MIsc

Question 1

what is the risk of mesh erosion after SCP at 7 years?

Answer 1

10% (CARE trial)

Question 2

pudendal nerve comes from which nerve roots

Answer 2

S2-4

Question 3

IC cysto findings?

Answer 3

Hunner’s ulcer
reduced bladder capacity
glomerulations
increased capillary vasculature

Question 4

Patient presents with burning/pain from the labia to the pubic symphysis after labiaplasty for labial elongation.

What nerve was injured?

Answer 4

dorsal nerve of the clitoris

Question 5

MOA of methenamine

Answer 5

raises pH in the bladder making it in hospitable to GI bacteria

Question 6

What is the generic name for elmiron

Answer 6

pentosan polysulfate sodium

Question 7

risk of occult SUI after anterior or apical POP surgery

Answer 7

40%

Question 8

UDS patient start to get dizzy, sweating, high BP, spasticity,

ddx?

Answer 8

autonomic dysrreflexia (lesion at T6 or above)
nervous

Question 9

treatment for autonomic dysrreflexia

Answer 9

empty the bladder
nifedipine 10mg IR tablets OR
nitroglyercine paste above the level of the injury (wipe off when BP improves)

Question 10

indications for video UDS

Answer 10

spinal cord injury
ureteral reflux
obstruction

Question 11

Elmiron

1. generic name
2. dose
3. how long to see effects
4. side effects
5. MOA

Answer 11

1. pentosan polysufate
2. 100 mg TID
3. 6 months
4. reversible hair loss,
   -elevated LFTs (get labs at 6 months
   -permanent retinal pigmentary changes if more than 3 years!!!
5. reconstitutes the GAG layer of the urothelium

Question 12

what is the normal pH of the vagina?

Answer 12

3.5-4.5

Question 13

what is your risk of FI at age 40 after 1 OASI

Answer 13

26%

Question 14

what is your risk of FI at age 40 after 2 OASI

Answer 14

33%

Question 15

What is your risk of FI af age 60 after 2 OASI

Answer 15

48%