Diagnosing Incontinence and Pelvic Floor Problems: An Efficient, Cost-Effective Approach for Primary Care Providers
Primary care clinicians often wonder whether they should be involved in the evaluation and management of urogynecologic issues, such as urinary and fecal incontinence, voiding dysfunction, and pelvic organ prolapse. Referring patients with urogynecologic complaints to specialists such as urogynecologists or urologists is certainly an option for those clinicians who are unfamiliar with the evaluation and management of these problems. As will be covered in this chapter, however, a basic evaluation including a directed history and physical, combined with a few simple tests, is all that is required in most patients in order to arrive at a presumptive diagnosis and initiate a well-structured, conservative treatment plan.
KeywordsUrinary Incontinence Pelvic Organ Prolapse Fecal Incontinence Overactive Bladder Stress Incontinence
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