Women’s Health: Gyn Abnormalities Summary Questions with Answers 2023/2024

What are the types of pelvic organ prolapse? - ***- cystocele - uterine prolapse - rectocele what is a common condition involving the pelvic organ? - ***pelvic organ prolapse (POP) what is pelvic organ prolapse? - ***the herniation of the pelvic organs to or beyond the vaginal walls many patients with prolapse experience symptoms that impact - ***- daily activities - sexual function - exercise what population has a greater chance of pelvic organ prolapse? - ***aging population what are risk factors for pelvic organ prolapse? - ***- parity - subtle increase after two deliveries - advancing age - obesity what are clinical manifestations of pelvic organ prolapse? - ***- feelings of a bulge or pressure - advanced anterior or apical prolapse may "kink" urethra resulting in obstructed voiding, splinting - difficulty defecating how is pelvic organ prolapse diagnosed? - ***clinically what are the stages of prolapse? - ***1st degree- descent of cervix in the vagina 2nd degree- descent of the cervix in the introitus 3rd degree- descent of cervix outside the introitus procidentia- all of the uterus is outside the introitus what is a cystocele? - ***herniation of the bladder into the vagina what is a rectocele? - ***herniation of the rectum into the vagina what are treatments for conservative prolapse? - ***kegel exercises what are the two most common types of urinary incontinence? - ***- stress incontinence - urge incontinence What is stress urinary incontinence? - ***loss of urine with physical exertion what is urge urinary incontinence? - ***involuntary leakage of urine associated with a sudden compelling desire to void what is an overactive bladder? - ***urinary urgency accompanied by frequency and nocturia, with or without urge incontinence, in the absence or UTI or other pathology what is the most common coping mechanism for urinary incontinence? - ***use of pads what is stress urinary incontinence treatment? - ***PT (kegels) —> surgery what is overactive bladder treatment? - ***dietary recommendations —> meds: myrbetrias or anticholinergic (Vesicare, Detrol)——> bladder boto