Ebook Ambulatory gynecology: Part 2

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Ebook Ambulatory gynecology: Part 2

Chapter 13Office Management of Female Pelvic FloorDysfunctionSara Kostant and Michael D. Moen®Check f

Ebook Ambulatory gynecology: Part 2including urinary incontinence and pelvic organ prolapse, affects millions of American women. These problems are more common than most healthcare prov

iders realize. About 24% of all women have at least one symptom of pelvic floor dysfunction |1|. The lifetime risk of undergoing surgery for pelvic or Ebook Ambulatory gynecology: Part 2

gan prolapse or incontinence is 20% [2], which does not take into account women who undergo medical management of their symptoms or do not seek treatm

Ebook Ambulatory gynecology: Part 2

ent at all.The prevalence of pelvic floor disorders is set to increase significantly over the next few decades. One study estimates that by 2050, the

Chapter 13Office Management of Female Pelvic FloorDysfunctionSara Kostant and Michael D. Moen®Check f

Ebook Ambulatory gynecology: Part 2.9 million [3].s. KostantHackensack University Medical Center, Department of Obstetrics and Gynecology. Hackensack. NJ. USAM. D. Moen (El)Rosalind Fra

nklin University Chicago Medical School. AdvocateLutheran General Hospital. Department of Obstetrics and Gynecology. Park Ridge, IL, USAe-mail: Michae Ebook Ambulatory gynecology: Part 2

l.moen@advocatehealth.comc________________________—I Ic__•inc196 s. Kostant and M. D. MoenIncreasing age is a risk factor for pelvic floor dysfunction

Ebook Ambulatory gynecology: Part 2

, and the number of women over age 65 will have doubled between 2008 and 2050 [4].A general gynecologist is often the first provider to see patients w

Chapter 13Office Management of Female Pelvic FloorDysfunctionSara Kostant and Michael D. Moen®Check f

Ebook Ambulatory gynecology: Part 2an increase in women presenting with urinary incontinence, pelvic organ prolapse, and voiding dysfunction to his or her office over the next decades.

Management of these issues might seem daunting to many gynecologists. Graduating OB/GYN residents have less experience managing issues related to pelv Ebook Ambulatory gynecology: Part 2

ic floor dysfunction than obstetric and benign gynecological issues common to the premenopausal patient.The general gynecologist will have a growing r

Ebook Ambulatory gynecology: Part 2

esponsibility to manage urinary incontinence, pelvic organ prolapse, and voiding dysfunction. The purpose of this chapter is to provide a framework fo

Chapter 13Office Management of Female Pelvic FloorDysfunctionSara Kostant and Michael D. Moen®Check f

Ebook Ambulatory gynecology: Part 2 urine flow and ability to empty her bladder.Pelvic Floor Dysfunction TerminologyStandardized terminology for female pelvic floor dysfunction eases co

mmunication between providers and patients. The following definitions are taken from the most recent International Urogynecological Association (IUGA) Ebook Ambulatory gynecology: Part 2

/ International Continence Society (ICS) guidelines [5].Stress incontinenceThe complaint of the involuntary loss of urine on effort or physical exert

Ebook Ambulatory gynecology: Part 2

lot ĨUrgency13. Office Management of Female Pelvic Floor... 197Urgency incontinenceThe complaint of the involuntary loss o f urine associated with urg

Chapter 13Office Management of Female Pelvic FloorDysfunctionSara Kostant and Michael D. Moen®Check f

Ebook Ambulatory gynecology: Part 2oughingFrequencyThe complaint that urination occurs more frequently during waking hours than previously deemed normal by the womanNocturiaThe complain

t of the interruption of sleep one or more times because of the need to urinateOveractive bladder (OAB, urgency) syndromeUrinary urgency, usually acco Ebook Ambulatory gynecology: Part 2

mpanied by frequency and nocturia, with or without urgency urinary incontinence, in die absence of urinary tract infection or obvious pathology

Chapter 13Office Management of Female Pelvic FloorDysfunctionSara Kostant and Michael D. Moen®Check f