Urogynaecology

At the end of this course, students should be able to: 1. define vesico-vaginal fistula and describe its epidemiology; 2. list the classifications of vesico-vaginal fistula; 3. describe the pathogenesis of vesico vaginal fistula, the aetiology and determinants of genital fistula; 4. list the clinical features and laboratory investigations, and the treatment options for fistula; 5. describe post operative care and prevention of fistula; 6. define recto-vaginal fistula; 7. describe aetiology, risk factors of recto vaginal fistula and the pathogenesis; 8. list the different types of RVF; 9. list the clinical features, describe the diagnosis, preoperative care and treatment of recto vaginal fistula; 10. define pelvic organ prolapse and describe the pathophysiology; 11. enumerate the classification (clinical) of pelvic organ prolapse based on the anatomic location; 12. list various staging methods of pelvic organ prolapsed; 13. describe simple classification (traditional) and Baden and Walker classification; 14. explain the aetiology/risk factors of pelvic organ prolapsed; 15. define the pelvic support system; 16. enumerate the history, examination and clinical findings in patients with pelvic organ prolapsed; 17. describe the prevention of pelvic floor prolapsed; 18. explain the differential diagnosis; and 19. describe the treatment of pelvic organ prolapse.

Anatomy of the urogenital system. Physiology of micturition. Urinary disorders. Genuine stress incontinence. Detrusor instability. Overflow incontinence and functional incontinence. Fistulae (vesico-vaginal) fistulae. Vesico-rectal fistulae. Uretero-vaginal fistulae. Recto-vaginal fistulae. 128 Vault prolapse. Anterior prolapse. Posterior prolapse. Cystocele. Rectocele. Psychological aspect of urogynaecology.