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

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

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

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

<p>Excessive physical exercise (A)</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 (A)</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 (D)</p> Signup and view all the answers

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

<p>CT scan evaluation (A)</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 (A)</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 (B)</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 (D)</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 (D)</p> Signup and view all the answers

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

<p>Vaginal surgery (C)</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 (B)</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 (D)</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 (D)</p> Signup and view all the answers

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

<p>Degree of prolapse (D)</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 (A)</p> Signup and view all the answers

Flashcards

Pelvic Organ Prolapse (POP)

The descent of one or more pelvic organs (like the vagina, uterus, or bladder) into the vagina.

Cystocele

Prolapse of the bladder into the anterior vaginal wall.

Rectocele

Prolapse of the rectum into the posterior vaginal wall.

Uterosacral ligaments

Connective tissue that supports the uterus and upper vagina.

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Pelvic floor muscles

Muscles that form the base of the pelvis, creating a support system for pelvic organs.

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Pelvic Organ Prolapse (POP)

A condition where pelvic organs (like the bladder, uterus, or rectum) shift from their normal positions and protrude into the vagina.

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Levator Ani Muscle Tone Loss

Weakening of the muscles supporting the pelvic organs, a major contributor to POP.

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Connective Tissue Support Damage

Damage or weakening of the tissues holding the pelvic organs in place, often related to aging or estrogen loss.

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Estrogen Decline (Menopause)

The decrease in estrogen levels, impacting collagen quality and muscle/tissue support in the pelvic floor.

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POP Symptoms (Bulge)

Sensation of vaginal bulging, protrusion, or a visible bulge in the vagina or perineum.

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Urinary Symptoms (POP)

Problems like incontinence, frequency, urgency, hesitation, feeling of incomplete emptying.

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Bowel Symptoms (POP)

Issues like incontinence, urgency to defecate, straining, incomplete emptying, or digital evacuation.

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POP Physical Exam

Checking for prolapse with external vagina/perineum inspection, Valsalva test, speculum exam (both anterior/posterior walls).

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POP-Q System

A system that measures the severity of pelvic organ prolapse.

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POP-Q Scoring

Measures the location and extent of each organ's prolapse.

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Expectant Management

Waiting to see if symptoms resolve or worsen without immediate treatment.

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Kegel Exercises

Exercises to strengthen pelvic floor muscles and improve support.

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Pessary

Device placed in the vagina to support sagging organs.

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Pelvic Floor Physical Therapy

Therapy with exercises, stretches, biofeedback to strengthen or relax pelvic floor muscles.

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Surgical Management

Repair procedures for POP, often vaginal approach.

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Stress Urinary Incontinence (SUI)

Leakage of urine with activities like coughing or lifting.

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