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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
    • 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
    • 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/quadriplegia (urology)
  • Pelvic Pain not localized to bladder or urethra (general gyn)
  • Recurrent vaginal and urinary tract infections (general gyn)
    • We are consultants and make recommendations to the patient and PCPs
    • When patients are symptomatic, the PCP should order a UA and culture and treat accordingly
    • If the PCP is uncomfortable treating UTIs, they can either send us the results or a message and we will be more than happy to guide them with the best antibiotic choices
    • Sometimes, we also have to consult with urology and infectious diseases (ID)


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