Genitourinary Prolapse Flashcards Preview

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Flashcards in Genitourinary Prolapse Deck (82)
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1

What is a uterine prolapse?

When the female pelvic organs fall from their normal position into or through the vagina

2

What % of parous women are affected by pelvic organ prolapse?

40-60%

3

Why is the exact incidence of pelvic organ prolapse difficult to determine?

Many do not receive medical advice

4

What is a woman's lifetime risk of surgery for pelvic organ prolapse?

12-19%

5

What is the most common type of pelvic organ prolapse prolapse?

Prolapse of the anterior vaginal wall

6

What provides the main support for the pelvic organs?

- Levator ani muscle
- Endopelvic fascia

7

What is the endopelvic fascia?

A connective tissue network connecting the organs to the pelvic muscles and bones

8

What organs can be involved in a pelvic organ prolapse?

- Uterus
- Bladder
- Rectum
- Small or large bowel
- Vaginal vault

9

Where can the organs of a pelvic organ prolapse affect when they descend?

Anterior/posterior vaginal walls

10

What usually underlies most cases of pelvic organ prolapse?

Multifactorial causes

11

What can be involved in the multifactorial causes of pelvic organ prolapse?

- Direct muscle trauma
- Neuropathic injury
- Disruption or stretching of support

12

What different compartments of the pelvis can be affected by pelvic organ prolapse?

- Anterior
- Middle
- Posterior

13

What are the types of anterior compartment pelvic organ prolapse?

- Urethrocele
- Cystocele

14

What are the types of middle compartment pelvic organ prolapse?

- Uterine prolapse
- Vaginal vault prolapse
- Enterocele

15

What are the types of posterior compartment pelvic organ prolapse?

- Rectocele

16

Why do crabs make good burglars?

They're great at pinching things

17

What is a urethrocele?

Prolapse of the urethra into the vagina

18

What is a cystocele?

Prolapse of the bladder into the vagina

19

What is a uterine prolapse?

Descent of the uterus into the vagina

20

What is a vaginal vault prolapse?

Descent of the vaginal vault post-hysterectomy

21

What is an enterocele?

Herniation of the pouch of Douglas (including small intestine/omentum) into the vagina

22

What is a rectocele?

Prolapse of the rectum into the vagina

23

What system is used to grade pelvic organ prolapse?

POPQ system

24

What is the POPQ system?

Pelvic Organ Prolapse Quantification System

25

What is a Stage 0 POPQ pelvic organ prolapse?

No prolapse

26

What is a Stage 1 pelvic organ prolapse?

More than 1 cm above the hymen level

27

What is a Stage 2 pelvic organ prolapse?

Within 1 cm proximal/distal to the plane of the hymen

28

What is a Stage 3 pelvic organ prolapse?

More than 1cm below the plane of the hymen but no further than 2cm less than total length of the vagina

29

What is a Stage 4 pelvic organ prolapse?

Complete eversion of the vagina

30

What are the risk factors for pelvic organ prolapse?

- Increasing age
- Vaginal delivery
- Increasing parity
- Obesity
- Previous hysterectomy