Manajemen Propalsus Uteri I.07219 Hal-214
Definisi
Mengidentifikasi dan mengelola penurunan
serviks uteri atau seluruh bagian uterus pada kanalis vagina.
Tindakan
Observasi
-Identifikasi
riwayat kesehatan organ reproduksi
-Identifikasi
riwayat kontraindikasi terapl pesarium (mis. infeksi pelvis, laserasi luka,
tidak patut, endometriosis)
-Periksa
begian uterus yang keluar melalui vagina
-Monitor
tanda-tanda vital.
Terapeutik
-Berikan
latihan otot panggul (senam Kegel)
Edukasi
-Jelaskan
tujuan dan prosedur tindakan/pembedahan
-Jelaskan
persiapan prosedur dan pasca pemasangan pesarium dan pembedahan
-Jelaskan
pemenuhan kebutuhan seksual, jika perlu
Kolaborasi
-Kolaborasi
pemasangan pesarium, jika perlu
-Kolaborasi
tindakan pombedahan (mis, vetrofikasi, histerektomi vagina, kolpektami, operasi
Manchester), jika perlu
Referensi
Alas, A. H., & Anger, J. T. (2015).
Management of apical pelvic organ prolapse. Current urology reports, 16(5) 33.
Bugge, C., Adams, E. J., Gopinath, D., &
Reid, F. (2013). Pessaries (mechanical devices) for pelvic organ prolapse in
women. The Cochrane Library.
Cichowski, S., & Rogers, R. G. (2013).
Nonsurgical management of a rectovaginal fistula caused by a Gellhom pessary. Obstetrics
& Gynecology, 122(2. PART 2), 446-449.
Detollenaere, R. J., Can Boon, J., Kluivers, K.
B., Viorhout, M. E., & van Eindhoven, H. W. F. (2013). Surgical management
of pelvic organ prolapse and uterine descent in the Netherlands. International
urogynecology Joumal, 24(5), 781-788.
Gueye, M., Ndiaye-Gueye M.D., Mbaye, M., Cisse,
M.L., Kane-Gueye, S.M., & Moreau. J.C (2013) Uterine cervical prolapse
following delivery. Annals of Tropical Medicine and Public Health, 6(6), 671.
Hsieh, C. H. (2011). A new laparoscopic
technique for uterine prolapse: one-sided uterine fixation through the round
ligament. International urogynecology journal, 22(2), 213.
Khan, A. A., Ellber, K S., Clemens. J. Q., Wu,
N., Pashos, C. L., & Anger, J. T. (2015). Trends in management of pelvic organ prolapse among female Medicare
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