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Surgeries for Pelvic Floor Disorders

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Mandatory components to a rigid cystoscope include all EXCEPT which of the following?

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a. Bridge

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b. Camera

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c. Sheath

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d. Telescope and light source

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Which rigid telescope most easily permits visualization of the lateral, anterior, and posterior bladder walls during diagnostic cystoscopy?

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a. 0-degree lens

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b. 30-degree lens

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c. 70-degree lens

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d. 120-degree lens

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In this figure, the retropubic space is shown with two sutures on either side of the urethra. The first sutures are at the level of the urethrovesical junction, and the second are near the proximal third of the urethra. These are tied to the ipsilateral iliopectineal ligament (Cooper ligament). All EXCEPT which of the following are true regarding this procedure?

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Reproduced, with permission, from Tarnay CM, Bhatia NN: Urinary incontinence. In DeCherney AH, Nathan L (eds): CURRENT Diagnosis & Treatment Obstetrics & Gynecology, 10th ed. New York, McGraw-Hill, 2007, Figure 45-6A.

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a. Brisk bleeding in this operative space is likely due to laceration of vessels within the plexus of Santorini.

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b. The patient is placed in candy-cane stirrups or Allen stirrups in high lithotomy position for this procedure.

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c. Symptomatic success or cure in treatment of stress urinary incontinence is achieved in approximately 85 percent of patients.

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d. Overcorrection of the urethrovesical angle (i.e., not leaving a suture bridge) has been suggested as a cause of postoperative voiding dysfunction.

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Indications for the tension-free vaginal tape procedure include all EXCEPT which of the following?

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a. Urge urinary incontinence

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b. Prior failed anti-incontinence procedure

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c. Stress urinary incontinence related to urethral hypermobility

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d. Stress urinary incontinence related to intrinsic sphincteric deficiency

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Risks associated with the transobturator tape sling include all EXCEPT which of the following?

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