Urogynaecology

Question 1

Which off label drug can sometimes be used for treatment of bladder pain syndrome?

Answer 1

Cimetidine

Question 2

What name is given to non-trigonal ulcerations sometimes seen in the bladders of women with bladder pain syndrome?

Answer 2

Hunner lesions

Question 3

Research suggests that what is the most effective intervention for bladder pain syndrome?

Answer 3

An elimination diet

Question 4

What monitoring tests are needed for patient treated for bladder pain syndrome with Dimethyl Sulfoxide?

Answer 4

Eye examination prior to starting
6 monthly FBC/U&E/LFT

Question 5

What surgical treatment can be used for Hunner lesions in women with bladder pain syndrome?

Answer 5

Nd:YAG laser

Question 6

Stimulation of which two nerves can give relief from bladder pain syndrome?

Answer 6

Sacral nerves
Posterior tibial nerve

Question 7

What procedure at the time of vaginal hysterectomy is effective in reducing rates of post hysterectomy vaginal vault prolapse?

Answer 7

McCall culdoplasty

Question 8

What are the abdvantages of abdominal sacrocolpopexy over sacrospinous fixation?

Answer 8

Lower rate of:
- recurrent vault prolapse
- Dyspareunia
- Postoperative stress urinary incontinence

Question 9

What element of POP-Q accurately predicts symptoms of prolapse bulging/protrusion?

Answer 9

Point C >0cm

Question 10

What are the measurement points for the genital hiatus?

Answer 10

Measured from the middle of the external urethral meatus to the posterior midline hymen