For Referring Physicians
A New Approach to Problems of the Pelvic Floor
How We Work
We gear our consultation services to the referring physician's needs and preferences:
- If you request evaluation only, the patient receives a comprehensive evaluation of her incontinence as well as any pelvic floor defect. This evaluation includes clinical and, if indicated, urodynamic testing. We immediately forward to you a letter reviewing the findings. We then make recommendations to you regarding both surgical and non-surgicaltherapeutic options.
- If you request evaluation and management, we evaluate the patient as described above. Our letter to you reviews the findings and outlines initial management. For patients who require reconstructive surgery, we forward to you a copy of the discharge summary sheet, and a follow-up letter after the second post-operative visit. If you have full operating privileges at the hospital where the surgery is performed, and want to participate in the surgery, we will make all efforts to accommodate you. For patients who do not need surgery, we correspond with you regularly regarding the patient's progress.
In all cases, we inform your patient clearly of the consultative nature of the referral, and direct her back to you after the completion of our services. No patient will be referred to another physicians with out your input.
What Our Consultation Service Involves
At the patient’s first visit, we do a complete history and physical, with emphasis on pelvic floor defects and disorders of the lower urinary tract. We also perform a preliminary urodynamic test (uroflowmetry).
If, after clinical assessment, the diagnosis is relatively clear and the patient is not a surgical candidate, we will outline initial management without the aide of formal multi-channel urodynamics.
In more complex cases, where the etiology of the incontinence is not clearly evident upon clinical evaluation, we have the patient come in for a second visit for urodynamic evaluation. (Urodynamic testing is also performed prior to surgery when indicated.) This session takes 45 minutes to an hour, including post-procedure counseling and review of the results.
We promptly communicate to you the results of the urodynamic testing.
Includes the following:
- Water filled multi-channel cystometry
- Urethral pressure profilometry
- Measurement of abdominal leak point pressure
- Sphincter electromyography
A description of these tests, in consumer-friendly language, is available for your patients.
Fees and Insurance
We accept Medicare and participate in most managed care health plans. We have dedicated personnel to assist your patients with claim processing and to help them avoid incurring a financial burden.The Institute for Female Pelvic Medicine is on Facebook