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Urogynecologic Condition Definitions

INCONTINENCE

Urinary Incontinence - Uncontrollable loss of urine.

Stress Incontinence - Leakage of urine with cough, sneeze, exercise or any activity.

Urge Incontinence - Leakage of urine with the urge to go i.e. loss of bladder control when you feel the desire to urinate.

Mixed Incontinence - A combination of stress incontinence and urge incontinence.

Overflow Incontinence - Leakage of urine that occurs because you are not fully emptying your bladder.

Fecal Incontinence - An uncontrollable loss of stool or gas, fecal soiling or staining.

Other - Leakage of urine that can be caused by infection, medication, vaginal atrophy or Fistula.


PELVIC ORGAN PROLAPSE

This is when one or more pelvic organs are displaced from their normal anatomical position. These pelvic organs include the bladder, the uterus (or vagina if you have had your uterus removed), rectum or small intestine.

Cystocele - When the bladder has dropped out of its normal position.

Rectocele - When the rectum is pushing up into the vagina.

Enterocele - When small bowel is herniating through the back wall of the vagina.

Uterine Prolapse - When the uterus and cervix prolapses into the vagina and sometimes beyond the vaginal opening.

Vaginal Vault Prolapse - Following a hysterectomy, the top of the vagina can prolapse.


OTHER PELVIC ABNORMALITIES

Overactive Bladder - Urinating more frequently than 8 times per day, getting up more often than 2 times to urinate overnight, with a strong urgency with the desire to urinate.

Painful Bladder Syndrome/Interstitial Cystitis (PBS/IC) - Triad of symptoms includes urinary urgency, frequency and bladder pain.

Voiding Dysfunction - Inability to empty your bladder completely, slow flow rate of urine, post urination dribbling.

Fistulas - Abnormal connections between the bladder and vagina (which causes constant leakage of urine) or between rectum and vagina (which causes fecal material or gas to come out of the vagina without control).

Recurrent Urinary Tract Infections

Pelvic Floor Muscle Spasm - High tone of the muscle in the pelvis after associated with Painful Bladder Syndrome/Interstitial Cystitis (PBS/IC), vulvar vestibulitis, painful intercourse.

Congenital Anomalies - Gardeners duct vaginal cysts.
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