Urogynaecology

Question 1

What proportion of women are satisfied with the use of vaginal pessaries?

Answer 1

92%

Question 2

What is the greatest risk factor for prolapse?

Answer 2

Parity

Question 3

Obesity increases the risk of urinary incontinence by what fold?

Answer 3

4-fold

Question 4

Obesity increases the risk of faecal incontinence by what fold?

Answer 4

2-fold

Question 5

What type of drug is duloxetine?

Answer 5

SNRI

Question 6

What type of drug is darifenacin?

Answer 6

M3 receptor antagonist

Question 7

If conservative and medical management has failed for OAB, and they ARE able to perform clean intermittent catheterisation, offer what?

Answer 7

Botox A

Question 8

If conservative and medical management has failed for OAB, and they ARE NOT able to perform clean intermittent catheterisation, offer what?

Answer 8

Percutaneous sacral nerve stimulation

Question 9

What is the main factor that can aggravate bladder pain sysndrome?

Answer 9

Stress

Question 10

When may mirabegron be used for OAB?

Answer 10

When unable to use antimuscarinics, or they have proven ineffective

Question 11

What is the classic triad of urethral diverticulum (only seen in minority)?

Answer 11

1. Dysuria
2. Post-void dribbling
3. Dysparaunia

Question 12

Which structures accounts for resting anal pressure?

Answer 12

Internal anal sphincter

Question 13

How should cube pessaries be managed?

Answer 13

Should be removed nightly and washed before being replaced

Question 14

What type of drug is:
Oxybutynin
Mirabegron
Tolterodine

Answer 14

O - antimuscarinic
M - beta-3-adrenoreceptor agonist
T - anticholinergic