Management of Patients With Female Reproductive Disorders
Management of Patients With Female
Reproductive Disorders
Pelvic Organ Prolapse
• Weakening of vaginal walls allows the pelvic organs to descend and protrude into the vaginal canal
– Risk factors: age, parity, delivery of large babies, possible hormone deficiency
– Cystocele - downward displacement of bladder
– Rectocele - rectum pouches upward and pushes the posterior vaginal wall forward
– Signs/symptoms: pelvic pressure and urinary problems
(Cysto), rectal pressure and bowel problems (recto), dyspareunia Pelvic Organ Prolapse
• Medical Management
– Kegel exercises (cysto)
– Pessaries
• Surgical management
– Colporrhaphy - repair of anterior vaginal wall
– Posterior colporrhaphy - repair of rectocele
Pelvic Floor Relaxation
Copyright © 2008 Lippincott Williams & Wilkins.
Complete Prolapse of the Uterus
Copyright © 2008 Lippincott Williams & Wilkins.
Uterine Prolapse
• Structures that support the uterus weaken and the uterus works its way down the vaginal canal (prolapse) and may protrude out of the vagina (procidentia)
– May begin to pull the bladder and rectum with it
• Signs/symptoms: pressure and urinary problems aggravated by activity; dyspareunia
• Medical Management
– Pessaries
– Hysterectomy
Uterine Prolapse
• Nursing Management
– Teach Kegel exercises during the postpartum period
– Preoperative teaching
• Expectations of postoperative period
• Effect of surgery on sexual function
– Postoperative care
• Prevention of infection
• Voiding
• Perineal care
• Stool softener
• Pain management
• Teaching
Ovarian Cysts (Benign Ovarian Tumors)
• May be enlargements of ovarian constituents, follicle, corpus luteum, or normal growth of the epithelium
• 98% occur in women under 30
• > age 50 - only 50% of cysts are benign
• Symptoms - acute or chronic abdominal pain;urinary frequency; feeling of fullness; ruptured cyst may mimic an acute abdomen
– Often asymptomatic if small
•
Reproductive Disorders
Pelvic Organ Prolapse
• Weakening of vaginal walls allows the pelvic organs to descend and protrude into the vaginal canal
– Risk factors: age, parity, delivery of large babies, possible hormone deficiency
– Cystocele - downward displacement of bladder
– Rectocele - rectum pouches upward and pushes the posterior vaginal wall forward
– Signs/symptoms: pelvic pressure and urinary problems
(Cysto), rectal pressure and bowel problems (recto), dyspareunia Pelvic Organ Prolapse
• Medical Management
– Kegel exercises (cysto)
– Pessaries
• Surgical management
– Colporrhaphy - repair of anterior vaginal wall
– Posterior colporrhaphy - repair of rectocele
Pelvic Floor Relaxation
Copyright © 2008 Lippincott Williams & Wilkins.
Complete Prolapse of the Uterus
Copyright © 2008 Lippincott Williams & Wilkins.
Uterine Prolapse
• Structures that support the uterus weaken and the uterus works its way down the vaginal canal (prolapse) and may protrude out of the vagina (procidentia)
– May begin to pull the bladder and rectum with it
• Signs/symptoms: pressure and urinary problems aggravated by activity; dyspareunia
• Medical Management
– Pessaries
– Hysterectomy
Uterine Prolapse
• Nursing Management
– Teach Kegel exercises during the postpartum period
– Preoperative teaching
• Expectations of postoperative period
• Effect of surgery on sexual function
– Postoperative care
• Prevention of infection
• Voiding
• Perineal care
• Stool softener
• Pain management
• Teaching
Ovarian Cysts (Benign Ovarian Tumors)
• May be enlargements of ovarian constituents, follicle, corpus luteum, or normal growth of the epithelium
• 98% occur in women under 30
• > age 50 - only 50% of cysts are benign
• Symptoms - acute or chronic abdominal pain;urinary frequency; feeling of fullness; ruptured cyst may mimic an acute abdomen
– Often asymptomatic if small
•