Pelvic Support Issues ppt
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Questions and Answers

What primarily maintains pelvic organ support?

  • Hormonal levels
  • Pelvic organ size
  • Skeletal structure alone
  • Interactions among pelvic floor muscles, connective tissue, and vaginal wall (correct)
  • Which of the following statements about pelvic organ prolapse is incorrect?

  • Cystocele refers to the descent of the anterior vaginal wall.
  • It can result in organs herniating into the vaginal space.
  • Apical prolapse involves the uterus or cervix.
  • It is solely caused by aging. (correct)
  • What anatomical structure plays a key role in suspending the upper and proximal vagina?

  • Arcus tendineus fascia pelvis
  • Perineal body
  • Uterosacral ligaments (correct)
  • Levator hiatus
  • Which level of vaginal support involves the perineal body and both superficial and deep perineal muscles?

    <p>Level 3</p> Signup and view all the answers

    What demographic group reports the highest prevalence of pelvic organ prolapse symptoms?

    <p>Women aged 70-79</p> Signup and view all the answers

    Which factor is least likely to contribute to pelvic organ prolapse?

    <p>Excessive physical exercise</p> Signup and view all the answers

    What is the purpose of a pessary in the management of pelvic organ prolapse?

    <p>To reduce the prolapse temporarily</p> Signup and view all the answers

    Which symptom is most closely associated with stage III pelvic organ prolapse in the POP-Q classification?

    <p>Organ protrudes out of the vagina</p> Signup and view all the answers

    Which type of physical examination is NOT part of assessing pelvic organ prolapse?

    <p>CT scan evaluation</p> Signup and view all the answers

    What is a common symptom that may indicate the need for surgical management of pelvic organ prolapse?

    <p>Dyspareunia</p> Signup and view all the answers

    Which of the following statements about the risk factors for pelvic organ prolapse is INCORRECT?

    <p>Obesity decreases the risk of prolapse</p> Signup and view all the answers

    During the assessment of POP using the POP-Q system, what does Stage I indicate?

    <p>Prolapse is more than 1 cm above the hymen</p> Signup and view all the answers

    What is a key benefit of pelvic floor physical therapy in treating POP?

    <p>It can strengthen or relax pelvic floor muscles</p> Signup and view all the answers

    Which surgical approach is most commonly preferred for repairing pelvic organ prolapse?

    <p>Vaginal surgery</p> Signup and view all the answers

    What might be an indicator to combine a stress urinary incontinence procedure with POP repair?

    <p>The patient currently presents with symptoms of SUI</p> Signup and view all the answers

    Which symptom is associated with a loss of quality and quantity of collagen due to estrogen deficiency?

    <p>Vaginal dryness</p> Signup and view all the answers

    Which study evaluated the outcomes of women undergoing vaginal surgery for POP with respect to mid-urethral sling placement?

    <p>OPUS trial</p> Signup and view all the answers

    What is typically assessed during the Valsalva maneuver in the evaluation of POP?

    <p>Degree of prolapse</p> Signup and view all the answers

    In the context of pelvic organ prolapse treatment, what role does Kegel exercise serve?

    <p>To strengthen pelvic floor muscles</p> Signup and view all the answers

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