Pelvic Relaxation

what is the most common indication indication for a hysterectomy in women over 55?

pelvic floor relaxation

what supports the pelvic floor?

muscles, fascia and ligaments

what does pelvic prolapse lead to?

symptoms of pressure, fullness, urinary and or fecal incontience

what is the etiology of pelvic relaxation?

menopause and childbiry

what is cystocele?

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

what is urethrocele?

prolapse of the urethra into anterior vagina wall

what are symptoms of cystocele and urethrocele?

pelvic or vaginal pressure, dyspareunia, urinary stress incontinence, difficulty emptying the bladder or frequent UTI

what is rectocele?

herniation of lower rectum thru posterior wall of vagina wall

what are rectocele symptoms?

vaginal pressure or discomfort, protrusion coming from posterior wall, constipation, difficulty evacuating rectum, dyspareunia

what is enterocele?

prolapse of the small intestine thru posterior aspect of the vagina cul de sac of douglas

what is procidentia?

prolaspe of uterus into the vaginal canal

what is a first degree procidentia?

half way into the vagina canal

what is a second degree procidentia?

cervix is out of vaginal canal

what is a third degree procidentia?

complete prolapse, uterus is outside of body

what are S&S of procidentia?

pelvic pressure, painless, dyspareunia

what is pessaries?

device that presses against the walls of the vagina and retained by tissues of vaginal outlet