Women with pelvic floor disorders, such as incontinence or prolapse, are best served when the initial history includes a directed, comprehensive pelvic floor assessment. Physicians can determine the important areas for further discussion within the first several minutes of interacting with the patient. It is useful and increasingly common for the verbal history to be supplemented with a written history and review of systems. Selected previous medical records may be essential to understanding the woman's medical history. This chapter will outline the methods of assessment that this author uses to obtain an initial history in women seen for evaluation of pelvic floor disorders.
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