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Pelvic Organ Prolapse PowerPoint Presentation

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Description : Check out this medical PowerPoint presentation titled "PELVIC ORGAN PROLAPSE".

This medical PowerPoint presentation talks about Pelvic organ prolapse (POP).

Pelvic organ prolapse (POP) occurs when the pelvic organs (such as the uterus, bladder, or rectum) descend from their normal position and bulge into or outside the vagina. This is typically caused by weakened or damaged pelvic muscles and connective tissues that support these organs. Pelvic organ prolapse is more common in women who have had multiple vaginal births, who have gone through menopause, or who have a history of heavy lifting or chronic coughing.

Symptoms of pelvic organ prolapse may include a feeling of pressure or fullness in the pelvic area, discomfort during intercourse, difficulty urinating or having a bowel movement, and even visible bulging of the organs through the vaginal opening. Treatment options may include pelvic floor exercises, the use of a pessary (a device that helps support the organs), and surgery in more severe cases. Its important to consult with a healthcare provider if you suspect you have pelvic organ prolapse, as early intervention can help prevent further progression and improve quality of life.

Tags : Pelvic organ prolapse, pelvic organs, uterus, bladder, rectum, vagina, surgery, surgery PowerPoint presentation

Published on : Mar 28, 2023 | Views : 1530 | Downloads : 1

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PELVIC ORGAN PROLAPSE Dr. Hazem Al-Mandeel 481 GYN Department of Obstetrics & Gynecology
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Objectives To define pelvic organ prolapse Recognize pelvic anatomy Determine the Pathophysiology Discuss the predisposing factors Understand the grading systems Be aware of the options of management
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Pelvic Organ Prolapse Is the descent of the pelvic organs as a result of the loss of muscular and fascial structural support .
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Anatomic Supports Muscular : Levator Ani (Pelvic Floor Ms.) Ligaments : Uterosacral-Cardinal Complex Fascial : Endopelvic (Pubocervical & Rectovaginal)
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Levator Ani Major structure of pelvic floor Anterior/posterior orientation Perforated by urogenital hiatus Consists of : Pubococcygeus Iliococygeus Puborectalis Coccygeus
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Endopelvic Fascia Fibromuscular layer Local condensations are ligaments Principal ligaments are Uterosacral Cardinal Pubocervical and Rectovaginal Fascia important in specific surgical correction
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Pathophysiology Direct Trauma to pelvic soft tissues Neurological injury Connective tissue disorders
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Predisposing Factors Hereditary (genetic) predisposition Race: White > Black > Asian Pregnancy and Vaginal Childbirth Age and Menopause Raised intra-abdominal pressure (e.g.: obesity, cough, constipation, lifting, etc) Iatrogenic: surgical procedure
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Types of Pelvic Organ Prolaopse 1. Urethra 2. Bladder 3. Uterus/ Vaginal Vault 4. Small Bowel 5. Rectum 6. Perineum
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Compartments Anterior : Cystocele Urethrocele Middle : Uterine prolapse Enterocele/vault prolapse Posterior : Rectocele Rectal prolapse
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Classification of Prolapse Baden Walker (1972) Each site graded from 1 – 4 POPQ: quantifies using specific points Measured relation to the hymenal ring More widely used
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Symptoms of Prolapse Pelvic pressure Pelvic pain Feeling of a “lump” Back pain Urinary dysfunction Bowel dysfunction
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Complications of Prolapse Bleeding Infection Recurrent UTI’s Urinary obstruction Renal failure
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Associated conditions Urinary Incontinence : Stress Urge Mixed Fecal Incontinence : sphincter injury
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Options of Management No Treatment ( pelvic floor exercise) Conservative: such as Physiotherapy or Pessary Surgical Treatment
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Aims of prolapse surgery Alleviate symptoms Restore normal anatomy Restore normal visceral function Avoid new bladder or bowel symptoms Preserve sexual function Avoid surgical complications
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Conclusions Pelvic organ prolapse is common Results from injury to soft tissue and nerves Childbirth most significant association Treatment requires understanding of anatomic relationships Treated with a combination of physio/pessary and often complex surgery