Referral Guide for BWH Urogynecology Practice

Our practice can provide care for your patients with the following types of problems:

  • Lower urinary tract symptoms in women
    • Urinary Incontinence
    • Overactive bladder
    • Difficulty with urination/retention
    • Failed previous surgery for incontinence
    • Recurrent UTI’s
    • Hematuria
    • Bladder pain/Interstitial cystitis/urethral syndrome
    • Genital fistula and urethral diverticulum
  • Pelvic organ prolapse
    • Uterine and vaginal prolapse
    • Rectocele/cystocele/enterocele
    • Failed previous surgery for prolapse
  • Evaluation for possibility of vaginal hysterectomy
  • Minimally invasive surgery for prolapse or incontinence
  • Defecatory dysfunction
    • Chronic constipation/outlet obstruction
    • Anal incontinence
  • Pelvic floor complications of previous gyn/pelvic surgery
    • Pain, bowel or bladder dysfunction
    • Questions about mesh
  • Perineal complications of childbirth
    • Continuing problems related to episiotomies, perineal tears, vaginal delivery
    • Discussions regarding route of delivery vis a vis previous or current pelvic floor trauma or dysfunction

A few situations best referred to other specialists:

  • Rectal prolapse (colorectal surgery)
  • Bladder dysfunction in spinal-cord injured patients/para/quadrapeligia (urology)
  • Pelvic Pain not localized to bladder or urethra (general gyn)
  • Recurrent vaginal infections (general gyn)

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