ABOG Urogynecology and Reconstructive Pelvic Surgery study plan

Draw and label the levator ani complex, arcus tendineus fasciae pelvis, and perineal membrane from memory, then verify against an anatomy atlas

Trace and verbally explain the three levels of DeLancey vaginal support and map each level to a specific prolapse compartment

Differentiate the anterior, posterior, and apical compartments by their fascial attachments and list the native-tissue repairs available for each

Explain how pelvic floor muscle physiology (type I vs type II fibers, resting tone, Valsalva response) relates to prolapse and continence

Compare POP-Q staging against the Baden-Walker system and stage five hypothetical exam findings in each

Select appropriate evaluation (history, exam, imaging, urodynamics) for three prolapse vignettes and justify each test

Contrast obliterative vs reconstructive and native-tissue vs mesh-augmented prolapse repairs by indications, durability, and risk

Outline the counseling points and expected recurrence rates for anterior, apical, and posterior repair

Classify stress, urgency, and mixed incontinence by history and exam and match each to first-line management

Interpret a full urodynamics tracing (cystometrogram, pressure-flow, EMG) and identify detrusor overactivity, intrinsic sphincter deficiency, and obstruction

Explain the indications, technique, and complications of midurethral sling and Burch colpopexy

Identify urodynamic artifacts and pitfalls (catheter effect, provocative maneuvers, Valsalva leak point pressure interpretation)

Build a stepwise pharmacologic and behavioral algorithm for overactive bladder including antimuscarinic vs beta-3 agonist selection and third-line options

Differentiate urgency, frequency, nocturia, and voiding dysfunction by cause and diagnostic pathway

Classify fecal incontinence by etiology (sphincter, neurogenic, diarrheal) and match each to conservative and surgical options

Describe the evaluation of anorectal disorders including anal manometry, endoanal ultrasound, and pudendal nerve testing indications

Map the pudendal nerve and sacral plexus and explain how neuropathy produces pelvic floor dysfunction

Differentiate dyssynergic defecation from slow-transit constipation and select appropriate testing and biofeedback therapy

List the major complications of reconstructive pelvic surgery (mesh erosion, fistula, ureteral injury, hemorrhage, dyspareunia) with prevention and management

Plan a reoperation strategy for recurrent prolapse after failed native-tissue repair

Compare synthetic mesh, biologic grafts, and native tissue by biomechanics, infection risk, and FDA regulatory status

Select graft material for specific repairs and justify the choice with evidence

Assemble a perioperative care bundle covering VTE prophylaxis, antibiotic prophylaxis, glycemic control, and ERAS principles

Explain anesthesia considerations and patient-safety practices relevant to pelvic surgery (positioning, nerve injury, wrong-site prevention)

Describe the embryology and classification of Müllerian anomalies and match each to management

Outline care for special populations including the elderly, obese, and patients with prior pelvic radiation

Appraise a diagnostic-test study by calculating sensitivity, specificity, and predictive values from a 2x2 table

Interpret confidence intervals, p-values, and number needed to treat in a surgical trial and identify biases common in urogynecology research

Synthesize high-yield content across prolapse, incontinence, and complications into a condensed review

Complete timed practice questions across all domains and analyze missed items by domain

Revisit weakest domains identified by practice performance and close knowledge gaps

Rehearse concise verbal explanations of core management decisions as for an oral exam