How The Practice Works
Our consultation service is flexible and tailored to referring physician’s needs and preferences:
Evaluation Only
The patient receives a comprehensive evaluation of her incontinence as well as any pelvic floor defect. This evaluation includes clinical and, if indicated, urodynamic testing. We immediately forward to you a letter reviewing the findings. We then make recommendations to you regarding both surgical and non-surgical therapeutic options.
Evaluation And Management
Your patient is evaluated as described above. Our letter to you reviews the findings and outlines initial management. For patients who require reconstructive surgery, we forward to you a copy of the discharge summary sheet, and a follow-up letter after the second post-operative visit. If you have full operating privileges at the hospital where the surgery is performed, and want to participate in the surgery, we will make every effort to accommodate you. For patients who do not desire or require surgery, we correspond with you regularly regarding the patient’s progress.
In all cases, we inform your patient clearly of the consultative nature of the referral, and direct her back to you after the completion of our services. No patient will be referred to another physician without your input.
What Our Consultation Service Involves
At the patient’s first visit, we do a complete history and physical, with emphasis on pelvic floor defects and disorders of the lower urinary tract. We also perform a preliminary urodynamic test (uroflowmetry).
If, after clinical assessment, the diagnosis is relatively clear and the patient is not a surgical candidate, we will outline initial management without the aide of formal multi-channel urodynamics.
In more complex cases, where the etiology of the incontinence is not clearly evident upon clinical evaluation, we have the patient come in for a second visit for urodynamic evaluation. (Urodynamic testing is also performed prior to surgery when indicated.) This session takes 45 minutes to an hour and includes post-procedure counseling and a review of the results. We promptly communicate to you the results of the urodynamic testing.
Urodynamic Evaluation
Includes the following:
- Uroflowmetry
- T-doc multi-channel cystometry
- Urethral pressure profilometry with prolapse reduced and extended
- Measurement of abdominal leak point pressure
- Sphincter electromyography
- Urethrocystoscopy
A description of these tests, in consumer-friendly language, is available for your patients.
Fees and Insurance
We accept Medicare, Oxford and Out of Network PPO and participate in many other managed choice healthcare plans. We have dedicated personnel to assist your patients with claim processing and to help them avoid incurring a financial burden.