MP63-09 DISPARITY IN FEMALE PELVIC EXAMINATIONS IN THE EVALUATION OF LOWER URINARY TRACT SYMPTOMS

MI INTRODUCTION AND OBJECTIVE: Guidelines recommend that a history and complete physical exam, including a detailed pelvic exam, be performed for females presenting with recurrent urinary tract infections and lower urinary tract symptoms. There is uncertainty to the degree of adherence to these guidelines or which factors predispose or prevent providers in preforming this vital component of a female patient's initial evaluation. Our primary objective was to investigate the disparity of pelvic and genitourinary (GU) exams between male and female patients who present with LUTS, UTI and various other urological conditions as well as assess for predictors of undergoing pelvic examination.METHODS: A retrospective chart review was performed for female and male patients from 2016 to 2018. A 4:1 age matched cohort of males was extracted for the same time period in order to assess the presumed disparity in pelvic/genital exams. Chief complaints included LUTS, overactive bladder (OAB), urinary incontinence, urinary retention, UTI symptoms, neurogenic bladder and BPH. Exclusion criteria included all urologists who were FMPRS trained. RESULTS: 509 patients were assessed (F:116, M: 393), 97% of all patient encounters were by male urologists. Of all patients, 41% underwent