Gynae TOGs Flashcards
1
Q
Fowlers syndrome symptoms
A
- Retention
- Can be painful or painless
- No urge to void
- Large residual volume >1000ml
2
Q
Triggers for Fowlers syndrome
A
- Surgery - urology/gynae/obs
Can be other surgeries
3
Q
Treatment for fowlers syndrome
A
- Sacral neuromodulation
4
Q
Risk of vault prolapse after hysterecotmy for prolapse
A
6x more than hyst for benign conditions
5
Q
Pelvic floor exercises
Duration for
1. Prolapse
2. SUI
A
- 4 months for prolapse
- 3 months for SUI
6
Q
Most significant lifestyle change for OAB
A
- Caffeine reduction
7
Q
When to perform urodynamics
A
- Mixed incont
- Beofre surgery for urge - if diagnosis unclear
8
Q
Definition of recurrent UTI
A
- 3 in 1 year
- 2 in 6 months
9
Q
Treatment for rUTI
A
Pre-menopause:
- glycosaminoglycan (GAG)
- Can try D Mannose
Abx:
Trimethoprim/ Nitrofurantoin/ amox/cefalexin ON
Post- menopause
- Vaginal estrogen
Consider GAG
RCOG DONT advise
Cranberry
10
Q
Mx of PN retention
A
- Pass urine within 6h of SVD or after TWOC
- Conservative- Running water, warm shower
- Bladder scan- if <150ml, think hydration
- 150-700ml- reinsert catheter if unable to PU
Re- TWOC in 24h - > 700ml- catheter for 2 weeks
11
Q
UAE reintervetnion
A
- 33% in 5 years
- 80-90% asymptomatic in 1 year
12
Q
% of women with PCO and PCOS
A
- PCO- 20-30%
- PCOS- 10-18% of repro age
13
Q
Risks of metabolic syndrome
A
- CVS 3-6 fold inc
- T2DM 5 fold inc
- 30 fold in OSP
14
Q
Anaemia in HMB
A
- 27%
15
Q
RF for anaemia
A
- Obesity- inc hepcidin levels, lowers iron absorption
- Prev anaemia in preg- if preg again in 1year, inc risk
