E-Posters-Referral Patterns of Women with Pelvic Floor Disorders (PFDs) From a Public Safety Net Hospital Gynecologic Oncology Clinic

Referral Patterns of Women with Pelvic Floor Disorders (PFDs) From a Public Safety Net Hospital Gynecologic Oncology Clinic - Ilene K Tsui, MD

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The study examined the referral patterns of women with pelvic floor disorders (PFDs) from a public safety net hospital gynecologic oncology clinic. A total of 127 unique patients were identified, and 73% of them were asked about PFDs during their initial or preoperative visit. The majority of patients were screened for urinary urgency and frequency, followed by stress urinary incontinence and urge incontinence. Of the 93 patients who were screened for PFDs, 8 were diagnosed with a PFD. Four of these patients were referred to urogynecology, one had combined surgery with gynecologic oncology and urogynecology, one declined referral, and two patients did not have their PFDs addressed.<br /><br />The objectives of the study were to understand the assessment and referral patterns of patients with PFDs in a gynecologic oncology clinic and to determine the prevalence of PFD screening and types of PFDs assessed. It is important to recognize and address PFDs in gynecologic oncology patients as part of survivorship surveillance and to provide comprehensive care.<br /><br />The study collected data from gynecologic oncology clinic schedules, including patient demographics, cancer diagnosis, and treatment information. The screening for PFDs and types of PFDs assessed were also recorded. The results showed that 73% of patients were screened for PFDs, with a focus on urinary urgency and frequency. A small percentage of patients were screened for stress urinary incontinence and pelvic organ prolapse, which could potentially be treated concurrently with cancer surgery.<br /><br />The study suggests that standardized screening for PFDs in a gynecologic oncology clinic could facilitate the identification and referral of patients to a specialist for optimal management and quality of life. It is important to address PFDs both before and after cancer surgery to ensure comprehensive care for gynecologic oncology patients.

Keywords

referral patterns

pelvic floor disorders

PFDs

public safety net hospital

gynecologic oncology clinic

urinary urgency

stress urinary incontinence

urge incontinence

urogynecology

comprehensive care