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- level 1 cardinal and urerosacral ligament connect to sactum and pelvic bone
- Prolabse can be ass w ulcers or bleeding
risk more at 3 pregnency
age make fascoa weaker
obesity > inc intra abd pressure
urinary sym stress incontintence, recurrent UTI *pulging of vagaina > not epty
comletley), over active bladder sym frecuency & urgency
prolapse sym > protrusion of mass, heavyness, doesnt cause back pain,
bowel sym > cosntipation, difficulty defecation, fecal incontinece
ergency to treat > complete prolabse, and incontinces and retension >
hydronephrosis > renal failure
picture uterina orolapse stage 4
next vault no uterus, there is ulcers
cystocele (anterior wall problabse)
rectocele digitating is useful
urinary incontinence
pontine > impulses to spinal reflex in sacrum > prevent micuration >
parasympathetic
storaging and empting not required the blue schedual slide and the one before it
MI is strees UI
SUI can present with over active bladder
utherral hypermoblity due to fascia of vagaina and ligament are laxtive
vulvovaginal atropy
Q-tip not done anymore <30 degree normal
antepartum hemorrhage
- <24 wk
- Causes mischarhage, ectopic, molar
- during delvery intrapartum
postpartum, prepartum