MindMap Gallery pelvic floor dysfunction disease
This is a mind map about pelvic floor dysfunction diseases, with detailed introduction and comprehensive knowledge. I hope it can be helpful to everyone!
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Basin Dysfunctional and Genital Injury Disorders
pelvic organ prolapse
Brief description
Pelvic floor muscle groups, fascia, ligaments, related nerves
Maintain normal position of pelvic organs
Pelvic organ prolapse into or outside the vagina
Performance
The front edge of any vaginal segment reaches/exceeds the edge of the hymen by more than 1cm
Classification
Cystocele
Rectocele
Posterior vaginal wall bulge
Urethrocele
intestinal hernia
uterine prolapse
vaginal vault prolapse
Cause
pregnancy/childbirth
Childbirth injury is the main cause (birth injury) → excessive stretching of ligaments and muscles during childbirth weakens the strength
Participating in strenuous physical activity too early after childbirth
Abnormal recovery of pelvic floor tissue tension
senescence
Chronic cough/abdominal effusion/constipation
symptom
Ligament fascia is stretched
Soreness or sinking feeling in the lumbosacral region
Increased by activity and relieved by rest
Protrusion of anterior vaginal wall
stress urinary incontinence
urinary tract infection
Posterior vaginal wall bulge
constipate
uterine prolapse
Does not affect menstruation
Does not affect conception/pregnancy/delivery
Exposed cervix and vagina rubbing against clothing
ulcer bleeding
physical signs
Prolapsed anterior and posterior vaginal wall/cervical mucosa
thickened keratinization
ulcer bleeding
bulge
blind bag shape
rectum
spherical
small intestine
clinical grading
uterine prolapse grading
0 degree
No prolapse
1st degree (the uterus, cervix and body are all in the vagina)
Mild → The distance between the external cervical opening and the hymen is <-1, and the hymen edge has not been reached.
Heavy → The cervix reaches the edge of the hymen, and the cervix can be seen at the vaginal opening
2 degrees (cervix exit → uterine exit)
Mild → The cervix prolapses from the vaginal opening and the uterine body is in the vagina
Severe → Part of the uterine body prolapses from the vagina
3 degrees
The cervix and uterus are all prolapsed from the vagina
concept
parallel to hymen
0
Above hymen
negative number
below hymen
A positive number
treat
Pessary (needs to be removed and cleaned intermittently)
one degree prolapse
General condition is not good
pregnancy/postpartum
bulging ulcer
2nd/3rd degree
Mann's surgery (young/long cervix)
Vaginal anterior and posterior wall repair
cardinal ligament shortening
partial cervical resection
Total transvaginal hysterectomy and anterior and posterior vaginal wall repair (older people)
Vaginal closure (the elderly and infirm cannot withstand surgery)
diagnosis
Breath holding to determine prolapse
stress urinary incontinence
Increased abdominal pressure → involuntary outflow of urine
Revaccination/cough → urine leakage
Cause
anatomical urinary incontinence
Caused by pelvic floor muscle relaxation
Pelvic floor support structure defect → Bladder neck/urethra prolapse outside the uterus
diagnosis
Pressure test
acupressure test
Swab test
genital tract fistula
Urinary fistula
clinical manifestations
leakage of urine
Itching of the vulva
Treatment auxiliary examination
Methylene blue test (can determine whether it is urine)
Cause
Commonly caused by birth trauma
Vesico-vaginal fistula is the most common
fecal fistula
Replenish
poor health
1 degree → pessary
2/3 degrees → vaginal closure
2/3 degree
young/wanting to have children
Mann's surgery
old/barren
full cut
Anatomy Supplement
proper ovarian ligament
fixed ovary
broad ligament
Limit the deflection of the uterus to both sides
cardinal ligament
Fix the position of the cervix (prevent prolapse)
round ligament/uterosacral ligament
Maintain uterine anteversion