Gynaecology & Obstetrics
Genital Prolapse - various presentation of prolapse and management of urinary stress incontinence (I am hanging by my nails !)
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A 59-year-old woman undergoes vaginal hysterectomy and anteroposterior repair for uterine prolapse. Which of the following is a complication of this procedure that often develops within 2 weeks of surgery?
High-Yield Explanation
Stress urinary incontinence More common in elderly women associated with cystocele and genital prolapse Urethral hypermotility -On intra abdominal pressure (by coughing, straining)- Leak of urine from urethra -SUI Risk factor Age - older menopausal women d/t estrogen deficiency leads to pelvic muscle tone down Multiparous women - prone to loss of tone of the pelvic floor M/S Obesity,smoking,prolapse & constipation Pregnancy