PPT-Contemporary Management of incontinence and prolapse

Joseph Costa DO FMPRS Associate Professor of Surgery Interim Chairman Department of Surgery University of Florida College of Medicine Jacksonville Learning objectives   Distinguish unique characteristics of current medications for over active bladder . MBBS. PhD. FRANZCOG. Obstetrician and Gynaecologist. CVOGS. ABC of prolapse and incontinence. A New Approach to Managing Atrophic Vaginitis . Urinary Incontinence. Definition: . Involuntary urine leakage during activity (effort/exertion).. Katrina Marie D. Soto. General Data. G.S.. 63 year old. G3P3 (3003). Married. Roman Catholic. Housewife. Introital. mass. Chief Complaint. Past Medical History. No . comorbids. (hypertension, DM, Asthma, COPD). Urthrocele. Lower . anterior. . vaginal wall. Involving . urethra. . only. Cystocele. Upper . anterior. . vaginal wall. Involving . bladder. Urethrocystocele. As above with associated prolapse of . Why should we be interested?. Common problem. Can be iatrogenic. Results . of surgery frequently imperfect. C. an . have an adverse effect on quality of . life. Significant . cost for the Society. Common medical problem that is under-reported to physicians. Department of Geriatric Medicine . John A. Burns School of Medicine. July 12, 2017. Case. Mrs. Kim is a 65 year old lady who works at the perfume shop at the mall. She reports slight leakage of urine for more than 10 years that has now become much worse in the last 3 months. She has to change her underwear every 2-3 hours when she is up and around. . Dott.ssa Ester Illiano. Università di Perugia. Definition. Coital . incontinence is defined as . “. complaint . of involuntary loss of urine during . coitus. ” . according . to . the . International . Duc. M. Vo, MD. Northwest Surgical Specialists. Disclosures. none. Outline. Definition. Etiologies. Exam findings. Additional testing. Medical management. Surgical options. What is fecal . incontinence?. :- . Descent of an organ beyond its normal confines.. Classification. :- 1. Anterior vaginal wall prolapse:- a. Urethrocele:- . Urethral descent. . Dr. . Methal. A. . Alrubaie. Assistant professor. Department of Gynecology& Obstetrics. Objectives. What is the definition of genital prolapse.. How we classify this condition.. How frequent genital prolapse affect the women.. 1. Pelvic organ prolapse (POP). 2. Pelvic organ prolapse (POP). Definition. Decent of one or more of the pelvic organs (uterus, urinary bladder, urethra, rectum , and loops of bowel), downwards into the vagina.. Dr . mansooreh. . yaraghi. Fellowship of pelvic floor. INTRODUCTION:. Prevalence. In older women:17 to 55 %. Younger and middle-aged women: 12 to 42%. Universal screening in women:. Difficult topic for patients. Definition Mitral valve prolapse is a heart problem in which the valve that separates the upper and lower chambers of the left side of the heart does not close properly. Alternative Names Barlow sy Resolution Shortlist . November 2018. Pelvic floor . e. ducation. “. Incontinence and prolapse are common conditions experienced by many women, especially after childbirth and the menopause. The NFWI calls upon the government to provide increased... History: . Prolapse history (mechanical symptoms, lump, bulge, obstruction, pressure, back ache). Urinary history (frequency, . nocturia. , urgency, stress incontinence, urge incontinence, voiding symptoms).