2025 Urogynecology for the Advanced Practice Provider-Complex Case Discussion 1

Video Transcription

Video Summary

The discussion covers the management of an 88-year-old female patient with recurrent UTIs post-prolapse repair. Dr. Gray suggests focusing on behavioral interventions, careful antibiotic use due to resistance issues, and considering prophylactic antibiotic regimens. The patient may benefit from pelvic PT, given her advanced age and potential muscle mass loss. The team highlights the importance of a multidisciplinary approach involving PT, infectious disease, and possibly allergists due to multiple drug allergies. They discuss the complexities of treating such cases, including the utility of antibiotic installation and imaging rules out underlying causes of infection. Emphasis is placed on patient education, careful pre-op assessments, and a holistic view capturing the patient’s full health picture. The discussion also addresses post-operative complications, noting that coordination between multiple healthcare providers is crucial for optimal management, especially when encountering complications after spinal surgeries.

Asset Subtitle

Panelists:

Carissa Aboubakare, MSN, WHNP, MSCP

Elizabeth Barkowitz, PT, BCB-PMD

Charelle Carter-Brooks, M.D., M.Sc.

Ingrid Harm-Ernandes PT, WCS, BCB-PMD

Leslie Rickey, MD

Keywords

recurrent UTIs

prophylactic antibiotics

pelvic physical therapy

multidisciplinary approach

patient education

post-operative complications