tailieunhanh - Ebook Ambulatory gynecology: Part 2

Part 2 book “Ambulatory gynecology” has contents: Osteopenia and osteoporosis, basic infertility evaluation, hormone replacement therapy in menopause, elective pregnancy termination, clinical genetics for the gynecologist, female sexual dysfunction, sexual minority health, and other contents. | Chapter 13 Office Management of Female Pelvic Floor Dysfunction Sara Kostant and Michael D. Moen Introduction Pelvic floor dysfunction, including urinary incontinence and pelvic organ prolapse, affects millions of American women. These problems are more common than most healthcare providers realize. About 24% of all women have at least one symptom of pelvic floor dysfunction [1]. The lifetime risk of undergoing surgery for pelvic organ prolapse or incontinence is 20% [2], which does not take into account women who undergo medical management of their symptoms or do not seek treatment at all. The prevalence of pelvic floor disorders is set to increase significantly over the next few decades. One study estimates that by 2050, the number of women with urinary incontinence will increase 55% to million, and the number of women with pelvic organ prolapse will increase 46% to million [3]. S. Kostant Hackensack University Medical Center, Department of Obstetrics and Gynecology, Hackensack, NJ, USA M. D. Moen (*) Rosalind Franklin University Chicago Medical School, Advocate Lutheran General Hospital, Department of Obstetrics and Gynecology, Park Ridge, IL, USA e-mail: © Springer Science+Business Media, LLC, part of Springer Nature 2018 J. V. Knaus et al. (eds.), Ambulatory Gynecology, 195 196 S. Kostant and M. D. Moen Increasing age is a risk factor for pelvic floor dysfunction, and the number of women over age 65 will have doubled between 2008 and 2050 [4]. A general gynecologist is often the first provider to see patients with pelvic floor dysfunction, as most women do not seek out a specialist when these symptoms initially occur. General gynecologists can expect to see an increase in women presenting with urinary incontinence, pelvic organ prolapse, and voiding dysfunction to his or her office over the next decades. Management of these issues might seem daunting to many .