AMoore Womensbrochure POPupdated PDF

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Summary

Women's disorder brochure...

Description

Pelvic Organ Prolapse Pelvic organ prolapse happens when the muscles and tissues supporting the pelvic organs (the uterus, bladder, or rectum) become weak or loose. Affecting 1 in 5 women and happens more often in older women and in white and Hispanic women.

Signs and Symptoms: • • • • • •

May feel uncomfortable pressure during physical activity or sex Seeing or feeling a bulge or sensation that something is coming out of the vagina Feeling of pressure, discomfort, aching or fullness in the pelvis Pressure that gets worse with standing or coughing in the pelvis area Urine incontinence Complications with inserting tampons

Risk Factors: • • • • • •

Having a vaginal childbirth Long term pressure on abdomen (obesity, chronic coughing or straining during bowel movements) Birthing a baby weighing more than 8.5lbs Aging Hormonal changes during menopause Family history

Preventative measures: • • •

Maintain a healthy weight or lose weight (if overweight) Choose foods with fiber Smoking cessation

How is POP diagnosed? Your doctor will want to see if you can completely empty your bladder at time of urination and you may be asked to strain or cough to see if prolapse is occurring.

Treatment: There are many options including a pessary which is a device that is inserted into the vagina to support the pelvic organs, pelvic floor muscle therapy, changing eating habits to increase fiber. There are surgery options to support the uterus or vagina or surgery to close the vagina (colpocleisis) which is ideal for women who do not plan to have or no longer have intercourse.

Nursing Interventions and MDC: With this disorder it involves both a physical and functional aspect. It can significantly affect the patient’s quality of life and psychological well-being due to the side effects on sexual function and the way the women view themselves. Utilizing women's groups or a women's therapist to help the patient cope with new changes in her body and present groups or therapies to help. Patient education will be needed to ensure patient knows what to expect with her body and when to call for help. The treatment relies on both surgical and non-surgical approaches, depending on how severe the organ prolapse is. Education on both surgical and non-surgical is very important so the patient knows what to expect. Through accurate communication with the nurses, doctors, surgeons, social work and therapy services, working all together will help with the best patient outcome.

References Haya, N., Feiner, B., Baessler, K., Christmann-Schmid, C., & Maher, C. (2018, August 19). Perioperative interventions in pelvic organ prolapse surgery. Retrieved October 12, 2020, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6513581/ Pelvic organ prolapse. (2019, May 14). Retrieved October 12, 2020, from https://www.womenshealth.gov/a-z-topics/pelvic-organ-prolapse...