"Not surprisingly, I think it’s very important. Often, the perception of urologists versus urogynecologists is that it’s competitive. In my opinion, collaborating is incredibly important.
Overactive bladder is a large part of my practice. It’s very important to work with gynecologists because, for the majority of women, that’s their primary care physician. Just as it’s important for urologists to work collaboratively with primary care physicians, it’s important for urologists to work with gynecologists.
There are way more overactive bladder patients than urologists. So educating gynecologists about how to identify overactive bladder and screen out patients who may need subspecialty referral, teach first-line therapies, like behavioral modification—before even getting to medication—is incredibly important.
It’s important because in many areas there is a lot of overlap, but not always. In my community, what a urogynecologist does and what I do can be very different. Training differs in some communities just as practice patterns differ.
I do not do hysterectomies, so if the patient has significant prolapse and the uterus needs to be addressed, either through a hysterectomy or ureteral suspension, I’m better off working with a urogynecology colleague with that expertise.
If the ultimate goal is the best patient care, it’s important to consider areas where there isn’t an exact overlap in practice, so you can get the patient to the person with the most expertise.”
Colin Goudelocke, MD / Chattanooga, TN