Answer / udaya bhanu

The most common cause of fistula was trauma associated with
pelvic operation, and the operation most often involved was
total abdominal hysterectomy.

Malignant disease of the pelvic organs was the second most
common cause, while radiation therapy and obstetrical causes
were next in the order of frequency.

Answer / bushra

obstructed delivery ,pelvic surgery include
TAH,trauma,radiotherapy

A 40 year old woman attends for hysterectomy for dysfunctional uterine bleeding 9 months after she was seen in clinic. Describe your pre-operative assessment and counselling.

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Where is the urinary tract most likely to be injured during pelvic surgery and how can such injury be avoided?

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How ca you treat the Postoperative urinary retention?

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what is the gynaecology

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34 year old woman is found to have a monochorionic twin pregnancy at 12 weeks gestation in her first pregnancy. She requests information on the antenatal risks to her and her fetuses and their management. How would you counsel her?

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14 year old woman requests the combined oral contraceptive pill for contraception. Please see her and discuss her management?

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35 year old woman is thought to have a vesico-vaginal fistula. What are the main causes of vesico-vaginal fistulas?

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A 35 year old woman complaining of vulval itching is found to have vulval intra-epithelial neoplasia (VIN) on vulval biopsy. How would you treat her?

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You are asked to see a 30 year old woman at 28 weeks gestation with suspected ruptured membranes. How would you confirm the diagnosis?

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Which type of patient is given magnesium sulphate therapy? What can be its side effects?

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A 14year old woman attends with her mother because she has not started menstruating. Outline your initial assessment?

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