Batchelor of Medicine and Surgery. This is the standard qualification each medical student is awarded after 5 years of University Training. Although the students are officially recognised as âdoctorsâ at this stage, they require a further one yearâs experience as a junior house officer in a hospital post before they become fully qualified doctors in the eyes of the General Medical Council. DRCOG: Diploma from the Royal College of Obstetricians and Gynaecologists. This is a voluntary exam undertaken by GPâs in training to recognise specialist knowledge in the fields of pregnancy and womenâs health. DCH. Diploma in Child Health. This is a similar exam to the DRCOG and recognises additional skills in the fields of child health and Paediatrics.
Mild cases of bladder or uterine prolapse usually don't cause any symptoms. A prolapse that is more advanced can cause any of the following symptoms: Discomfort in the vagina, pelvis, lower abdomen, groin or lower back. The discomfort associated with prolapse often is described as a pulling or aching sensation. It can be worse during sexual intercourse or menstruation.
Patients with chronic retention may present with symptoms of stress incontinence, urge incontinence, or mixed incontinence, but the symptoms will not improve unless the underlying cause is diagnosed and treated. The sensation of incomplete bladder emptying and consistently elevated postvoid residuals are suggestive of chronic retention of urine.