Recognizing and Managing Common Urogynecologic Disorders

Many women experience urogynecologic or pelvic floor disorders, especially urinary incontinence and pelvic organ prolapse. The obstetrician/gynecologist is often the first health care professional to evaluate and treat these disorders. Treatments include pelvic floor muscle training, behavioral therapies, oral medications, neuromodulation, intradetrusor medications, and surgery. When approaching the woman with symptomatic prolapse, familiarity with pessaries and various surgical procedures aid in counseling. Referral to a pelvic floor physical therapist or to a female pelvic medicine and reconstructive surgeon should be considered. Increasing attention to data on cost-effectiveness is a necessity.