Gynecology Pelvic Relaxation

Cause/etiology

menopause (hormonal, atrophy and aton of tissue)

childbirth (trauma)

Types of relaxation

cystocele, urethrocele

rectocele

enterocele (small intestines)

uterine prolapse or procidentia

Cystocele

herniation of the bladder into the anterior wall of the vaginal canal

• S/S: pelvic/vaginal pressure, UTI, fullness, painful intercourse (dyspareunia), dysuria

Urethrocele

prolapse of the urethra into the anterior vaginal wall

• S/S: pelvic/vaginal pressure, UTI, fullness, painful intercourse (dyspareunia), dysuria, stress incontinence

Rectocele

herniation of lower rectum through the posterior wall of the vaginal wall

• S/S: vaginal pressure/discomfort, protrusion coming from the posterior wall, constipation, difficulty evacuating rectum, dyspareunia

Enterocele

prolapse of the small intesting through the posterior aspect of the vagina cul de sac of douglas

Procidentia

prolapse of the uterus into the vaginal canal

• S/S: pelvic pressure, painless, dyspareunia

three degrees:

• first: ½ way into the vaginal canal

• second: cervix is out of the vaginal canal

• third: complete prolapse, uterus is outside of the body

treatments: pressaries