Notes in OG7.7 Pelvic Organ Prolapse

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Published	10/04/2024	Cystourethrocele and cystoceles are types of {{c1::anterior}} vaginal prolapse
Published	10/04/2024	Uterovaginal prolapse and vaginal vault prolapse (post-hysterectomy) are forms of {{c1::apical }} vaginal prolapse
Published	10/04/2024	Rectocele and enterocele are forms of {{c1::posterior}} vaginal prolapse
Published	10/04/2024	The cardinal and uterosacral ligaments are formed by condensation of the {{c1::endopelvic}} fascia
Published	10/04/2024	The {{c1::cardinal }} and {{c1::uterosacral }} ligaments suspend the uterus and upper vagina to the sacrum and lateral pelvic side…
Published	10/04/2024	The {{c1::cardinal }} and {{c1::uterosacral }} ligaments are the most important ligaments for support
Published	10/04/2024	Paravaginal attachments along the length of the vagina anchor the vagina to the superior fascia of the {{c1::levator ani}} muscles
Published	10/04/2024	The {{c1::perineal body }}, {{c1::perineal membrane }} and {{c1::superficial and deep perineal muscles }} support the di…
Published	10/04/2024	The {{c1::broad ligament }} helps maintain vaginal anteversion
Published	10/04/2024	A {{c1::cystocele}} refers to the bulging or descent of the bladder into the upper vaginal wall
Published	10/04/2024	A {{c1::urethrocoele }} occurs with descent of the urethra and bladder neck
Published	10/04/2024	Cystocele and urethrocoele are associated with {{c1::stress }} urinary incontinence and urinary retention from urinary kinking
Published	10/04/2024	Apical vaginal prolapse is classified according to the {{c1::POPQ}} criteria.
Published	10/04/2024	POPQ criteria for apical vaginal prolpase:Stage 1 → {{c1::Prolapse remains > 1 cm above hymenal remnants}}
Published	10/04/2024	POPQ criteria for apical vaginal prolpase:Stage 2 → {{c1::Prolapse descends into the introitus (1 cm above to 1 cm below the hymenal remnants)}}
Published	10/04/2024	POPQ criteria for apical vaginal prolpase:Stage 3 → {{c1::Descends > 1 cm past the hymenal remnants}}
Published	10/04/2024	POPQ criteria for apical vaginal prolpase:Stage 4 → {{c1::complete uterine procidentia}}
Published	10/04/2024	Vaginal vault prolapse has a {{c1::↑}} recurrence rate
Published	10/04/2024	Abdominal repair of vaginal vault prolapse is done via {{c1::sacrocolpopexy }}
Published	10/04/2024	Vaginal repair of vaginal vault prolapse is done via {{c1::sacrospinous or uterosacral ligament fixation}}
Published	10/04/2024	{{c1::Rectocele }} is a prolapse of lower posterior vaginal wall usually containing the rectum
Published	10/04/2024	{{c1::Enterocele }} is a prolapse of the upper posterior vaginal wall, usually involving the pouch of douglas and loops of bowel
Published	10/04/2024	Splinting (need to place manual pressure on the vagina, rectum, or perineum to defecate), constipation and fecal incontinence is usually a symptom of&…
Published	10/04/2024	Posterior vaginal prolapse is staged using the {{c1::POPQ}} system
Published	10/04/2024	Patient has sensation of something coming down, lower back and pelvic pain that is worse with prolonged standing and late in the day, as well as stres…
Published	10/04/2024	Most common bowel symptoms of pelvic organ prolapse → {{c1::constipation}} and {{c1::incomplete voiding }}
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