Prolapse and urinary incontinence Flashcards
to have a true hernia
peritoneum has to be there -
enterocele
bowel prolapse no uterus in place
some risk factors for pelvic floor prolapse
- vaginal child birth
- repetitive increase in intra-abdo pressure
- obesity
- pelvic neuropathy
4 ways to treat prolapse
expectant
pelvic floor exercise
pessary
surgery
Internal urethral sphincter is
IN voluntary
when there is involuntary loss of urine if abdo pressure exceeds closure pressure
stress incontinence
How well do pelvic floor exercises work for stress incontinence
80% of the time
2 types of surgery to treat stress incontinence
- midurethral sling
retropubic urethropexy
An overactive bladder is a problem with which muscle
detrusor!
what is the frequency of an overactive bladder
8 or more in 24 hours - urgency, and involuntary loss after an urge
DDx of an overactive bladder
UTI bladder tumor stones overflow incontinence fistulae interstitial cystisis - pain syndrome
what is the workup for an overactive bladder
r/o cancer r/o incomplete emptying - neurologic thyroid dysfunction diabetes disc disease life style
risk factors for an overactive bladder are
age
family hX
treatment of an overactive bladder
lifestyle local vaginal estrogen anti-muscarinincs beta-3 agonists botox - relaxes bladder neurostimulation peripheral nerve stimulation
