Referral indications
We welcome any referral involving urogynecologic, pelvic floor, or pelvic floor – bladder – bowel cross-system concerns. Specific indications include:
- Urinary incontinence — stress, urge, or mixed, particularly when behavioral measures in primary care have not delivered results.
- Pelvic organ prolapse — any symptomatic prolapse, regardless of grade, for evaluation and conservative or surgical planning.
- Overactive bladder — failure of first-line behavioral or medication therapy, or any patient appropriate for advanced options (PTNS, Botox, sacral neuromodulation).
- Fecal incontinence — every patient with reported fecal incontinence; this is one of the most under-referred conditions in the field.
- Chronic pelvic pain — particularly where pelvic floor muscle dysfunction is suspected.
- Recurrent urinary tract infections in patients where pelvic floor evaluation is warranted.
- Post-surgical pelvic floor concerns — including post-hysterectomy or post-prolapse-repair issues.
- Postpartum pelvic floor injury — perineal trauma, persistent symptoms beyond six weeks, sphincter injury.
Records to include
- Demographics and active problem list
- Current medications and known allergies
- Prior pelvic surgical history, if any
- Recent relevant imaging (pelvic ultrasound, urodynamic studies, defecography)
- Recent labs, particularly if recurrent UTI is part of the picture
- Brief note describing the chief complaint and what has been tried
Urgent pathway
Patients with acute urinary retention, new severe pelvic pain with concerning features, post-surgical complications requiring same-day evaluation, or other urgent presentations are triaged same-day. Call the coordinator directly or use the provider-to-provider line.
