EBCOG P1 – 3 Month – Urogynaecology – Day 5 EMQ

A. CA bladder
B. Mixed urinary incontinence
C. Neurogenic bladder
D. Overactive bladder
E. Overflow incontinence
F. Painful bladder syndrome
G. Urethral caruncle
H. Urethral diverticulum
I. Urethral prolapse
J. Urinary stress incontinence
K. UTI
L. Urogenital atrophy
M. Vesico-vaginal fistula


1. A 59-yr old nulliparous woman presents with recurrent dysuria and frequency worsening over the past six months. She smokes 20 cigarettes per day. Repeated MSUs at her GP have never demonstrated infection. Urinalysis demonstrates ++ haematuria. You have sent repeat MSU for microscopy, culture, and sensitivity.

2.A 28-yr old woman presents ten days after an anterior colporrhaphy for cystocele. She complains of feeling constantly damp vaginally and is having to wear pads continuously.

3.A 62-yr old postmenopausal woman presents with an 8 months history of dysuria and vulval pain. On examination, a pink exophytic lesion is observed at the urethral meatus.

4.A 46-yr old woman who has had 3 previous vaginal delivery presents with a 2 yr deteriorating history of leakage of urine on coughing, sneezing, and during exercise. On examination a moderate cystocele and rectocele is observed.

5.A 58-yr old woman presents with a 9 month history of urinary frequency, urgency, and pelvic pain. Investigations including urodynamic have been normal.