Ep. 182 Evaluating Female Urinary Incontinence: Essential Steps for the Generalist - GYN and Urologist with Dr. Sarah Boyles

With contemporary treatment options, your female patients don’t have to live with urinary incontinence! In this crossover episode of BackTable Urology and OBGYN, host Dr. Suzette Sutherland from University of Washington interviews Dr. Sarah Boyles, a urogynecologist at The Oregon Clinic, regarding female urinary incontinence, its diagnostic criteria, and various treatment options to help improve quality of life in the incontinence patient.

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SYNPOSIS

First, Dr. Boyles explains the importance of patient history and physical examination, along with the need for certain diagnostic tests for proper characterization of the type of urinary incontinence in a patient. She also explores behavioral treatments, pelvic floor physical therapy, vaginal pessaries, and advanced interventions such as urethral bulking and surgery for stress incontinence. The doctors further discuss innovative pharmaceutical and neuromodulation options for urge incontinence.

Dr. Boyles concludes with a mention of patient education resources that are available on her platform, thewomensbladderdoctor.com.

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TIMESTAMPS

00:00 - Introduction

02:35 - The Women’s Bladder Doctor Initiative

07:03 - Types of Urinary Incontinence

11:49 - Diagnostic Approaches to Urinary Incontinence

28:39 - Treatment Algorithms for Urinary Incontinence

31:12 - Bladder Retraining and Pelvic Floor Therapy

40:00 - Urethral Seals and Vaginal Pessaries

50:47 - Treatment for Urgency

57:51 - Future Directions

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RESOURCES

Pearson Ravitz

https://pearsonravitz.com/

The Women’s Bladder Doctor

https://thewomensbladderdoctor.com/