-Cystocele-
-Cystocele is a hernia of the anterior vaginal wall that is associated with decent of the bladder
-Risk factors for cystocele include parity, advancing age, and obesity
-Hysterectomy may be associated with an increase risk of cystocele
-Chronic constipation can increase the risk for cystocele
-Clinical symptoms may include: bulge, vaginal pressure, sexual dysfunction, and urinary and defecation problems
-Treatment is indicated for women with symptoms of prolapse. Asymptomatic cystocele is not an indication for treatment
-Surgical correction is definitive therapy
-Uterine Prolapse-
-Apical prolapse is descent to the cervix, uterus or vaginal vault
-Apical vaginal prolapse is descent of the vaginal cuff scar or cervix, below a point which is 2 cm less than the total vaginal length about the plane of the hymen.
-Risk factors for development include: parity, obesity, chronic constipation, hysterectomy, and advancing age
-Indications for surgical correction are those who are symptomatic and can tolerate surgical repair
-Rectocele-
-Rectocele is anterior protrusion of the rectum, usually into the vagina.
-The diagnosis of this is make of pelvic examination
-Risk factors for rectocele include: vaginal childbirth, advancing age, and increasing body mass index
-Treatment is surgical correction definitively
No comments:
Post a Comment