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Pelvic Organ Prolapse - Coggle Diagram

- - - - Draggin sensation / heaviness
      - Feeling something coming down
      - Dyspareunia
      - Discomfort
    - - Urinary urgency and frequency
      - Incomplete bladder emptying
      - Urinary retenion / reduced flow when urethra kinked
    - - !. Constipation
      - Difficulty with defecation
- - - - Grade 0: Normal
      - Grade 1: The lowest part is more than 1cm above the introitus
      - Grade 2: The lowest part is within 1cm of the introitus (above or below)
      - Grade 3: The lowest part is more than 1cm below the introitus, but not fully descended
      - Grade 4: Full descent with eversion of the vagina
- - - - Fallout
      - Bleeding
      - Erosions
      - Infections
      - Treating complications
        
        Remove pessary + Topical oestrogen +/- antibiotics
    - - Ring and gel horn most common
        Depends on type of prolapse and sexual activity
    - - Anterior prolapes
      - Uterine prolapse
      - Not as useful for posterior wall prolapse
  - - - Indication: Anterior wall prolapse
      - Vaginal mesh - not in practice in IRE
    - - Indication: Posterior wlal prolapse
      - +/- perinorrhaphy
    - - Uterine prolapse
    - - McCall Culdoplasty most common type
    - - Indication: Previous hysterectomy and valt prolapse
      - Sacrospinous Fixation - not sexuallya ctive
    - - Non sexually active
      - Vaginal closure