Risk of prolapse recurrence after surgery

A

10 -20%

53
Q

Surgeries for POP

A

Anterior colporrhaphy:
(Cystocoele & Urethrocoele)

Posterior colpoperineorrhaphy
(Rectocoele, and defective perineum)

Manchester (Fothergill) operation
(All the above with amputation of the cervix and, tightening
of the cardinal ligaments.)

Vaginal Hysterectomy +/- Pelvic floor repair

54
Q

Recurrence rates of anterior repair for cystocele

A

3 to 20% after 2 to 8 years

55
Q

Midline plication of rectovaginal fascia and perineal body reconstruction:

A

Posterior repair for rectocele

56
Q

Cure rate for posterior repair for rectocele

A

72% at 2yrs

57
Q

Surgery for vault prolapse

A

Sacrocolpopexy/Sacrospinous fixation

58
Q

Surgery for the obliteration of vaginal lumen

A

Le Forts operation

59
Q

Surgery for uterine prolapse

A

Hysterectomy

Vault suspension procedure &
pelvic floor repair

60
Q

Surgery for posthysterectomy vault prolapse

A

Vault suspension procedure &
pelvic floor repair

61
Q

T/F: McCall culdoplasty at the time of vaginal hysterectomy is effective in preventing subsequent PHVP.

A

T

62
Q

T.F: Subtotal hysterectomy is not recommended for the prevention
of PHVP

A

T

63
Q

T/F: Suturing the cardinal and uterosacral ligaments to the vaginal cuff at the time of hysterectomy is effective in preventing PHVP following both abdominal and vaginal hysterectomies

A

T

64
Q

4 indications for the abdominal approach in surgery for prolapsed vaginal vault

A

Failed previous vaginal approach

Have fore-shortened vagina

Young patients with advanced prolapse

With other co-existing conditions

65
Q

4 vaginal surgeries for POP

A

Sacrospinous ligament fixation

High uterosacral ligament suspension with fascial reconstruction

Iliococcygeus fascia suspension

McCall culdoplasty: Internal and external

66
Q

3 abdominal repairs for POP

A

Abdominal sacrocolpopexy

High uterosacral ligament suspension

Laparoscopic approach
* Lap sacrocolpopexy
* Oxford Sacrohysteropexy

67
Q

The obliterative procedures

A

Le forte partial colpocleisis
Colpectomy and colpocleisis

68
Q

3 advantages of sacrospinous fixation

A

Less morbid

Convenient to perform concurrent vaginal repair procedures

Recurrent vault
prolapse 3%

69
Q

4 disadvantages of sacrospinous fixation

A

‘Blind’

Adequate vaginal
length needed

Cystocele 8 -20%

Gluteal pain 3%

70
Q

% of recurrent vault prolapse with sacrospinous fixation

A

3%

71
Q

% of patients with gluteal pain as a complication of sacrospinous fixation

A

3%

72
Q

% of cystocele seen after sacrospinous fixation

A

8 - 20%

73
Q

3 advantages of sacrocolpopexy

A

Does not rely on patient’s connective tissue

Preserves vaginal length
and width

Recurrent vault prolape
0 – 12%

74
Q

2 disadvantages of sacrocolpopexy

A

Abdominal procedure

Erosion 3%

75
Q

T/F: Sacrocolpopexy is suitable for the following: Young patients,
sexually active patients and patients with short vagina

A

T

76
Q

% of recurrent vault prolapse seen with sacrocolpopexy

A

0 - 12%

77
Q

% erosion seen in sacrocolpopexy

A

3%

WACS (19 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions