Week 6 Flashcards
degrees of prolapse
1st degree (in vagina),
2nd degree (at interiotus),
3rd degree (outside vagina)
Procidentia (entirely outside vagina)
baden walker halfway system
grade 0 - no prolapse
grade 1 - halfway to hymen
grade 2 - to hymen
grade 3 - halfway past hymen
grade 4 - maximum descent
prolapse reconstructive surgery approaches
laparoscopic approach
vaginal approach
risk factors of prolapse
- women
- older age
- obesity
- smoking (chronic cough)
- other problems: constipation, heavy lifting, COPD, family history of weakness in connective tissue (Marfan’s syndrome, Ehrler’s-danlos syndrome)
- being hispanic, indian or white
- prior pelvic surgery
what urinary problems are associated with prolapse
urine leakage (incontinence) or urine retention
anterior prolapse symptoms
- bulging
- pressure
- “mass”
- difficulty voiding
- incomplete emptying
- splinting vaginal wall
- difficulty inserting tampon
- pain with intercourse.
posterior prolapse (rectocele) symptoms
- bulging
- pressure
- “mass”
- difficulty defecation
- incomplete defecation
- splinting vaginal wall or perineum
- difficulty inserting tampon.
Vaginal vault prolapse/ Enterocele (Middle/Apical) symptoms
- bulging
- pressure
- “mass”
- difficulty voiding
- incomplete emptying
- splinting vaginal wall
- difficulty inserting tampon
- pain with intercourse.
uterine prolapse stage 1
the uterus is in the upper half of the vagina
uterine prolapse stage 2
the uterus has descended nearly to the opening of the vagina
uterine prolapse stage 3
the uterus protrudes out of the vagina
uterine prolapse stage 4
the uterus is completely out of the vagina
spectrum of treatments for pelvic organ prolapse
- lifestyle advice
- pelvic floor physio
- vaginal pessaries
- reconstructive surgery
what is Colpocliesis
closure of vagina
treats prolapse
used in older women who aren’t sexually active
