urogenital aging, prolapse, incontinence Flashcards
1
Q
what is pelvic organ prolapse
A
loss of support of uterus, bladder and bowel
2
Q
what is involved in pelvic floor support
A
- bony pelvis
2. connective tissue
3
Q
what is involvd in active support
A
- muscles
2. nerves ( pudendal, sacral)
4
Q
4 things that can prolapse
A
- bladder - cystocoele
- uterus
- rectum - rectocoele
- small bowel and peritoneal
5
Q
risk factors for prolapse
A
- pelvic floor relaxation (childbirth, chronic strain)
- congential
- genetics
- obesity
- pelvic neuropathy
- iatrogenic
- age
6
Q
4 treatments
A
- expectant
- pelvic floor exercise - not sure it help
- pessary - often interim
- surgery
7
Q
2 funct. of bladder
A
- store
2. excrete
8
Q
def. stress incontinence
A
loss of urine when abdo pressure xceeds urethral closing pressure
9
Q
4 risks for stress incontinence
A
- age
- vag. child birth
- obesity
- chronic pelvic strain
10
Q
4 treatments
A
- expectant
- pelvic floor exercise - 60%
- pessary - often interim
- surgery - sling
11
Q
3 Sx of overactive bladder (detruser prob)
A
- freq
- urgency
- urge incontinence
12
Q
Ddx for overactive bladder (6)
A
- UTI
- bladder tumor
- stones
- overflow incont
- fistulae
- IC
13
Q
6 workups for overactive bladder
A
- RO CA
- RO incomplete emptying
- thyroid dys
- diabetes
- disc disease
- lifestyle
14
Q
2 risk factors for overactive bladder
A
- age
2. fam Hx
15
Q
6 treatments of overactive bladder
A
- lifestyle!!!
- local vag. est
- meds
- botox
- physio
- neurostim
