Prolapse and Incontinence

Question 1

stage 4 prolapse

Answer 1

uterus and bladder is outside of vagina

Question 2

cystocele

Answer 2

prolapse of bladder

Question 3

rectocele

Answer 3

prolapsed rectum

Question 4

type of surgery possible for stage 4 prolapse

Answer 4

vaginal hysterectomy, anterior and posterior repair, mid urethral sling, cystoscopy

Question 5

Tx for stress incontinence

Answer 5

mid urethral sling

Question 6

prolapse stage if halfway to hymen

Answer 6

1

Question 7

prolapse stage 2

Answer 7

to hymen

Question 8

what can cause prolapse

Answer 8

weakening of muscles, fascia or ligaments

Question 9

what ligaments hold pelvic floo rup

Answer 9

uterosacral and cardinal ligaments

Question 10

risk factors prolapse

Answer 10

postmenopausal
previous pregnancy and vaginal delivery
difficult delivery
obesity

Question 11

tx options for prolpase

Answer 11

estrogen cream
pessary
bladder sling
colposacropexy
colpocleisis
kegels, weight loss
nothing

Question 12

what are pessarys

Answer 12

kind of like a plug

Question 13

stress incontinence

Answer 13

occurs with sneeze, cough, laugh, jog or other things that put pressure on bladder

Question 14

risk factors for stress incontinence

Answer 14

genetics, age, child birth

Question 15

overactive bladder defined based on what

Answer 15

urgency with or without urge incontinence

in absence of pathologic or metabolic conditions that can explain Sx

Question 16

urge incontinence

Answer 16

can’t make it to bathroom in time

Question 17

things that can cause incontinence

Answer 17

DIAPPERS
delerium
infection
atrophic urethritis and vaginitis
pharmaceuticals
psychological disorders
excessive urine production
restricted mobility
stool impaction

Question 18

Dx of overactive bladder

Answer 18

Hx
PE
and UA

Question 19

definition of nocturia

Answer 19

wake up at night 1+ times to pee

Question 20

what bladder problems can cause nocturia

Answer 20

overactive bladder
neurogenic bladder
cystitis
bladder cancer