Please enable JavaScript.
Coggle requires JavaScript to display documents.
gynecology_2.2_pelvic organ prolapse (history (compartment (posterior…
gynecology_2.2_pelvic organ prolapse
investigations
(transperineal USG)
urodynamic study
history
prolapse kinks urethra, masks occult stress incontinence
compartment
posterior compartment
pain, digital assistance, anal incontinence
middle/apical compartment
anterior compartment
hesitency, straining, intermittency, terminal dribbling, incomplete emptying
(protrusion, dragging sensation, dyspareunia) prolapse
physical examination
lithotomy position
(prolapse) (ulcer/laceration/discharge) (cough/Valsalva: stress incontinence)
Sim speculum
compartment
bimanual examiantion
(uterus) (adnexal mass) (vaginal ring pessary: distance between pubic symphysis, posterior fornix)
vaginal ring pessary
complications
(urinary retention, infection, ulcer/bleeding)
indications
(mild) (x complete family) (unfit for surgery) (waiting for surgery)
distance between pubic symphysis and posterior fornix
6 months
anterior compartment
(anterior colporrhaphy) (anterior vaginal mesh)
middle/apical compartment
(young: sacrocolpopexy) (stage 3/4: sacrospinous ligament fixation SSLF) (conserve uterus: hysterocolposacropexy)
posterior compartment
(posterior colporrhaphy)
surgery
compartment
pelvic floor repair
old, fragile, need surgery
colpoclesis
uterine prolapse
vaginal hysterectomy
behavioral modification
voiding habit
weight reduction
cough (lung/smoking)
pelvic floor exericse
prolapse
protrusion of an organ beyond the normal anatomical confines
posterior compartment
rectocele
stage 4
leave less than or equal to 2 cm (total vaginal length - 2 cm)
middle/apical compartment
uterine prolapse, vault prolapse
stage 3
1 cm below hymen
anterior compartment
cystocele, urethrocele
stage 2
1 cm above/below hymen
stage 1
1 cm above hymen
stage 0
normal
POP-Q pelvic organ prolapse quantification system
causes
trauma
childbirth
loss of estrogen
ageing
intra-abdominal pressure