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Referral patterns for pelvic floor disorders

Authors
  • Kapoor, Dharmesh S.1
  • Meher, Shireen2
  • Watkins, Linda3
  • Das, Mausumi4
  • 1 Royal Bournemouth Hospital, Department of Gynecology, Bournemouth, BH7 7DW, UK , Bournemouth (United Kingdom)
  • 2 Whiston Hospital, Obstetrics and Gynecology, Liverpool, UK , Liverpool (United Kingdom)
  • 3 Countess of Chester Hospital, Obstetrics and Gynecology, Cheshire, UK , Cheshire (United Kingdom)
  • 4 Nottingham University Hospital, Obstetrics and Gynecology, Nottingham, UK , Nottingham (United Kingdom)
Type
Published Article
Journal
International Urogynecology Journal
Publisher
Springer-Verlag
Publication Date
Aug 06, 2009
Volume
20
Issue
12
Pages
1469–1472
Identifiers
DOI: 10.1007/s00192-009-0972-0
Source
Springer Nature
Keywords
License
Yellow

Abstract

Introduction and hypothesisTo determine referral patterns to the gynecology directorate for symptomatic pelvic organ prolapse and urinary incontinenceMethodsA prospective multicenter survey of three district general hospitals in Northwest England. Referral letters sent by family physicians to consultants were studied over a three-month period. Main outcome measures were presenting complaints of prolapse and incontinenceResultsTwo thousand seven hundred sixty-nine referral letters were surveyed. Urogynecological complaints (18.4%) were the second most common reason for referral. Menstrual irregularities (21.9%) were the commonest presenting complaint. Among these urogynecology referrals, 38.4% (196/510) were for urinary incontinence (UI), 36.2% (185/510) were for symptomatic prolapse (POP), and 25.3% (129/510) were referred with combined complaints of POP and UI. Of all urogynecological referrals, 56% were for women below 60 years of age. Twenty percent of those with urogynecological complaints had undergone prior hysterectomy.ConclusionsPelvic floor disorders were the second most common reason for referral to gynecologists.

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