Urinary incontinence + prolapses Flashcards

1
Q

Uterine prolapses:

  • Definition
  • Grades
  • Risk factors
  • Symptoms and signs
  • Assessment: hx, ex
  • DD (3)
  • Management - general, operative
  • Complications - of prolapse, of treatment
A

Uterine prolapses:

  • Definition: uterine prolapse
  • Grades
    1. uterus drops down and bulges into vagina
    2. reaches introtus
    3. protrudes out vagina
  • Risk factors : birth esp traumatic, pelvic surgery, obese, chronic cough, age
  • Symptoms and signs: heaviness/dragging, urin incontinence/luts, abdo pain, dysparinea, discharge, recurrent utis
  • Assessment: hx, ex
  • DD (3)
  • Management - general, operative
    General: pelvic floor weight ex, kegal ex, smoking for 3 months. Then pessary (BV, SUI, UTI)
    Operative: hysterectomy, vag mesh surgery
  • Complications - of prolapse, of treatment
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2
Q

FGM:

  • Definition + acts
  • Types
  • Risk factors
  • Management
  • Complications: acute, chronic
A

FGM:

  • Definition + acts
  • Types :
    1. remove clit
    2. remove clit + labia minora
    3. narrow orifice
    4. anything else
  • Risk factors
  • Management
  • Complications: acute, chronic
    acute: bleed, infection, pain
    chronic: psychological, urin retention, sexual dysfunction, infertility
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3
Q

Urinary incontinence:

  • Describe storage and voiding phase of micturition
  • Symptoms + types
  • Causes
  • Assessment: hx, ex, ix
  • Management
A

sui: tension free vag tape, burch colposuspension
uui: botulin inj

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4
Q

Atrophic vaginitis
- definition
- mx

A

Atrophic vaginitis
- definition: post meno women with dryness, dyspareunia, spotting, pale + dry appearance
- mx: vag lubricants, moisturisers, topical oest cream

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