Prolapse

Question 1

Pelvic Organ Prolapse is?

Answer 1

Herniation of pelvic organs to or beyond vag walls

Question 2

Anterior Compartment Prolapse is?

Answer 2

Hernia of ant vag wall,

C a/w cystocele (bladder distention)

Question 3

Posterior Compartment Prolapse is?

Answer 3

Hernia of post vag segment,

C a/w rectocele

Question 4

Apical Compartment Prolapse is?

Answer 4

Descention of vag apex into lower vag or introitus

Question 5

Procidentia is?

Answer 5

Hernia of all compartments thru vag introitus

Question 6

Enterocele is?

Answer 6

Intestines to or thru vag wall

Question 7

Cystocele is?

Answer 7

Bladder into vag
U a/w childbirth
C a/w urethrocele

Question 8

Cystocele presentation?

Answer 8

Pelvic pressure/”sitting on something”
Low back pain
Straining aggravates sxs
Urinary issues

Question 9

Cystocele exam?

Answer 9

Lithotomy position

Pt cough or bear down

Question 10

Cystocele diagnostics?

Answer 10

U clinical
(P) IVP or US,
(P) MRI (pelvic mm)

Question 11

Cystocele management?

Answer 11

Kegels/Weights
Pessary (block in vag)
Rarely surgery: anterior colporrhaphy (sling)

Question 12

Rectocele is?

Answer 12

Hernia b/w rectum/vag

C post childbirth

Question 13

Rectocele presentation?

Answer 13

Rectal fullness
Straining w/ BM
Vag buldging
Low back pain

Question 14

Rectocele diagnostics?

Answer 14

Dynamic cystoproctography

Question 15

Rectocele management:
Pts who want more kids?

Others?

Answer 15

Stool soft, Kegel, pessary

Rarely surgery: Colpoperineorraphy (stitch levator mm)

Question 16

Vag Prolapse is?

Presentation?

Diagnostics?

Answer 16

Dropped vag apex from lost mm/lig support
U follows hysterectomy

Similar to others

Clinical

Question 17

Vag Prolapse management:

Wants sex?

Given up on sex?

Answer 17

vag suspension

colpectomy/clopoclesis (remove and close off)