Pelvic Organ Prolapse скачать в хорошем качестве

Pelvic Organ Prolapse

What is a pelvic organ prolapse? Do I need surgery? Good news- Surgery isn't your only option!! Watch Dr. Snell to find more. Hi I’m Tori Snell and today I will be discussing pelvic organ prolapse, what it is, how it is diagnosed and how it is treated from a PT perspective. Pelvic organ prolapse is the decent of specific organs in the abdominal cavity in women downward in the vagina or rectum. This commonly effects the bladder, uterus and rectum and any combination thereof. First I will orient you to the anatomy of the pelvic organs and pelvic floor musculature. there are two things commonly that keep the organs in place so to speak: 1) the connective tissue and 2) the strength and tone of the pelvic floor musculature. When the connective tissue becomes “lax” or overstretched, we are left with working on building the strength and endurance of the pelvic floor to see if we can’t overcome the effects of the prolapse, sometimes done with the help of a pessary, or orthotic of the pelvic organs fitted by your urologist or gynecologist. At times some people still need to go onto surgery; however, coming to physical therapy will help beforehand so that you can find the muscles easier after surgery and also to protect the surgical outcome. In a typical PT evaluation for prolapse we look at your ability to be able to correctly recruit your pelvic floor muscles, your endurance and also a visual examination of your prolapse to determine the extent of the prolapse and which organs are involved. Treatment commonly is addressed with a customized home exercise program based on your current strength grade (graded 1 to 5 on a 5 point scale) and your endurance. Your strength grade determines which position we will start your home program in. As you progress more challenging exercises and positions and exercises will be added.