Description & Objectives
This target audience for this conference includes primary-care and family medicine physicians, allied health professionals, residents and fellows in the Pacific Northwest, especially those with patients suffering from pelvic floor disorders or pelvic pain.
The National Association For Continence (NAFC) estimates that 25 million adult Americans experience transient or chronic urinary incontinence and that fecal incontinence affects 5-9% of the population. Many people believe the symptoms of urinary incontinence and other pelvic floor disorders are untreatable or a normal part of growing older, so they live with the physical and emotional discomfort for too long. Yet, it is estimated that approximately 80% of those affected by urinary and fecal incontinence can be cured or improved.
Recent studies indicate that current pelvic floor disorders in both men and women remain underreported and undertreated. The estimated number of American women with at least one pelvic floor disorder expecting to increase from 28.1 million in 2010 to 43.8 million in 2050. This increase will result in a shortage of specialists to manage all of these patients and provide timely diagnosis. Consequently, patients will be reliant on primary-care practitioners and gynecologists to treat pelvic floor disorders.
To meet the increased need for practitioners prepared to treat these conditions, primary-care physicians and allied health professionals must increase their awareness of pelvic floor disorders, appropriate diagnostic methods and treatment options. Practitioners having the skills to accurately and quickly diagnose and treat these patients will limit the time patients spend in pain and improve the overall quality of life for this patient population.
At the conclusion of this symposium, the participant will provide better patient care through an increased ability to:
- Describe the organization of the retroperitoneal pelvis based on vessels, muscles, ligaments and avascular spaces and review the relationship of female pelvic organs to the primary and secondary support structures
- Describe high-tone pelvic floor dysfunction, discuss the symptoms and evaluation of high-tone pelvic floor dysfunction and compare the available treatment options
- Review the epidemiology and statistics of urinary incontinence for both men and women, list common types of incontinence, compare treatment strategies for urinary incontinence and evaluate incontinent female patients
- Evaluate the colorectal incontinent patient, examine workup studies for colorectal incontinence and determine treatment algorithms for incontinence management
- Analyze the neurogenic bladder and causes, describe the symptoms and evaluation of the neurogenic bladder patient and review available treatment options and management of neurogenic bladder
- Recognize two or more indicators of pelvic floor dysfunction in pregnancy or peripartum period and identify treatment options for patients with pelvic floor dysfunction
- Describe three benefits of testosterone therapy in men with hypogonadism, utilize an erectile dysfunction treatment algorithm for men who don’t respond to medication and list three indications of surgical intervention in men with benign prostatic hyperplasia (BPH)
- Screen patients for pelvic organ prolapse in the primary-care setting, perform basic examination techniques when suspecting pelvic organ prolapse and discuss when to offer conservative management and when to refer to a specialist for pelvic organ prolapse
- Diagnose rectal prolapse, review techniques for reducing prolapse and discuss treatment of rectal prolapse
- Recognize types of patients that would benefit from pelvic floor physical therapy and review how therapy can help your patients with pelvic floor disorders
- Describe changes in hormones that affect pelvic health, outline the top three geriatric pelvic health issues, screen for pelvic health problems and describe non-invasive interventions for geriatric PFDs