Urogynecology — Flashcards

Flashcard 1: Operations for Uterovaginal prolapse: No answer _____

Answer: :)

Flashcard 2: Pelvic Organ Prolapse Quantification (POP-Q) system: No answer _____

Answer: :)

Flashcard 3: Mc Ardle index of >_____ is intolerable

Answer: 4.5

Extra: 

Flashcard 4: _____ incontinence is characterized by leakage when there is an increased intra-abdominal pressure (e.g. sneezing, lifting)

Answer: Stress

Flashcard 5: _____ incontinence is due to outlet incompetence (e.g. urethral hypermobility or intrinsic sphincter deficiency)

Answer: Stress

Flashcard 6: Two vaginal procedures done for stress incontinence are _____ and Pacey's repair

Answer: Kelly's

Flashcard 7: _____ procedure is done for genuine stress incontinence and involves suspending the bladder neck to the Cooper's ligament of the pubic bone using abdominal approach

Answer: Brusch

Flashcard 8: _____ incontinence is associated with a positive bladder stress test

Answer: Stress

Flashcard 9: _____ repair is done for stress urinary incontinence include anterior colporrhaphy with plication of the bladder neck via a vaginal approach.

Answer: Kelly s

Flashcard 10: Injury to the levator ani muscles results in _____ hypermobility and can result in prolapse of the anterior vaginal wall and the bladder

Answer: urethral

Flashcard 11: _____ and pelvic floor exercises for 3-6 months is the treatment of choice for prolapse during the postnatal period

Answer: Ring pessary

Flashcard 12: Two abdominal procedures done for stress incontinence are _____ operation and Brusch colposuspension

Answer: Marshall Marchetti Krantz

Flashcard 13: _____ operation is done for stress urinary incontinence includes suturing the bladder neck and the vaginal vault to the periosteum on the back of pubic symphysis via a abdominal approach.

Answer: Marshall Marchetti Krantz

Flashcard 14: Pregnancy may cause stress incontinence due to _____ intraabdominal pressure and hormone induced relaxation of urethral tone / pelvic floor muscles

Answer: increased

Flashcard 15: In _____vaginal fistula, hydronephrosis will be present on the affected side

Answer: uretero

Flashcard 16: Chasser moir technique is done to repair a _____.

Answer: vesicovaginal fistula

Flashcard 17: Uterosacral ligaments and cardinal ligaments are a part of level _____ of DeLancey's levels of support

Answer: 1

Flashcard 18: _____vaginal fistulas, usually occur because of gynecological causes

Answer: Uretero

Flashcard 19: In methylene blue 3 swab test, if the uppermost swab gets wet and not stained, it indicates a _____ fistula

Answer: ureterovaginal

Flashcard 20: The _____ procedure is an outpatient procedure done for genuine stress incontinence

Answer: midurethral sling

Flashcard 21: _____ procedure is done for post hysterectomy vesico-vaginal fistulas, usually caused by CA cervix

Answer: Latzko's

Flashcard 22: When the vaginal vault is entirely outside the introitus, it is a said to be a _____ degree prolapse

Answer: third

Flashcard 23: Marshall-Marchetti-Krantz operation is a surgical management option for _____

Answer: genuine stress incontinence

Flashcard 24: To check if the pessary is retained, the first step after inserting the pessary is to ask the patient to _____

Answer: perform Valsalva's manoeuvre

Flashcard 25: Vaginal _____ is one of the complications of Latzko's procedure

Answer: atresia

Flashcard 26: When the vaginal apex is visible at the introitus, it is a said to be a _____ degree prolapse

Answer: first

Flashcard 27: When the vaginal apex is protruding through the introitus, it is a said to be a _____ degree prolapse

Answer: second

Flashcard 28: Vault prolapse occurs when the supporting structures at the level _____ become weak and deficient

Answer: I

Flashcard 29: In _____vaginal fistula, there is constant dribbling of urine without micturition

Answer: vesico

Flashcard 30: Cystocele and rectocele occur due to damage to level _____ of DeLancey's levels of support

Answer: 2

Flashcard 31: If a vesicovaginal fistula repair fails, one should wait for at least _____ before attempting a second repair.

Answer: 3 months

Flashcard 32: Level 1 damage to DeLancey's levels of support can lead to _____cele, uterine descent, vault descent.

Answer: entero