UROGYNAECOL

OGY

–AN OVERVIEW
v30 -
60mL 1min urine collected @ bladder
•
mechanical - related •
Related the trig one area

y pressing on the bladder

→ dry → incontinence

-
to look for Hydro nephrosis . . .
Residual volume → ask Pt to drink then

pass urine
→ then scan for residual volume

→ it > 100mL → suggests abnormality ; NOT a dx

 may be damaged during natural birth
• pelvic floor

do pelvic floor exercise to prevent prolapse

↳ so , can ask Pt to

EHOW :
squeezing ( like shutting )

↳ pelvic floor muscles may be taxed TX :

surgical Tx s correction
of
so need to strengthen them
post -

delivery → may have continence dit contraction of sphincter

↳ so , do intermittent catheter nation

3 1

MEDICAL
2
TREATMENT

Mechanism of action of medications used in micturition problems

© AMBOSS
SURGICAL
 RMB /
cystocele
,
rectocele

✗ sometimes , bladder / rectum may

pulled down to -1
 → Pelvic floor damage → no
support → drops

1- ✗ : fix it back / REMOVE

 done from below
y
VAGINAL
HYSTERECTOMY

https://www.youtube.com/watch?
v=w2dtBfEpaV8&list=PLJMObJ5wCuycUmU8SsoOsbIOn9f3
8Zq5Y&index=76

Total
hysterectomy 1 ligaments are cut starting from up to down )

-
ovarian ligament → attach to the uterus

-
Round ligament → between the fundus

→ enters the inguinal canal to the labia

-
inter o pelvic ligament → attach to the pelvic wall

-
cardinal ligament , utero sacral ligament
Mesh-free anterior vaginal wall
repair

https://www.youtube.com/watch?v=zRidWQZ8f_0
POSTERIOR VAGINAL WALL
REPAIR

https://www.youtube.com/watch?v=N0FvbjyPecI