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Genitourinary Fistula and Urethral Diverticulum

What is the most common type of genitourinary fistula?

a. Vesicovaginal

b. Vesicouterine

c. Ureterovaginal

d. Urethrovaginal

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

a. Angiogenesis → fibrosis → remodeling

b. Angiogenesis → remodeling → fibrosis

c. Fibrosis → remodeling → angiogenesis

d. Remodeling → angiogenesis → fibrosis

How long after tissue injury do most fistulas present?

a. 3 to 5 days

b. 1 to 3 weeks

c. 4 to 6 months

d. More than 1 year

Which of the following anatomic communications has NOT been described?

a. Vesicocervical

b. Ureterouterine

c. Urethrouterine

d. Ureterocervical

Examples of complicated vesicovaginal fistulas (VVFs) include all of the following EXCEPT:

a. VVF with concurrent pelvic malignancy

b. VVF following pelvic radiation therapy

c. Posthysterectomy high VVF and vaginal length of 9 cm

d. Posthysterectomy VVF that is distant from the vaginal cuff

A 27-year-old postpartum woman presents with a fistula measuring 2 cm in diameter. The fistula has moderate-to-severe surrounding fibrosis and is located 5 cm from the external urethral meatus. According to the more comprehensive fistula classification system introduced by Goh (2004), how would you classify this fistula?

a. Type 1 a i

b. Type 1 b ii

c. Type 3 a ii

d. Type 2 c iii


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