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BackTable / Urology / Podcast / Episode #133

Management of Pelvic Pain as a Urologist: How Can We Help?

with Dr. Priyanka Gupta

This week on BackTable Urology, Dr. Suzette Sutherland (University of Washington) and Dr. Priyanka Gupta (University of Michigan) discuss the multifactorial components that can contribute to pelvic pain and how urologists can approach treatment for this condition.

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Management of Pelvic Pain as a Urologist: How Can We Help? with Dr. Priyanka Gupta on the BackTable Urology Podcast)
Ep 133 Management of Pelvic Pain as a Urologist: How Can We Help? with Dr. Priyanka Gupta
00:00 / 01:04

BackTable, LLC (Producer). (2023, November 1). Ep. 133 – Management of Pelvic Pain as a Urologist: How Can We Help? [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Priyanka Gupta discusses Management of Pelvic Pain as a Urologist: How Can We Help? on the BackTable 133 Podcast

Dr. Priyanka Gupta

Dr. Priyanka Gupta is an associate professor of urology at University of Michigan in Detroit.

Dr. Suzette Sutherland discusses Management of Pelvic Pain as a Urologist: How Can We Help? on the BackTable 133 Podcast

Dr. Suzette Sutherland

Dr. Suzette Sutherland is the director of female urology with UW Medicine in Seattle, Washington.

Synopsis

Pelvic pain can originate from bladder-centric symptoms, pelvic floor dysfunction, GI-centric symptoms, gynecologic symptoms, musculoskeletal and psychosocial issues, and systemic problems. First, the doctors summarize how to perform a thorough pelvic physical exam. They explain how to identify the obturator muscles and levator complex with a digital exam. They differentiate between bladder-centric pain and pelvic floor-centric pain and emphasize not beginning with a speculum exam, which can cause pain in some patients. They also suggest using a speculum to check for masses or lesions and prescribing vaginal estrogen supplementation.

Then, Suzette and Priyanka examine the role of pelvic floor physical therapy in treating pelvic pain and how to communicate with patients about what to anticipate in physical therapy. In addition, Priyanka explains the approach to transvaginal injections for pelvic floor dysfunction, including the injection of a mix of long-acting anesthetics at 1, 3, 5, 7, 9, and 11 o'clock behind the pubic bone and deeper at the level of the ischial spine. Finally, she discusses the role of insurance coverage for these injections.

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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Pelvic Floor Dysfunction Condition Overview

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