29 Questions
What is the purpose of using a pessary for a patient with uterine prolapse?
To manually reposition the uterus
What is the recommended frequency for cleaning and replacing a pessary?
Every 3-4 months
What is the definition of a rectocele?
Protrusion of the rectum into the vagina
What is the recommended surgical treatment for a completely prolapsed uterus?
Vaginal hysterectomy
What is the most common cause of uterine prolapse?
Trauma from childbirth
What is the definition of a retroversion of the uterus?
The uterus is aligned with the vagina and points towards the sacrum
What is the most common symptom of a cystocele?
Urinary urgency and incontinence
What is the recommended waiting period before attempting surgical repair of a vaginal fistula?
4-6 months
What is the purpose of performing a uterine suspension surgery?
To reposition a prolapsed uterus
What is the most severe form of uterine prolapse?
Severe prolapse where the entire cervix protrudes through the vaginal opening
What is the most common benign tumor of the female genital tract?
Leiomyomas
Which surgical intervention maintains fertility by removing uterine myomas while leaving the uterus in place?
Myomectomy
What is one of the risk factors associated with leiomyomas?
Obesity
What is the purpose of injecting embolic material into the uterine artery during uterine artery embolization?
To reduce blood flow to the tumor
What is a common clinical manifestation of leiomyomas?
Urinary frequency/urgency
Which medication is often given to shrink tumors before surgical intervention for leiomyomas?
Gonadotropin-releasing hormone agonist
What is the estimated reoccurrence rate of prolapse after surgical correction?
~20%
What dietary intake is associated with an increased risk of leiomyomas?
High intake of red meat and pork
What is the common name for anteroposterior colporrhaphy?
Bladder sling surgery
What is a vaginal fistula?
An abnormal opening between the vagina and another organ
What can cause a vaginal fistula?
All of the above
What is a urethrovaginal fistula?
An opening between the urethra and the vagina
What is a common clinical manifestation of a vaginal fistula?
Exudate with a distinct odor of urine or feces
What is a common symptom reported by patients with a vesicovaginal fistula?
Constant trickling of urine into the vagina
How can a rectovaginal fistula be recognized?
Feces and flatus entering the vagina
What is a diagnostic test that can be used to locate a vaginal fistula?
Methylene blue instillation in the bladder and IV pyelogram or cystoscopy
What is a conservative management option for smaller vaginal fistulas?
Transvaginal or transvesical application of a fibrin glue sealant
What type of diet is recommended for patients with vaginal fistulas?
High-protein, high-fiber diet
What is a potential surgical intervention for larger vaginal fistulas?
Urinary or bowel diversion (ostomy)
Explore the causes, development, and symptoms of vaginal fistulas, abnormal openings between the vagina and nearby organs. Learn about different types such as urethrovaginal, vesicovaginal, and rectovaginal fistulas and their clinical manifestations.
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