SUFU 2021: Disparity in Female Pelvic Examination in the Evaluation of Lower Urinary Tract Symptoms
A 4:1 age-matched cohort of males was extracted in order to assess the presumed disparity in pelvic/genital exams. Chief complaints included LUTS, overactive bladder (OAB), urinary incontinence, urinary retention, UTI symptoms, neurogenic bladder, and benign prostatic hyperplasia (BPH). Exclusion criteria included all urologists who were female pelvic medicine and reconstructive surgery (FPMRS) trained. 509 patients were assessed (F:116, M: 393), 97% of all patient encounters were by male urologists. Of all patients, 41% underwent a genital examination. Only 10% (12/115) of female patients underwent a pelvic examination vs. 50% (195/393) of male patients. Gender differences are of concern but not surprising.
Presented by: Aryana Sharrak, Marcus Jamil, MD, Mahdi Bazzi, MD, Ryan Timar, Natalija Kovacevic, MD, Humphrey Atiemo, MD, Oakland University William Beaumont School of Medicine, Rochester Hills, MI; Vattikuti Urology Institute, Henry Ford Hospital, Detroit, MI
Written by: Diane K. Newman, DNP, CRNP, FAAN, BCB-PMD, Nurse Practioner and Co-Director, Penn Center for Continence and Pelvic Health Adjunct Professor of Urology in Surgery during the 2021 Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction (SUFU) Winter Meeting