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Experience of a combined gynecology/urology clinic in the University of Michigan Medical Center


Over a period of 30 months, 200 patients were seen in the combined gynecology/urology clinic of the University of Michigan Medical Center. Nintey-nine patients (49.5%) were referred by urologists and 86 (43%) by gynecologists. The mean number of visits by patients to the clinic was 1.7, with a range of 1–3; 78 patients (39%) visited the clinic on just one occasion; 116 patients (58%) had undergone previous gynecologic and/or urologic surgery. At least one diagnosis was confirmed in 183 patients (91.5%). A total of 151 operations were performed, 43 (28.5%) by gynecologists and urologists working together.

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  1. 1.

    McGuire EJ, Gardy M, Elkins TE, DeLancey JOL. Treatment of incontinence with pelvic prolapse. Urol Clin North Am 1991; 18:349–353

  2. 2.

    Wall LL, DeLancey JOL. The politics of prolapse; a revisionist approach to disorders of the pelvic floor in women. Perspect Biol Med 1991;34:486–496

  3. 3.

    Zoubek J, McGuire EJ, Noll F, DeLancey JOL. The late occurrence of urinary tract damage in patients treated by radiotherapy for cervical cancer. J Urol 1989;141:1347–1349

  4. 4.

    Elkins TE, DeLancey JOL, McGuire EJ. The use of modified Martius graft as an adjunctive technique in vesicovaginal and rectovaginal fistula repair. Obstet Gynecol 1990;75:727–733

  5. 5.

    Gardy M, Kozmininski M, DeLancey JOL, Elkins TE, McGuire EJ. Stress incontinence and cystoceles. J Urol 1991;145:1211–1213

  6. 6.

    Fitzpatrick CC, DeLancey JOL, Elkins TE, McGuire EJ. Vulvar vestibulitis and interstitial cystitis: a disorder of urogenital sinus derived epithelium? Obstet Gynecol 1993;81:860–862

  7. 7.

    Fitzpatrick CC, Swierzewski SJ III, DeLancey JOL, Elkins TE. Stress urinary incontinence and genital prolapse after female pelvic trauma. Int Urogynecol J 1993;4:301–303

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Correspondence to Dr C. C. Fitzpatrick.

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Fitzpatrick, C.C., DeLancey, J.O.L., Elkins, T.E. et al. Experience of a combined gynecology/urology clinic in the University of Michigan Medical Center. Int Urogynecol J 5, 160–163 (1994). https://doi.org/10.1007/BF00386629

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  • Genital prolapse
  • Gynecology/urology clinic
  • Pelvic pain
  • Pubovaginal sling
  • Sacrospinous ligament suspension
  • Urinary incontinence