Nobody downloaded yet

Cystocele, Rectocele, and Vaginal Prolapse - Essay Example

Comments (0) Cite this document
Summary
Introduction and Etiology: All these three conditions are parts of a single disorder in the elderly women. This disorder is linked to loss of supports of the uterus and weakness of the pelvic floor. Cystocele is a condition characterized by hernia of the bladder trigone following weakness of the vaginal and pubocervical fascia…
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER91.8% of users find it useful
Cystocele, Rectocele, and Vaginal Prolapse
Read TextPreview

Extract of sample "Cystocele, Rectocele, and Vaginal Prolapse"

Download file to see previous pages Vaginal prolapse on the other hand resembles a hernia for there is protrusion of part of the abdominal or pelvic contents through an aperture in the supporting structures. Protrusion takes place between the two levatores ani and, in more severe cases, through the orifice of the vagina when vaginal prolapse occurs (Hamilton-Fairley, D., 2004).
Signs and Symptoms: The commonest complaints are feeling of fullness of the vagina, a lump coming down, a dragging sensation or bearing down in the back or lower abdomen, vaginal discharge due to congestion of the cervix, an ulcer of the ectocervix or cervical ectropion, and a bloodstained discharge may occur if there is ulceration. Difficulty with coitus may be experienced if the cervix protrudes or is greatly elongated. Urinary symptoms include frequency of micturition. This is common and is often daytime only. Nocturnal frequency may be present if there is added cystitis. Some patients may have urgency of micturition due to weakness of the bladder sphincter mechanism and urge incontinence may occur in some cases. There may be difficulty in emptying the bladder completely and the woman may find she has to push the prolapse up with a finger to complete the act of micturition. Complete retention of urine may follow urethral overstretch. This may be associated with stress incontinence. Many women with prolapse complain of constipation, and this may be due to difficulty in emptying the rectum completely because it bulges into the vagina. Others notice discomfort on sitting on a firm surface; the vaginal wall over the rectocoele can bulge down between the labia. With age, the labia become atrophic and less protective and the prolapsed vagina is exposed to trauma when sitting on hard surfaces (Hamilton-Fairley, D., 2004).
A cystourethrocoele is usually obvious and the distance from the introitus to the bulge can be measured using a special ruler. The woman is asked to cough and any leakage of urine and/or descent of the cervix is noted. As the speculum is withdrawn any posterior vaginal wall prolapse can be noted. Where there is a complaint of stress incontinence, examination is best made with some urine in the bladder; the urethra and bladder neck may then be supported with two fingers to demonstrate that this maneuver controls the incontinence (Hamilton-Fairley, D., 2004).
Diagnostic and Therapeutic Procedures: Stress incontinence must be distinguished from other causes of incontinence of urine such as urge incontinence and incontinence due to neurological disease. General examination should include fitness for surgery. Abdominal examination should be performed to exclude an intra-abdominal mass. Manual pelvic examination or ultrasound should exclude a pelvic mass and delineate the size of the uterus and ovaries if present. If prolapse is not evident, even with a Valsalva manoeuvre, the patient should be examined in the upright position. It is important to reproduce the symptoms and signs with which the patient presents. If a woman has significant urinary symptoms, urodynamics may help define the cause of the symptoms, which will enable the gynaecologist to give some prognosis for treatment. Hence, if urodynamics ...Download file to see next pagesRead More
Cite this document
  • APA
  • MLA
  • CHICAGO
(“Cystocele, Rectocele, and Vaginal Prolapse Essay”, n.d.)
Retrieved from https://studentshare.org/miscellaneous/1531992-cystocele-rectocele-and-vaginal-prolapse
(Cystocele, Rectocele, and Vaginal Prolapse Essay)
https://studentshare.org/miscellaneous/1531992-cystocele-rectocele-and-vaginal-prolapse.
“Cystocele, Rectocele, and Vaginal Prolapse Essay”, n.d. https://studentshare.org/miscellaneous/1531992-cystocele-rectocele-and-vaginal-prolapse.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document

CHECK THESE SAMPLES OF Cystocele, Rectocele, and Vaginal Prolapse

Routine Vaginal Examination in Labour

...? Routine Vaginal Examination in Labour Introduction The essay will be presenting a situational analysis of the routine vaginal examinations in labour in context to change. The conclusion will cater to the results of the findings through different researches and the importance and ways of implementing change in the role of midwives and vaginal examination. For this purpose, the paper sheds some lights on the vaginal examination in labour, the information that healthcare professionals gather from it, the role of midwives and patients, and the current situation of vaginal examination; whether vaginal examination is a clinical intervention...
12 Pages(3000 words)Essay

Discuss evidence based practice of repeat cesarean sections and vaginal births after cesarean section

...? of As a result of complications during delivery, many women in the modern society have in many cases opted for a caesarian delivery other than the normal vaginal birth. Many cases have turned out to be successful while few have resulted into complications. However, the main focus of attention for many health practitioners has been whether or not to perform a C-section on subsequent deliveries or whether vaginal birth is possible in deliveries that come after a C- section. Due to complications that might be associated with vaginal birth after a C-section, it is therefore not much recommended. The main purpose of this research paper is to demonstrate that due to consequences associated...
3 Pages(750 words)Research Paper

