Prolapse Flashcards
1
Q
what causes a prolapse?
A
weakness in the pelvic floor
2
Q
what is a cystocele?
A
descent of the bladder
3
Q
define enterocele
A
descent of the uterus
4
Q
define rectocele
A
rectal prolapse
5
Q
presentation
A
pressure mass difficulty voiding incomplete emptying pain in intercourse
6
Q
diagnosis
A
POP-Q
7
Q
what is the POP-Q?
A
measure of each site in relation to the hymen
if above= negative
if below= positive
8
Q
classic presentation of uterine prolapse
A
prolapse + back pain
9
Q
risk factors
A
age surgery menopause loss of muscle tone multiple births obesity chronic cough heavy lifting connective tissue disorders
10
Q
conservative management
A
reassurance
lifestyle advice
pelvic floor exercises
pessaries
11
Q
surgical management
A
vaginal hysterectomy Manchester repair sacrospinous fixation sacrocolpopexy mesh techniques colpocleisis
