urogynae

Question 1

grades of pelvic prolapse

Answer 1

0- no prolapse with straining
1 - distal portion of prolapse >1cm above level of hymen
2 - distal portion 1cm below level of hymen
4 - complete eversion along the entire length of genital tract
procidentia - failure of genital supports and complete protrusion of uterus through the vagina.

Question 2

uterine prolapse - clinical features

Answer 2

• groin/back pain: stretching uterosacral ligs
• Ulceration/bleeding
• feeling of heaviness/pressure in the pelvis - worse: standing, lifting, straining, end of day. Relieved: lying down.
  +/- urinary incontinence

Question 3

UTerine prolapse - treatment

Answer 3

conservative - kegel, pv ring pessaries, topical oestrogen creams
surgical - vaginal hysterectomy + surg prevention of vault prolapse; additional procedures if incontinence, cystocele, rectocele (ant colporraphy)

Question 4

Urge incontinence Sx

Answer 4

-urgency
- frequency
-

Question 5

Stress incontinence Sx

Answer 5

• involuntary loss of urine with (coughing, sneezing)

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