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What is a total hysterectomy?
- Uterus and cervix are removed.
- -Vaginal
- -Abdominal
- -Laparoscopic
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What is a subtotal hysterectomy?
- Uterus only (not cervix) is removed
- - procedure rarely performed
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What is a bilateral salpingo-oophorectomy?
Fallopian tubes and ovaries removed
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What is a panhysterectomy?
- Total abdominal hysterectomy and bilateral salpingo-oophorectomy
- - uterus and cervix, ovaries, and fallopian tubes are removed abdominally.
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What is a radical hysterectomy?
All of the uterus is removed abdominally. The lymph nodes, the upper third of the vagina, and the surrounding tissues (parametrium) are removed.
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What is Bartholin's Gland?
Disorder of the vulva
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What is the cause of Bartholin Gland (Bartholin Cyst)?
- -Results from obstruction of the duct of the gland. The secretory function of the gland continues and the fluid fills the obstructed duct.
- -Main causes of the obstruction are infection, thickened mucis near the ductal opening, or trauma such as lacerations or episiotomy.
- -If Asymptomatic- no intervention. Cyst will usually rupture spontaneously withing 72 hours.
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Symptoms of Bartholin's Gland (cyst)?
Dyspareunia, inadequate enital lubrication, swelling in the perineal area (posterior portion of the vulva)
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Treatment for Barthlin's Gland (Cyst)?
Depending on cause of cyst: antibiotics, warm compress, simple incision and drainage, Marsupialiation (formation of a new pouch that is a new duct opening), biopsy in women over 40, removal if cancerous.
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When the bladder bulges throught the vaginal wall
Cystocele
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What are symptoms of Cystocele?
Stress incontinence, difficulty emptying bladder and UTIs
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Cystocele Diagnosing?
DX: Pelvic Exam, cystography, residual urine measurement, Radiographic imaging
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Cystocele Surgeries?
Anterior Colporrhaphy (repair)- tightens the pelvic muscles for better bladder support. Vaginal Surgical approach
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When the rectum protrudes through a weakened vaginal wall.
Rectocele
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Symptoms of Rectocele?
Constipations, hemorrhoids, fecal impaction, and feelings of rectal or vaginal fullness.
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Rectole Diagnosing
DX: vaginal and rectal examination may show buldge
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Rectocele surgery
Posterior Colporrhaphy (repair)- reduces rectal bulging.
*If pt. has Cystocele and rectocele then anterior and posterior repair done.
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Tumors that grow on the surface of ovaries. Grow in response to excessive exposure to estrogen.
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