Learn about pelvic health issues affecting aging populations in this 58-minute lecture by Stanford University's Dr. Bertha Chen. Explore common conditions like incontinence and pelvic organ prolapse, their impact on daily life, and various treatment options. Gain insights into the epidemiology, risk factors, and diagnostic approaches for these often undiscussed medical issues. Discover both conservative and surgical management techniques, including pessaries, neurostimulation therapies, and various surgical procedures. Understand the latest developments in mesh augmentation and associated controversies. Equip yourself with valuable knowledge to address pelvic health concerns for both men and women as they age.
Overview
Syllabus
Intro
Reasons for pelvic issues
Childbirth
Overactive Bladder (OAB)
Stress Urinary Incontinence
Urinary Incontinence and OAB Spectrum
Scope of the problem
Injection of Bulk-Enhancing
Surgery: tension-free mid-urethral sling with mesh
Potential Impact of Overactive Bladder on Quality of Life
Nonpharmacologic Treatments for OAB
OAB - medications
OAB - Botox injections
Neurostimulation therapies
Epidemiology of Pelvic Organ Prolapse (POP)
Lifetime Risk of Single Operation for POP/UI
Risk Factors for Pelvic Organ Prolapse
Goals of Therapy
Physical Examination for Pelvic Organ Prolapse
Prolapse Stages
Conservative management for prolapse - pessaries
Vaginal Vault Prolapse
Vaginal Uterosacral Ligament Vaginal Vault Suspension
Abdominal Sacrocolpopexy: Literature Review
Laparoscopic Sacrocolpopexy Outcomes
Robotic Sacrocolpopexy
Vaginal mesh augmentation procedures
Vaginal Mesh - Outcomes and complications
Mesh controversies
Conclusions
For the boomers!
Taught by
Stanford Health Care
