Pelvic Organ Prolapse (POP) Overview
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Questions and Answers

What is the main cause of pelvic organ prolapse (POP)?

  • Constipation
  • Age (correct)
  • Anteflexed position of the uterus
  • Chronic cough
  • Which of the following is not considered as one of the main supports of pelvic organs?

  • Rectal fascia
  • Endopelvic Fascia
  • Uterine ligaments
  • Abdominal muscles (correct)
  • Which factor significantly increases the incidence of pelvic organ prolapse (POP)?

  • Repetitive heavy lifting
  • A sedentary lifestyle
  • Obesity
  • Repeated vaginal deliveries (correct)
  • What is the most important support of the uterus?

    <p>Mockenrodt's ligaments (C)</p> Signup and view all the answers

    What position of the uterus helps in preventing its downwards descent during increased intraabdominal pressure?

    <p>Anteflexed position (B)</p> Signup and view all the answers

    What percentage of women does pelvic organ prolapse (POP) occur in?

    <p>12-30% (B)</p> Signup and view all the answers

    What is the main predisposing factor for Pelvic Organ Prolapse (PoP)?

    <p>Weakness of the pelvic organs support (D)</p> Signup and view all the answers

    Which ligament spreads from the sacrum posteriorly to the back of the supra vaginal part of the cervix?

    <p>Uterosacral ligaments (C)</p> Signup and view all the answers

    What is the primary function of the pubo-coccygeus muscle?

    <p>Supporting the uterus (B)</p> Signup and view all the answers

    Where does the external cervical os normally lie in cases of 2nd degree uterine prolapse?

    <p>Reaches or slightly protrudes outside the introitus (D)</p> Signup and view all the answers

    What is the term for descent of the blind ended vaginal apex after hysterectomy?

    <p>Vault prolapse (C)</p> Signup and view all the answers

    What is the most frequently encountered risk factor for Pelvic Organ Prolapse (PoP)?

    <p>Difficult labor with oversized fetus (A)</p> Signup and view all the answers

    What is the term used for descent of urethra and uppermost 2-3 cm of attached vagina in the anterior compartment?

    <p>Urerthrocele (D)</p> Signup and view all the answers

    'Procidentia' refers to which degree of uterine prolapse?

    <p>3rd Degree (B)</p> Signup and view all the answers

    'Enterocele' involves descent of which part of the posterior vaginal wall?

    <p>Upper 1/3 (B)</p> Signup and view all the answers

    Flashcards

    Age and POP

    The declining elasticity of pelvic floor muscles and ligaments due to age weakens support, leading to organ descent.

    Abdominal Muscles and POP

    The abdominal muscles predominantly contribute to core strength and stability, but the muscles surrounding the pelvic floor (pelvic diaphragm) provide direct structural support to the pelvic organs.

    Vaginal Births and POP

    Repeated vaginal deliveries, especially those involving large babies or prolonged labor, can cause stretching and weakening of pelvic floor muscles and ligaments, increasing the risk of POP.

    Mockenrodt's Ligaments

    Mockenrodt's ligaments are strong fibrous bands connecting the cervix to the pelvic wall, acting as the primary anchoring point for the uterus.

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    Uterine Anteflexion and POP

    An anteflexed position implies the uterus being bent forward, keeping the cervix in a position where it's less likely to descend under pressure.

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    Prevalence of POP

    Pelvic organ prolapse (POP) affects a significant number of women, impacting their quality of life.

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    Predisposing Factor for POP

    Weakened pelvic floor muscles and ligaments are the primary reason for organ descent, making it the main predisposing factor for POP.

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    Uterosacral Ligaments

    The uterosacral ligaments run from the sacrum (back bone area) to the cervix, providing posterior support for the uterus.

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    Pubo-coccygeus Muscle Function

    Pubo-coccygeus muscle, a key part of the pelvic floor, directly supports the uterus and prevents its downward movement.

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    2nd Degree Uterine Prolapse

    In 2nd degree POP, the cervical opening extends to or near the vaginal opening.

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    Vault Prolapse

    Vault prolapse occurs after hysterectomy, when the top part of the vagina (vault) descends due to weakened support.

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    Difficult Labor and POP

    Difficult childbirth with a large baby puts immense pressure on the pelvic floor, making it a major factor in POP development.

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    Urethrocele

    Urethrocele involves the urethra and part of the vagina descending, causing dysfunction and possible urinary issues.

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    Procidentia

    The most severe form of uterine prolapse, where the uterus fully protrudes outside the vaginal opening.

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    Enterocele

    Enterocele occurs when the upper part of the posterior vaginal wall descends, creating a bulging sac that may involve the intestine.

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