The role of primary physicians in the diagnostic delay of lower urinary tract and pelvic organ prolapse symptoms

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• 作者：Haim Krissi^a ; ^b ; ^{haimkr@clalit.org.il} ; Ram Eitan^a ; ^b ; Yoav Peled^a ; ^b ; ^{dr.peled@gmail.com}
• 关键词：Diagnosis delay ; Pelvic organ prolapse ; Lower urinary tract symptoms
• 刊名：European Journal of Obstetrics and Gynecology and Reproductive Biology
• 出版年：2012
• 期刊代码：92_03012115
• 类别：med
• 出版时间：March, 2012
• 卷：161
• 期：1
• 页码：102-104
• 文件大小：141 K

摘要

Objective

To explore the role of primary physicians in the diagnostic delay of lower urinary tract and pelvic organ prolapse symptoms in parous women.

Study design

Prospective cohort study of women referred to the Urogynecology Outpatient Clinic of a major medical center by primary physicians in the community for initial assessment of lower urinary tract and pelvic organ prolapse symptoms.

Results

Most of the women blamed themselves for the delay. However, the primary physicians were considered responsible for 33.5%of the delays. There was no between-group differences in self-blame (p = 0.438). Women with pelvic organ prolapse blamed the gynecologist significantly more often than women with lower urinary tract symptoms (p = 0.043); 38.6%of the physicians considered the symptoms not sufficiently severe or a natural part of aging.

Conclusion

Patients need to receive more information on the availability of specific evaluations and treatments for pelvic floor dysfunction.