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BackTable / OBGYN / Podcast / Episode #61
Evaluating Female Urinary Incontinence: Essential Steps for the Generalist
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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BackTable, LLC (Producer). (2024, August 6). Ep. 61 – Evaluating Female Urinary Incontinence: Essential Steps for the Generalist [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Dr. Sarah Boyles
Dr. Sarah Boyle is a urogynecologic surgeon at the Oregon Clinic in Portland, Oregon.
Dr. Suzette Sutherland
Dr. Suzette Sutherland is the director of female urology with UW Medicine in Seattle, Washington.
Synopsis
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.
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
Resources
Pearson Ravitz
https://pearsonravitz.com/
The Women’s Bladder Doctor
https://thewomensbladderdoctor.com/
Transcript Preview
[Dr. Suzette Sutherland]
Great. Why don't we just jump in on female urinary incontinence? How big of a problem do you really think this is in the general population?
[Dr. Sarah Boyles]
It's a huge problem. There have been some recent studies that have queried the American population and about 60% of women leak at some point. 30% of women leak regularly, but it's not something that we talk about because there's so much shame associated with it. So many women think that it is normal. While it is common, I would say it's not normal. It's a big problem.
Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.
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