CUC case studies
CUC · Put your knowledge to work in context.
The Certified Urogynecology Care (CUC) credential is designed for clinicians who work with women and people with pelvic floor disorders - typically nurses, advanced practice providers, and allied health professionals in urogynecology, urology, and women's health settings. It signals that a candidate can integrate pelvic anatomy and physiology with practical, patient-facing assessment and management across the full urogynecologic care continuum, from initial evaluation through conservative therapy, perioperative support, and long-term counseling. The CUC case studies are 5 cases and about 3,135 words.
1Post-Hysterectomy Vault Prolapse With Occult Stress Incontinence
A 62-year-old G3P3 woman presents 3 years after total abdominal hysterectomy for fibroids with a 6-month history of a vaginal bulge (POP-Q: Aa -1, Ba -1, C +2, D n/a, Ap -2, Bp -2, TVL 7, GH 4, PB 3). She reports a sensation of incomplete emptying and needs digital splinting to defecate.
712 words, about 4 min2Recurrent UTI Versus Overactive Bladder in an Older Woman
A 71-year-old woman is referred for 'recurrent UTIs' - four culture-positive episodes in 12 months, each treated with 3–5 days of antibiotics. Between episodes she reports urgency, frequency (every 1–2 hours), and nocturia twice nightly, with occasional urge leakage.
654 words, about 3 min3Anal Incontinence After Obstetric Injury - Staged Workup
A 44-year-old G4P4 woman reports 2 years of liquid stool and flatus incontinence, worse after a recent gastroenteritis, and occasional solid stool urgency. She had a forceps-assisted delivery of a 4.2 kg infant 12 years ago with a recognized third-degree tear repaired at the time.
636 words, about 3 min4Chronic Pelvic Pain With Superimposed Vulvodynia - Multimodal Approach
A 29-year-old nulliparous woman has 18 months of deep dyspareunia, cyclic pelvic pain, and provoked vestibular pain with tampon insertion. She has seen three providers; each found 'nothing wrong' and one suggested it was 'in her head.' Pain is 7/10 with intercourse, 4/10 at rest, and she has stopped having sex.
594 words, about 3 min5Perioperative Anticoagulation and Mesh Sling Planning
A 58-year-old woman with stress urinary incontinence is scheduled for a retropubic midurethral sling. She has atrial fibrillation on apixaban, hypertension, and a BMI of 34.
539 words, about 3 min