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PELVIC ORGAN PROLAPSE, uterine prolapse , cystocele, rectocele, urethrocele, supports of uterus, sling surgeries, pessaries, grades of prolapse, uterine preserving surgery for pop, pelvic floor repair, vaginal hysterectomy, ward mayos surgery, pop q grading, grading of prolapse, laproscopic surgeries for prolapse, peregee, apogee , mesh repair, tot, tvt, colpo suspension, colpoclysis, SUI management, epidemiology of prolapse, decubitus ulcer, best ppt for pelvic organ prolapse, better understanding of pelvic organ prolapse and pelvic floor.
Pelvic organ prolapse
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OPERATIONS FOR NULLIPAROUS PROLAPSE AND VAGINAL VAULT PROLAPSE, Mob: 7289915430, www.drpradeepgarg.com
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PELVIC ORGAN PROLAPSE, uterine prolapse , cystocele, rectocele, urethrocele, supports of uterus, sling surgeries, pessaries, grades of prolapse, uterine preserving surgery for pop, pelvic floor repair, vaginal hysterectomy, ward mayos surgery, pop q grading, grading of prolapse, laproscopic surgeries for prolapse, peregee, apogee , mesh repair, tot, tvt, colpo suspension, colpoclysis, SUI management, epidemiology of prolapse, decubitus ulcer, best ppt for pelvic organ prolapse, better understanding of pelvic organ prolapse and pelvic floor.
Pelvic organ prolapse
Pelvic organ prolapse
dr. gokul reshmi mariappan
definition classification and management of POP
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Pelvic organ prolapse
Sourav Chowdhury
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Pelvic organ prolapse
Pelvic organ prolapse
yuyuricci
genital prolapse uterine prolapse cystocele rectocele urethrocele anterior middle posterior compartments management sacroclopopexy ward mayos repair fothergills repair urogynaecology vaginal hysterectomy perineorrhaphy anterior colpopexy mesh repair khannas sling procedure pessaries
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Pelvic organ prolapse
Pelvic organ prolapse
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Ureters are retroperitoneal structues which run anterior to psoas muscle and cross lateral to medial.4sites are prone where ureter can be injured and its management
Ureteric injuries in gynecological surgeries
Ureteric injuries in gynecological surgeries
Niranjan Chavan
OPERATIONS FOR NULLIPAROUS PROLAPSE AND VAGINAL VAULT PROLAPSE, Mob: 7289915430, www.drpradeepgarg.com
OPERATIONS FOR NULLIPAROUS PROLAPSE AND VAGINAL VAULT PROLAPSE, Mob: 7289915...
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PELVIC ORGAN PROLAPSE, uterine prolapse , cystocele, rectocele, urethrocele, supports of uterus, sling surgeries, pessaries, grades of prolapse, uterine preserving surgery for pop, pelvic floor repair, vaginal hysterectomy, ward mayos surgery, pop q grading, grading of prolapse, laproscopic surgeries for prolapse, peregee, apogee , mesh repair, tot, tvt, colpo suspension, colpoclysis, SUI management, epidemiology of prolapse, decubitus ulcer, best ppt for pelvic organ prolapse, better understanding of pelvic organ prolapse and pelvic floor. dr . m. gokul reshmi, dr. gokulreshmi m
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Pelvic organ prolapse Pelvic Organ Prolapse Most common gynaecological problem. Amongst parous women. A form of hernia. Anatomy of Uterus Anteversion and anteflexion position. Lies between rectum and bladder. Cervix pierces the vagina at the right angle to the axis of vagina. Supports of Uterus Uterus is held in position by 3 tier support system. Upper tier Middle tier Inferior tier. Upper tier Primarily, maintains the uterus in anteverted position. The structures responsible are: Endopelvic fascia. Round ligaments. Broad ligaments. Middle tier Constitutes the strongest support of uterus. Responsible structures are: Pericervical ring. Pelvic cellular tissues. Inferior tier Indirect support of uterus. Responsible structures are pelvic floor muscles including: Levator ani Endopelvic fascia Levator plate Perineal body Urogenital diaphragm Anatomical Factors Gravitational stress. Parturition stress. Pelvic floor weakness. Inherent weakness of supporting structures. Acquired Predisposing Factors Trauma of vaginal delivery causing injury : Ligaments Endopelvic fascia Levator muscle Perineal body Pudendal nerve and muscle damage due to repeated child birth. Congenital Predisposing Factors Inborn weakness of supporting structure. Aggravating factors Post menopausal atrophy Poor collagen tissue repair with age. Increased intra abdominal pressure. Occupational hazards Asthenia Obesity Fibroid/Polyp Clinical Degrees Of Uterine Prolapse Symptoms Feeling of something coming out per vaginum. Backache or dragging pain in pelvis Dyspareunia Urinary symptoms Bowel symptoms Clinical examination Inspection and palpation. General examination. Pelvic examination Uterine prolapse Management of Prolapse Preventive Conservative Surgery Preventive Measures Pelvic floor exercise during puerperium. Avoid strenuous activities. Avoiding prolonged cough. Avoiding constipation. Avoiding heavy weight lifting. Avoiding future pregnancy too early. Conservative Management Indications : Asymptomatic women Mild degree prolapse POP in early pregnancy Treatment : Oestrogen replacement therapy. Kegel exercise Pessary treatment Surgical Management of Prolapse Restorative Extirpative Obliterative
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Pelvic organ prolapse
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PELVIC ORGAN PROLAPSE
www.freelivedoctor.com
2.
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Fascial and Muscular
layers of the Pelvic Floor www.freelivedoctor.com
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Attachments of cardinal/uterosacral
ligaments www.freelivedoctor.com
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10.
External genital muscles
and the Urogenital diaphragm www.freelivedoctor.com
11.
12.
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Patient position for
evaluating pelvic floor defects www.freelivedoctor.com
17.
www.freelivedoctor.com
18.
19.
20.
21.
Evaluation of a
cystourethrocele www.freelivedoctor.com
22.
www.freelivedoctor.com
23.
24.
25.
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Evaluation of a
rectocele www.freelivedoctor.com
27.
28.
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Complete Uterovaginal procidentia
www.freelivedoctor.com
30.
Complete genital procidentia
www.freelivedoctor.com
31.
www.freelivedoctor.com
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