Pelvic Floor Assessment and Investigation
Diagnose urinary, faecal and prolapse disorders through structured assessment.
How to prepare for MRCOG Part 2
Build a complete clinical map, then rehearse diagnosis, test selection and interpretation, management, prognosis and patient-centred safety in current UK practice.
Core concepts
Concept 1
Anatomy, pathophysiology, epidemiology, history, examination, urine testing, bladder diary, urodynamics, cystoscopy and imaging.
Exam cue: Identify the clinical domain and exact task before reviewing the option list.
Concept 2
Classify the dominant storage, voiding, support or bowel mechanism and select only investigations that change management.
Exam cue: Use gestation, urgency, trend, prior treatment and patient preference to rank plausible answers.
Concept 3
Exclude retention, fistula, haematuria, infection, neurological disease, malignancy and upper-tract compromise.
Exam cue: Choose the safest proportionate action for the stated point in care and know when multidisciplinary escalation is required.
Concept 4
Use current UK obstetric and gynaecological guidance while integrating diagnosis, investigations, management and epidemiology.
Risk pitfalls and guardrails
Ordering urodynamics or imaging before defining symptoms, examination findings and the decision the test must inform.
Guardrail: Do not choose a possible diagnosis or later definitive intervention when the question asks for the single best answer at this exact point in care.
Choosing a theoretically possible answer rather than the single best option at this point in the pathway.
Guardrail: Do not choose a possible diagnosis or later definitive intervention when the question asks for the single best answer at this exact point in care.
Inventing a paper-specific or Knowledge Area weighting that RCOG has not published.
Guardrail: Only the 40% SBA and 60% EMQ mark split is official; RCOG publishes no numerical Knowledge Area or paper-specific allocation.
Memory anchors
Pelvic Floor Assessment and Investigation: scope
Anatomy, pathophysiology, epidemiology, history, examination, urine testing, bladder diary, urodynamics, cystoscopy and imaging.
Pelvic Floor Assessment and Investigation: clinical reasoning
Classify the dominant storage, voiding, support or bowel mechanism and select only investigations that change management.
Pelvic Floor Assessment and Investigation: safety boundary
Exclude retention, fistula, haematuria, infection, neurological disease, malignancy and upper-tract compromise.
Pelvic Floor Assessment and Investigation: common trap
Ordering urodynamics or imaging before defining symptoms, examination findings and the decision the test must inform.
Pelvic Floor Assessment and Investigation: Part 2 sequence
Define the diagnosis or decision, select and interpret the investigation, compare management options, then check epidemiology, prognosis and patient-centred safety.
Checkpoint rule
Do the check-up only after you can summarize each concept in one sentence and identify one dangerous pitfall from memory.
Knowledge Check (after reading)
Short check-up to confirm understanding of this module.
Check-up Questions
A patient leaks urine when coughing and exercising but has no urgency. What is the most likely diagnosis?
A patient reports sudden compelling urgency, frequency, nocturia and leakage before reaching the toilet. What is the most likely diagnosis?
Answer all questions to submit.
Next step personalized recommendations
Continue learning
Move forward only after this module is stable.
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