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Primary care providers practice patterns regarding female pelvic floor disorders
Anna Weimer1, Jennifer L Hallock2, Chi Chiung Grace Chen3
1Magee-Women's Hospital of UPMC, Pittsburgh, Pennsylvania, USA weimera3@upmc.edu.
Family Medicine and Community Health
|March 14, 2024
Summary
Primary care providers (PCPs) are crucial for managing pelvic floor disorders (PFDs). However, many PCPs lack comfort and face referral difficulties, especially with pelvic organ prolapse and fecal incontinence, indicating a need for improved training and collaboration.
Area of Science:
- Urology
- Gynecology
- Primary Care Medicine
Background:
- Pelvic floor disorders (PFDs) significantly impact women's physical and psychological well-being.
- Patient reluctance to seek care necessitates proactive screening and management by primary care providers (PCPs).
Purpose of the Study:
- To assess PCP practices, knowledge, and comfort levels in managing and referring patients with PFDs.
- To identify factors associated with PCP discomfort in managing and difficulty in referring PFDs.
Main Methods:
- An online survey was distributed to PCPs.
- Logistic regression analysis was employed to examine associations between PCP characteristics and management/referral outcomes.
Main Results:
- PCPs reported greater comfort managing stress urinary incontinence (SUI) and overactive bladder (OAB) than pelvic organ prolapse (POP) and fecal incontinence (FI).
- Fewer providers screened for POP and FI compared to SUI and OAB.
- Discomfort with management correlated with less PFD exposure, while referral difficulties related to practice characteristics.
Conclusions:
- Increased PCP awareness and standardized screening protocols for PFDs are essential.
- Enhanced collaboration between PCPs and pelvic floor specialists can improve patient care for PFDs.
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