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Genitourinary Fistula and Urethral Diverticulum

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What is the most common type of genitourinary fistula?

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a. Vesicovaginal

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b. Vesicouterine

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c. Ureterovaginal

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d. Urethrovaginal

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Which of the following is the correct sequence of events in wound healing?

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a. Angiogenesis → fibrosis → remodeling

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b. Angiogenesis → remodeling → fibrosis

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c. Fibrosis → remodeling → angiogenesis

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d. Remodeling → angiogenesis → fibrosis

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All EXCEPT which of the following anatomic communications have been described?

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a. Vesicocervical

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b. Ureterouterine

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c. Urethrouterine

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d. Ureterocervical

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All EXCEPT which of the following are examples of complicated vesicovaginal fistulas?

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a. Concurrent pelvic malignancy

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b. Prior pelvic radiation therapy

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c. Posthysterectomy fistula distant from the vaginal cuff

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d. High posthysterectomy fistula with normal vaginal length

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According to the more comprehensive fistula classification system introduced by Goh in 2004, how would one classify a 2-cm diameter fistula with moderate-to-severe surrounding fibrosis located 5 cm from the external urethral meatus?

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Goh JT: A new classification for female genital tract fistula. Aust N Z J Obstet Gynaecol 44:502, 2004

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a. Type 1 a i

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b. Type 1 b ii

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c. Type 3 a ii

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d. Type 2 c iii

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In developing countries, most genitourinary fistulas (approximately 90 percent) are attributable to which of the following?

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a. Malignancy

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b. Pelvic surgery

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c. Obstetric trauma

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d. Sexual trauma or foreign body

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