How urogynaecology is examined
According to RANZCOG, the FRANZCOG written examination is computer-based and has two short answer parts (6 questions each, 90 marks, 2 hours each) and a 100-question MCQ paper (2 hours), totalling 280 marks. Trainees need at least 46 weeks FTE of satisfactory Basic Training to sit it. The oral examination follows once the written exam is passed, with 12 stations from 2026. Check RANZCOG for current dates, delivery and changes from 2027.
High-yield topics
| Topic | Key points |
|---|---|
| Stress incontinence | Pelvic floor muscle training first; surgery after conservative care |
| Overactive bladder | Bladder training, antimuscarinics or beta-3 agonists; anticholinergic burden in older women |
| Pelvic organ prolapse | POP-Q; pessary or surgery |
| OASIS | Classification, primary repair, follow-up |
| Mesh | Regulatory changes and informed consent |
Worked questions
Worked question 1 · Stress incontinence
What is the first-line treatment for stress urinary incontinence?
- A Supervised pelvic floor training
- B Midurethral sling
- C Oxybutynin
- D Colposuspension
- E Intravesical botulinum toxin injection
Show the reasoning
Answer A. Supervised pelvic floor muscle training for at least 3 months is first-line. Surgery is considered when conservative treatment fails.
Worked question 2 · Overactive bladder
For an older woman with overactive bladder and cognitive impairment, which medicine is preferred?
- A Mirabegron
- B Oxybutynin
- C Amitriptyline
- D Desmopressin
- E Diazepam
Show the reasoning
Answer A. Mirabegron, a beta-3 agonist, avoids anticholinergic effects that can worsen cognition. Check blood pressure.
A 4-week revision block
| Week | Focus |
|---|---|
| 1 | Incontinence assessment |
| 2 | Overactive bladder |
| 3 | Prolapse and pessaries |
| 4 | OASIS, fistula and mixed questions |
Use timed MCQ blocks for breadth and write one SAQ answer a day to practise structure under time pressure.
Common traps
- Going to surgery before conservative care.
- Ignoring anticholinergic burden.
- Unclear OASIS classification.
- Not documenting consent around mesh.
Free sample urogynaecology questions
Questions from our O&G (RANZCOG) bank. Choose your answer, then open the explanation.
Post-void residual over what volume suggests retention?
- AOver 150 mL
- BAny measurable volume
- COver 1000 mL only
- DOver 20 mL
- EOver 5 mL after voiding
Show answer and explanation
Answer A. A PVR over about 100 to 150 mL is significant; consider medications, prolapse and neurological causes.
Learning point: PVR over 150 mL: incomplete emptying.
After failed pelvic floor training, which procedure is a common non-mesh surgical option for stress incontinence?
- ASacrocolpopexy
- BBladder augmentation
- CHysterectomy
- DAnterior colporrhaphy
- EBurch colposuspension
Show answer and explanation
Answer E. Burch colposuspension and autologous fascial slings are non-mesh options. Midurethral slings remain available with thorough consent under Australian regulation.
Learning point: Non-mesh SUI surgery: Burch colposuspension or fascial sling.
What is first-line treatment for stress urinary incontinence?
- AMid-urethral sling as the first option
- BPelvic floor muscle training
- COxybutynin
- DBladder botulinum toxin
- EIndwelling catheter
Show answer and explanation
Answer B. Supervised pelvic floor training for at least 3 months is first-line. Surgery (colposuspension, autologous sling) follows; mesh sling use is restricted in Australia.
Learning point: SUI: pelvic floor training first.
Practise more urogynaecology questions free
Every urogynaecology subtopic in our bank
The bank holds 21 urogynaecology questions across 21 subtopics. You can filter by any of them, build a custom block and track your accuracy subtopic by subtopic.
- Botulinum toxin bladder1
- Detrusor overactivity1
- Faecal incontinence1
- Genitourinary syndrome1
- Genitourinary syndrome of menopause1
- Interstitial cystitis1
- Mesh complications1
- Nocturia1
- Obstetric anal sphincter injury1
- Overactive bladder1
- Pessary use1
- POP-Q1
- Postpartum retention1
- Postpartum urinary retention1
- Prolapse1
- Recurrent UTI1
- Stress incontinence1
- Urodynamic stress incontinence surgery1
- Urodynamics1
- Vesicovaginal fistula1
- Voiding dysfunction1
Common questions
Is mesh surgery still examined?
Yes, particularly regulation, consent and complications.
How is prolapse graded?
The POP-Q system is commonly used.
What is first-line for overactive bladder?
Lifestyle and bladder training, then medicines.
Sources
Clinical content is summarised from current Australian guidance at the date above. Guidelines change, so always check the latest edition.