reproductive systems Flashcards
relevance of reproductive systems to PT
screening
scope (meds)
pelvic floor specialists
urology genital gone RED FLAGS
changes in bladder, bowel, sexual function
suprapubic or groin pain
prostate gland
stores and secretes alkaline fluid in urethra at ejaculation
4 zones of prostate gland
anterior (muscular)
central (muscular)
transition
peripheral
benign prostatic hyperplasia
proliferation > apoptosis
75% men > 50
BPH symptoms
hesistancy intermittent stream straining to void weak stream urgency frequent nocturne (falls risk)
clinical implication if BPH symptoms
urinary tract infection bladder wall changes renal failure death pelvic floor disuse
BPH diagnosis
symptoms
DRE
Cystoscopy
BPH Management
Meds
phytotherapeutics
surgical
physio
TURP
BPH surgical technique through urethra to reverse symptoms
Physiotherapy in BPH
Ask (pee lots, urgently , starting, empties, meds)
Refer
prostatitis /dynia
pelvic floor dysfunction
sitting pain
pain in penis and tests
painful ejaclation
prostatodynia / CPPS physiotherapy
screening
address pelvic floor
prostate cancer risk factors
>50 family history black red meat diet, low veggies obese, smoking
prostate cancer diagnosing
PSA screening (blood test) digital rectal exam
normal PSA levels
0-2.5 ng/ ML
prostate cancer management depends on
age health stage
speed of PSA doubling time
personal preference
prostate cancer management complications
incontinence, ED
Physio in Prostate Cancer
screening (red flags)
red flags prostate cancer
non mechanical mm pain
night waking
>50
red flags erectile dysfunction
changes in bladder, bowel, sexual function
no mechanical LBP, suprapubic/groin pain
Endometriosis
tissue outside the uterus, retrograde menstruation (blood flow up rather than out)
Endometriosis risk factors
postponed pregnancy
early menarche
shorter cycles
family
T/F extent of endo lesions does not incdicate extent of symptoms or pain in endometriosis
true
diagnosing endometriosis
MRI, laparoscopy
endometriosis medical management
NSAID, hormones, laparoscopy
endometriosis physiotherapy role
screening for non mechanical mm pain, can’t identify pain location
uterine fibroids
benign tumours of the uterus
uterine fibroids presentation
heaving bleeding between or during period consitipation urinary frequency / urgency stress incontenince nocturia
uterine fibroids physiotherapy treatment
screening for non mechanical pain
endometrial carcinoma predisposing
white
affluent
obese
endometrial carcinoma presentano
abnormal vaginal bleeding
endometrial carcinoma physiotherapy
screening for abnormal vaginal breathing, non mechanical lower extremity pain
cervical cancer presentation
HPV usually asmpyotmaic
change in menstrual bleed
cervical cancer presnation
monogamous sex
abstinence
vaccine
Pap smear
cervical cancer physiotherapy
screening
ovarian cancer risk factors
never breast fed
obese
protective factors ovarian cancer
childbirth and breast feeding
tubal ligation
ovarian cancer physiotherapy
screening for ab discomfort, pelvic pain swelling, constant , vaginal bleeding, fatigue, nausea , fever
ovarian cancer red flags
gait disturbance
dyspnea
weight loss
fatigue
pelvic organ prolapse risk factors
preg
obesity
chronic cough
high impact activity / athlete
pelvic organ prolapse presentation
vaginal pressure
difficult emptying
pelvic organ prolapse management
physiotherapy, pessary, surgery
pelvic organ prolapse physiotherapy
screening for non mechanical LBP, groin pain, increasing at end of day or with active, vaginal pressure, childbirth history
what can help in pelvic organ prolapse
pessaries hold things up
