Urogyn, Cervical Cancer and Other

Question 1

involuntary voiding when sneezing /coughing

Answer 1

stress incontinence due to pelvic floor weakness

Question 2

Involuntary voiding with sudden urge to void but not quick enough to go to toilet

Answer 2

Urge incontinence due to detrusor instability

Question 3

Sensation of vaginal pressure, feels like something falling out of vagina, grand multi parity

Answer 3

Pelvic organ prolapse

Question 4

Unilateral painless vulvar mass

Answer 4

bartholin cyst- incision drainage and consider marsupialisation

Question 5

vulvar itching and dyspareunia, parchment thin vulva

Answer 5

lichen sclerosis - treat with topical steroids

Question 6

Management of Stress incontinence

Answer 6

1. Behavioural
2. Topical oestrogen or pessary
3. Sling procedure

Question 7

Management of urge incontinence

Answer 7

1. Behavioural
2. Antimuscarinics
3. Botox or nerve surgeries

Question 8

Management of pelvic organ prolapse

Answer 8

1. Physiotherapy
2. Pessary
3. Reconstructive surgery

Question 9

Management of LSIL and HSIL of Pap smear

Answer 9

LSIL: Repeat Pap smear in 12 mo
HSIL: Colposcopy and excision

Question 10

Management of Bartholin cyst

Answer 10

Incision + drainage, consider marsupialisation procedure

Question 11

Management of Lichen sclerosis

Answer 11

topical steroids