Dr Rubab Khalid: Module 18: Urogynaecology & Pelvic Floor Problems

Saturday, July 27, 2019

This post is an outline of Module 18- Urogyneacology and Pelvic Floor Problems. Many of us find this module a difficult one but in reality it is a very small topic which needs a targeted approach. For exam purpose, it is a required that we understand the basics. I have added some additional links at the bottom of this post which might be useful.

If you have a look at the details of this module on RCOG website, you can clearly see that it is broadly divided into two parts

Pelvic Floor Problems
Urinary Incontinence

It is a must to understand urodynamics and its interpretation so that management can be specific
Mainstay of treatment

Stress Incontinence → Surgical
Detrusor Overactivity → Pharmacological
Mixed → depends on the MAIN complaints of patient

Keep in mind that this problem adversely effects the Quality of Life (QoL)
Lifestyle modifications and multidisciplinary approach (MDT) are important
You can make a main folder with the name of “Urogynaecology & Pelvic Floor Problems” with 4 subfolders as follows
Following table will help you to organize the reading resources

Please let me know in comments if this is helpful. Suggestions for improving future posts are welcome.

Module 18: Urogynaecology and Pelvic Floor Problems Details

General Topics
NICE	#123 Urinary incontinence and pelvic organ prolapse in women: management April 2019 Summary: Incontinence and POP
TOG	Pelvic Floor Functional Bowel Disorders 2020 Laparoscopy in urogynaecology 2018 Fowler’s syndrome 2018 Summary Cystoscopy for the gynaecologist: how to do a cyctsoscopy 2017 Urethral diverticulum 2015 Recurrent UTI 2020 Summary Catheter use in gynaecological practice 2014 The management of urogynaecological problems in pregnancy and the early postpartum period 2012 UTI in Pregnancy 2008

Pelvic Organ prolapse
GTG	#46 Post-Hysterectomy Vaginal Vault Prolapse
TOG	Management of uterine prolapse: is hysterectomy necessary? 2016 Continence Surgery at the time of POP repair 2019 For Summary: Click Here Vaginal mesh in prolapse surgery 2018 Management of Vault prolapse 2013

Urinary Incontinence
SIP	#42 Botulinum Toxin for an Overactive Bladder
TOG	Use of urethral bulking agents in SUI 2020 Summary Interpretation of urodynamics studies 2019 The conservative (non-pharmacological) management of female urinary incontinence 2014 Management of refractory overactive bladder 2016

Bladder Pain Syndrome
GTG	#70 Management of Bladder Pain Syndrome

Some Important Links

Urogynaecology Dr Tom McFarlane
UK Continence Society
Vaginal Mesh use is restricted now : to read updated NHS letter March 2019 Click Here
Urodynamics Made Easy
Please search on YouTube, you will find many useful videos to clarify different concepts