7/24/2019 A Good Answer Should Include Incontinenace

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A good answer should include

a) Initial assessment History

Severity of incontinence and impact on quality of life (1 mark)

Other urinary symptoms urgency! urge incontinence! frequency and nocturia"Symptoms of voiding dysfunction # dri$$ling! hesitancy! poor stream! straining to

void(1 mark)

Symptoms of %&I dysuria ' frequency ' haematuria (1 mark)

resence of $ladder pain prolapse symptoms (1 mark)

*owel symptoms # constipation! incontinence of faeces ' +atus (1 mark)

O$stetric H, including date of last delivery -eproductive intentions (1 mark)

.luid intake including ca/eine and alcohol (1 mark)

revious treatment for incontinence including surgery (1 mark)

0,amination *I" A$dominal and pelvic e,amination a$domino2pelvic mass!

palpa$le $ladder (1 mark

resence of prolapse" 3emonstrate stress incontinence with moderately full $ladder

(1 mark)

Investigations

%rine dipsti, and S%" %rinary diary (1 mark)-*S

%rodynamic investigations only of conservative treatment has failed and surgery is

$eing considered (1 mark)

$) -ole of &4&

0,plain the operation" 5an $e performed under local anaesthesia as day case (1

mark)

Success rates of 67289: at 7 years (;217: risk of de novo detrusor overactivity (1 mark)

7/24/2019 A Good Answer Should Include Incontinenace

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3eterioration of se,ual function at least ? months postoperatively 2 8">: (1 mark)

&ape erosion 2 1"1:" -epeat operation on ta

rovide written information (1 mark)