BMC | Obstetrics and Gynecology Residency Program

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BUMC

Urogynecology
Pelvic Support Defects

1. Describe the normal anatomic supports and dynamics of the vagina, rectum, bladder, urethra, and uterus.
2. Describe the principal etiologies of pelvic support defects.
3. Perform a pertinent history in a patient with a suspected pelvic support defect.
4. Perform a focused physical examination to identify a specific pelvic support defect, such as:

a. Cystocele
b. Urethrocele
c. Rectocele
d. Enterocele
e. Uterine descensus
f. Vault prolapse

3. Treat pelvic support defects medically (eg, use of an exercise regimen, insertion of a pessary) and surgically (see the list of procedures at the end of this unit).

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