tailieunhanh - Uterovaginal prolapse200 200 2DQ 201Clinical Differentia 1 diagnosis Investigations Treiitment202

Uterovaginal prolapse 200 200 2DQ 201 Clinical Differentia 1 diagnosis Investigations Treiitment 202 202 202 203 Prevalence Grading O V E R V I E W 'USerDvaginalprolap£fi^ffireinelviiniyimon,1Alinane&lirrh3lbd11 per cent of wnmpn undergoing 01 least one operation Ihe use of pessaries, but surgery is Ihe most appropnatc option for the physically IIF i is. termed prot Definition A prolapse is 5 protruaion r-f jn urgan or bevond ill normal confines iFig. ) Pmlipqej arc classified according lo iht-ir location and ihe organs contained within them. Prevalence It is estimated thai prolapse effects 12-30 per tent . | i ii Uterovaginal prolapse 200 Prevalence 200 Grading 2DQ -H 201 Clinical 202 Differentia1 diagnosis 202 Investigations 202 Treiitment 203 Figure ah OVERVIEW USerDvaginalprolap fiAffireinelviiniyimon 1Alinane lirrh3lbd11 per cent of wnmpn undergoing 01 least one operation ii- Ihe use of pessaries but surgery is Ihe most appropnatc option for the physically IIF i descent from d lune . is. termed prot riied by cyslonrcrhr. I. Aetio ogy Definition A prolapse is 5 protruaion r-f jn urgan or I Iii i . bevond ill normal confines iFig. Pmlipqej arc classified according lo iht-ir location and ihe organs contained within them. Glass IN cat an It is estimated thai prolapse effects 12-30 per tent cnuhipflrous and 2 percent of nulliparDusvroiiienJ Ihe UK dpproximnL dy 30 000 prolapse operations x performed each year and in the USA ihe number 400 000. A wc-niHE has. an 11 per cent litelivne risk t having an operation for prolapse The connective risiiUi fOpply arevkalforJ jftKic si nidi res. ant child bii tli jp .-. ion Iiective tissue Jcfo JcttoJilgy of prolapse J Congenita Anteriorvaginalwall Urethroctle ureth l rr Cvstncele bisrtơer cescsn1 CystuurethrDcele descAnlol bladderAnd ureihra Posterior vaginal wall prolapse h jr If reclal dewtinl 5 mall bowel Oestanl Apical vaginal prolajise Ute OvagliBl uleiinedescentftiln- inversion I Tihr. apex Vault post-hysterectomy inversion of vaginal apex Grading Three degrees ol prolapse are described jnd loAtil or mosl dependent portion of the piolaps assessed whilst hi- patient 15 straming 1 descent within the vagina 2nd descent to Ihe inti oituA 3rd destem oulsidu ihe introitus. In tlie case of uternvAginal prolapse lie m dependent portion nf the proLpse t ihe cervix . ii-iui L xjminatujn can dil l ei entiale utero -vfrj Two per cejil oiivmij lipíiưtis women. intpi eejiiial Wiidkti-genital nmiansr suggesting genetic diffi CHililhjjihanclrais pressure C single major lai .