Bladder Prolapse (Cystocele): The Daily PANCE Blueprint
Which of the following is the initial treatment of choice for pelvic organ prolapse?
A. Pelvic floor exercises or a pessary
B. Oxybutynin and estrogen therapy
C. Hysterectomy
D. Midurethral sling
E. None of the above
Answer and topic summary
The answer is A. Pelvic floor exercises or a pessary
Pelvic organ prolapse is essentially the prolapse or protrusion of the uterus, cervix, vaginal apex, intestines, rectum, or bladder into the vaginal vault due to poor pelvic floor support. Risk factors include obesity, constipation, connective tissue disorder, multiparity, and advancing age. Clinical features include vaginal pressure, and vaginal pain/discomfort. Management includes pelvic floor exercises, vaginal pessary, or surgery for those who don’t respond to conservative measures.
View blueprint lesson
Smarty PANCE Content Blueprint Review:
Covered under ⇒ PANCE Blueprint Genitourinary ⇒ ⇒