Vaginal Examinations Paper

...? Vaginal Examinations Vaginal Examinations Emmanuel Friedman an American obstetrician undertook the seminal work defining labour progress during the 1950s. He debates that of all the evident events that take place during labour, for example, uterine contractions and fall of the nearby part; it was cervical dilation and effacement, which he acknowledged as being the most apt determinant of overall development. The concern was that a long lasting labour amplified the incidence of unpleasant results for the baby and the mother. The definition of time parameters was necessary so that irregularities of labour progress could be recognised and action administered. Friedman created a cervicograph...
7 Pages(1750 words)Literature review

Vaginal Delivery of Breech

...and Daviss, 2005). In France, midwives support breech deliveries as main caregivers and even carry out forceps deliveries, which is a skill crucial for teams attending to breech deliveries. Menticoglou (2006) as part of his declaration that properly carried out vaginal breech deliveries carry the same risk as caesarean sections, outlines how these results for vaginal breech deliveries can be further improved. He explains the three major risks of VBD as cord prolapse, cord compression and head entrapment. Cord prolapse can be diagnosed by vaginal ultrasound at term and in such cases caesarean sections can be carried out. Caesarean section can also be...
28 Pages(7000 words)Dissertation

Readers Response to Vacuum-assisted Vaginal Delivery

...Running Head: VAVD Response Reader's Response to Vacuum-assisted Vaginal Delivery Essay College Abstract This reader's response is directed at Laura R. Mahlmeister's essay, "Best Practices in Perinatal and Neonatal Nursing: Vacuum-assisted Vaginal Delivery." Although only three pages, the essay material is dense. The point is that "nearly 100,000 preventable deaths occur in American healthcare facilities" (Mahlmeister, 2005) annually. In particular, Mahlmeister focuses on the case of a 27-year-old woman, pregnant with her first child, who comes to a hospital in anticipation of a normal delivery. The woman is two weeks past her due date, and after receiving an epidural to make her more...
2 Pages(500 words)Essay

The use of vaginal examinations in assessing progress during the first stage of labour

...Vaginal Examination for assessing progress during the first stage of labour The essence of women is being able to bring another life into this world. This experience gives her a sense of completion and unforgettable memories. But the journey to motherhood becomes even more painful when she has to undergo frequent vaginal examination at the onset of labour. Vaginal examination is a complete physical exam of the women’s genitals done by health physician. At the time of labour , it is done by inserting one or two of the gloved fingers into the vagina while pressing the abdomen with the other hand. During ...
16 Pages(4000 words)Essay

Mitral valve prolapse and treatment

...Running head: MITRAL VALVE PROLAPSE Mitral Valve Prolapse (school) Mitral Valve Prolapse and Treatment Introduction Various health issues involve the heart. These conditions impact significantly on heart functions and interfere with the normal functions of the heart, including the delivery of oxygen. These health conditions may include mild issues which can easily be corrected by medicines or other forms of therapy or the grave conditions which can compromise normal functions and lead to eventual death. One of these health conditions which impacts significantly on normal functions is mitral valve prolapse. This is basically a heart problem where the mitral valve does...
7 Pages(1750 words)Term Paper

VAGINAL BIRTH AFTER CESAREAN SECTION

...VAGINAL BIRTH AFTER CESAREAN SECTION Background and significance of obstetrics and gynecology Obstetrics and Gynecology is a medical specialist that deals with the fields of obstetrics and gynecology through a program of one post graduate training. This training prepares the practice of obstetrics and gynecology to be adept at the care of productive organs of a female’s health and at the obstetrics complications management. Obstetrics is a health science’s branch that deals with women’s care throughout pregnancy (includes before birth, during birth and the period after birth). Gynecology is a practice that deals with female reproductive system’s health (uterus, vagina and ovaries). Rationale of the topic This topic helps...
4 Pages(1000 words)Essay

Vaginal Birth is better than Cesarian Section

...Vaginal Birth is better than Cesarian Section Abstract The essay aims to address a two-fold objective to wit: (1) to provide an argument which encompasses that vaginal birth is better than Cesarian section to both mother and child; and (2) to support the argument with well-researched, accurate, detailed, and current scholarly articles. Vaginal Birth is better than Cesarian Section Introduction Before the twentieth century, mothers often prefer the option of having a vaginal birth rather than a Cesarian section. Vaginal birth refers to the delivery of the baby through the vagina while Cesarian section refers to the delivery of the baby through an incision in the abdominal wall and uterus (Kennedy, 2010, 1... ). It is not...
4 Pages(1000 words)Research Paper

Comparison of vaginal microbial community structure in healthy and endometritis dairy cows

...Article Review Summary of the article The objective of the current study was informed from previous studies that assessedthe protective properties of the normal flora in the reproductive tract. The article sought to characterise the vaginal microflora on the postpartum cows by comparing the healthy cows with those suffering from endometritis. The methods used the PCR, which was followed with denaturing gradient gel electrophoresis (PCR-DGGE), which was compared with real-time PCR. The study used sampling of five healthy and five cows with the condition of interest. Findings show thattwo species namely Weissella koreensis and Lactobacillus sakei subsp., were the dominant microflora in the vagina of the healthy postpartum...
2 Pages(500 words)Research Paper
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.

Let us find you another Essay on topic Cystocele, Rectocele, and Vaginal Prolapse for FREE!

Contact Us