anterior repair is the repair of?
The anterior wall of the front of the vagina - sutures under the urethra stabilising it whilst coughing
Stress incontinence?
leakage with coughing due to weakness of the urethra and supports.
Urge incontinence?
leakage with urgency due to spasms of the detrusor muscle
What is urodynamics ?
measures the pressure inside bladder wall during filling
What is unstable bladder?
rhythmic contractions of the bladder muscle during filling.
if a patient leaks with cough or sneeze, I do an anterior repair, if the patient leaks with urgency, I send her to a urologist.
recommendation
what are pessaries used for?
manage prolapses
what surgical procedure is used for prolapse
anterior repair with or without hysterectomy
where is the sacrospinous ligament
ligament attached to ischial spine and lateral side of sacrum, coccyx
main function of the Pendundal artery and nerve
main nerve of perineum, sensation of external genitalia and skin around anus and perineum.
what are current prolapses managed with
vaginal mesh to strenghten the repair
what are the 3 types of urinary incontinence
- stress incontinence
-urge incontinence
-voiding dysfunction or incomplete emptying
classic features of stress incontinence
patient leaks when coughing, sneezing, laughing, running, lifting objects