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Question

Which of the following symptoms can be associated with pelvic organ prolapse?
1. Difficulty in passing urine
2. Incomplete evacuation of urine
3. Urgency and frequency
Select the correct answer using the code given below:

The correct answer is
1, 2 and 3

Understanding Pelvic Organ Prolapse Symptoms

Pelvic organ prolapse (POP) occurs when pelvic muscles and tissues weaken, allowing pelvic organs like the bladder, uterus, or rectum to drop or press into/out of the vagina.

Associated Urinary Symptoms in POP

Pelvic organ prolapse can significantly affect bladder function. The pressure from the prolapsed organs can impinge on the bladder and urethra, leading to several urinary symptoms:

  • 1. Difficulty in passing urine: Weakened pelvic support can cause the bladder neck or urethra to become kinked or obstructed, making it hard to start or maintain a urine stream.
  • 2. Incomplete evacuation of urine: The prolapse can prevent the bladder from contracting effectively or lead to urine pooling, resulting in a sensation that the bladder hasn't emptied completely.
  • 3. Urgency and frequency: A prolapsed organ, particularly the bladder, can put pressure on the bladder walls or irritate it, triggering a sudden, strong need to urinate (urgency) and the need to urinate more often than usual (frequency).

Conclusion

All three listed symptoms – difficulty passing urine, incomplete evacuation of urine, and urinary urgency and frequency – are commonly associated with pelvic organ prolapse due to the physical effects on the bladder and urethra. Therefore, the correct answer includes all symptoms.

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Important Questions from Displacement of Uterus

  1. Which of the following is NOT an ideally suited condition for use of ring pessary in case of uterine prolapse?

  2. Procidentia as a degree of uterovaginal prolapse is characterised by descent of
  3. In POPQ classification for uterovaginal prolapse, the only measurement done after reducing the prolapse is
  4. Which of the following are essential steps of Fothergill's operation? 

    1. Laparoscopic or vaginal ligation 

    2. Amputation of cervix 

    3. Plication of Mackenrodt's ligaments in front of cervix 

    4. Ant colporrhaphy 

    Select the correct answer using the code given below.

  5. The reference point 'zero' in POPQ (Pelvic Organ Prolapse Quantification) classification is taken as
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