Urinary Incontinence and Prolapse Flashcards

1
Q

The pelvic floor separates what?

A

Pelvic cavity from perineum

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2
Q

What are the three components of the pelvic floor?

A

Pelvic diaphragm
Muscles of perineal pouches
Perineal membrane

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3
Q

The pelvic diaphragm consists of two muscle groups. What are they?

A

Levator ani

Coccygeus

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4
Q

What is the appearance of the pelvic diaphragm?

A

Sling

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5
Q

What are the three parts of the levator ani?

A

Puborectalis (innermost)
Pubococcygeus
Iliococcygeus (outermost)

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6
Q

What nerves innervate the levator ani? What is the main nerve?

A

Pudendal nerve - main nerve

Nerve to levator ani

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7
Q

What structures provide additional support to the pelvis?

A

Endo-pelvic fascia

Pelvic ligaments

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8
Q

The deep perineal pouch lies between which structures?

A

Above the perineal membrane

Below the levator ani

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9
Q

What is contained within the deep perineal pouch?

A

Urethra (and vagina in females)
Bulbourethral gland
NVB for penis/clitoris

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10
Q

What is the last layer of passive support to the pelvic organs?

A

Perineal membrane

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11
Q

What is contained within the male superficial perineal pouch?

A

Root of penis (bulb/crua/associated muscles)
Spongy urethra
Superficial tranverse perineal muscle

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12
Q

What is contained within the bulb of the penis?

A

Corpus spongiosum

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13
Q

What is contained within the crura of the penis?

A

Corpus cavernosum

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14
Q

What muscles are found in the root of the penis and assist in erection/ejaculation?

A

Bulbospongiosus

Ischiocavernosus

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15
Q

What is found in the female superficial perineal pouch?

A

Female erectile tissue and associated muscle
Greater vestibular glands
Superficial transverse perineal muscle

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16
Q

The pelvic floor is normally tonically contracted. True/false?

A

True

17
Q

Give some functions of the pelvic floor

A

Provides support to pelvic organs

Maintains continence

18
Q

What is involved in a sacrospinous fixation?

A

Sutures are placed in the sacrospinous ligament

19
Q

What nerve is at risk in a sacrospinous fixation?

A

Pudendal nerve

20
Q

What is involved in incontinence surgery?

A

Mesh through obturator canal which creates sling around urethra