Urogynecology Lecture Powerpoint Flashcards
kill me nao
LH and FSH aren’t useful to determine what part of a cycle a woman is in because they are all over the place, unless….
…they are >40 or >30 respectively, this implies menopause
High prolactin levels indicates…
…possible prolactin tumor
Anterior cul de sac
A potential space formed by peritoneum between the uterus and bladder, parallelling the sac of douglas between the rectum and uterus
Most common cause of pelvic relaxation
Childbirth
Pelvic relaxation
Descent or prolapse of one or more pelvic vicera thru a defect in the pelvic floor
Assessment for a cystocele or rectocele on PE
Pop top of speculum off, put bottom part in and have patient bare down, if you can see bulge than cysto or rectocele is likely
Introitus
Opening of the vaginal canal
Lymphatic drainage of ovaries, uterus, and upper vagina
Goes toward the back following the ovarian artery presumably, thus presents as back pain
Lymphatic drainage of Perineum, lower vagina
Inguinal following along the vertical and horizontal chains
Urethral carbuncle
Protrusion of the urethra outside the vulva
4 types of incontinence and a brief explanation
1) urethral sphincter - small spurts of urine lost with increase in intrabodominal pressure
2) Genuine stress incontinence - due to trauma, prolapse
3) detrusor instability/urge incontinence - unhibited stimulation of detrusor muscle resulting in losing urine from the bladder
3) overflow incontinence - small quantities of urine loss as the bladder overflows, due to reduced sensation of a full bladder
Treatment for incontinence
Kegels, estrogen, botchulinum toxin, surgery
Interstitial cystitis
Inflammation of the mucus of the bladder causing increased sensitivity and pain not due to infection or cancer
Interstitial cystitis is a…
…diagnosis of exclusion
DMSO
Therapeutic treatment for interstitial cystitis involving instillation of 50% dimethyl sulfoxide into bladder and then draining it out after 30 min period
