Course Catalog

Department MEDICINE Campus Birmingham
Course Type(s) Special Topic Facility University Medical Center
Course Director David R. Ellington, FACOG, Enrollment Limit 2
Contact CHRISTY WILLIS Enrollment Minimum 1
Email Address Women & Infants Center
Suite 5326
Birmingham, AL 35294
Phone (205) 975-0721 Fax (205) 975-6411
Normally Offered

See Offering Dates
5-5, 17-17
Prerequisites Completion of the first year of medical school 
Visiting Students
No LCME students accepted.
No osteopathic students accepted.
Course Description This course is co-sponsored by the Department of Medicine and the Department of Obstetrics and Gynecology. Urinary incontinence affects one in three women. Fecal incontinence affects up to 12% of older adults. The didactic content and clinical observation in this course will allow the student to become aware of impact on quality of life, the proper clinical work-up of these conditions, and the range and effectiveness of treatments as well as the current research on these conditions ongoing at UAB. The students will attend lecture/discussions, do directed reading, and observe diagnostic studies, clinic visits, surgery, and clinical research. The lecture/discussions are: .Epidemiology, Evaluation, and Treatment of Urinary Incontinence .Epidemiology, Evaluation, and Treatment of Fecal Incontinence .Management of Pelvic Organ Prolapse including Surgery and Pessaries .Management of Constipation .Non-surgical treatment options for Urinary and Fecal Incontinence OBJECTIVE: .To appreciate the impact of loss of bladder and/or bowel control on quality of life. .To learn the high prevalence of incontinence, the loss of bladder and/or bowel control, and the importance of including incontinence in the Review of Systems. .To learn the evaluation, diagnosis, and treatment of urinary incontinence, fecal incontinence, and pelvic organ prolapse .To observe diagnostic procedures and learn their indications and usefulness in planning therapy from these disorders .To observe the treatments for urinary and fecal incontinence including behavioral training with biofeedback, pelvic floor muscle exercises, bladder control strategies, medications, and surgery and appreciate their indications and efficacy
Where To Report Women's & Infants' Center, 10th Floor, Suite 10382, Div. of Urogynecology & Pelvic Reconstructive Surgery. (Questions: Dr.Alicia Ballard; The schedule can be individualized within certain constraints, but typically would be:
- Monday: 7am-2pm.
- Tuesday: 7am-4pm.
- Wednesday: 8am-5pm.
- Friday: 8am-12 noon.
Requirements Lecture / discussion; reading; preparation of a case for presentation; clinical observation; observation of diagnostic studies including urodynamics, pelvic floor muscle testing, anal manometry, and surgery.
- Gibbs CF, Johnson TM, Ouslander JF. Office Management of Geriatric Urinary Incontinence.AMERICAN JOURNAL OF MEDICINE. 2007; 120;211-220
- Selected chapters from Karram's Urogynecology and Reconstructive Surgery, third edition
- Weber AM, Richter HE. Pelvic Organ Prolapse. OBSTETRICS AND GYNECOLOGY 2005;106;615-34
- Wald A. Fecal Incontinence in Adults. NEW ENGLAND JOURNAL OF MEDICINE. 200;356;1648-55
- Lembo A. Camilleri M. Chronic Constipation.NEW ENGLAND JOURNAL OF MEDICINE 2003;34;1360-1368
Evaluation Pass / Fail
- Participation, preparation, team activities
- Student-presented case