Urogenital prolapse Flashcards
Define uterine prolapse.
Uterine prolapse is the loss of anatomical support for the uterus, typically surrounding the apex of the vagina. The anterior and/or posterior vaginal wall may also be involved.
What is the aetiology of uterine prolapse?
The aetiology is not totally understood.
What are risk factors for uterine prolapse?
Vaginal delivery
Older age
High BMI
Previous surgery for prolapse
Genetic factors
White ancestry
Summarise the epidemiology of uterine prolapse.
Common and increasing
What are signs and symptoms of uterine prolapse?
Vaginal protrusion/bulge
Sensation of vaginal pressure
Urinary incontinence
Constipation
What are investigations for urogenital prolapse?
Assessment of post-void residual urine (PVR) volume
Urinalysis
Urodynamics
What is the management for urogenital prolapse.
Nothing - Rehab with pelvic floor exercises
Medical - Pessary
Surgical:
- Sacrocolpopexy
- Uterosacral ligament suspension
- Sacrospinous ligament suspension
- Hysterectomy
What are complications of urogenital prolapse? What is the prognosis for urogenital prolapse?
Dyspareunia after posterior repair
Post-repair urinary incontinence
Faecal incontinence after posterior repair
Vaginal erosion
Urinary retention
Post-repair recurrent prolapse
Recurrence is not uncommon
