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Urinary Incontinence

Mondays 7:00 – 8:00AM CST

Urinary Incontinence (UI) affects over 50% of women. Its prevalence increases with age rendering up to 75% of women over the age of 65 with some degree of UI. Approximately 50% of women with UI experience daily symptoms, and an additional 30% have symptoms at least weekly. UI adversely affects the physical, psychological, and social well-being of millions. The goal of this series is to utilize an evidence-based approach to achieve the goal of improving physician and office staff confidence and comfort in the management of UI in a primary care setting. This series will increase the workforce capacity of nurse navigators and primary care physicians who are working with medically complex individuals with urinary incontinence. The series is comprised of eight weekly one hour-long sessions that will be facilitated by a team of subject matter experts. Sessions will consist of short didactic presentations (~20-30 minutes), followed by participant-led case presentations (new and follow-up cases). This structure, modeled after medical rounds, allows participants to apply the knowledge gained and openly discuss the real-world challenges of implementing recommended best practices. Through these discussions, the series facilitators and participants draw on their own experience to support each other and share strategies that they have found to be successful in navigating barriers.

Topics for Case-Based Learning and Discussion Include:

  • Understanding Urinary incontinence- causes and types, prevalence
  • Basic office evaluation of urinary incontinence
  • Management of UI – Behavioral
  • Medications for UI – mostly OAB
  • Management of UI- PT
  • Advanced management of OAB- botox, PTNS, Interstim
  • Surgical management of SUI – bulking and slings
  • Complex UI- how to identify the complex patient for early referral

Resources

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Topic Specialists

Rachel Pope, MD, MPH

Obstetrician/gynecologist with the Urology Institute at University Hospitals Cleveland Medical Center

Adonis Hijaz, MD

Board-certified Urologist at University Hospitals Cleveland Medical Center, Director of the Center of Female Pelvic Medicine and Surgery, and Vice chair of academics and research with the Urology Institute at University Hospitals Cleveland Medical Center

Case Presentation Schedule

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