Urogynecology Clinic   at
Lois Hole Hospital for Women
Connect Care Specialty: Urogynecology Connect Care Department: EDM RAH LH UROGYNECOLOGY
Alberta Health Services - Edmonton Zone





Estimated time to routine appointment: Within 18 months
SERVICE DESCRIPTION
Diagnoses and treats women with problems related to pelvic organ prolapse and leaking urine or stool (incontinence). Treats new mothers with 3rd & 4th degree perineal tears.
Services offered include the following:
  • Education - Most new patients are required to view 5 basic modules online and attend a group Zoom class. Additional supplementary modules and handouts are available.
  • Conservative/Behavioral Therapy – The nurses and physiotherapists see women for assessment and behavioural treatment for the above disorders, which require patient involvement and commitment to modification of activities and lifestyle.
  • Pessary Fitting - Clinic nurses assess and fit women for vaginal pessaries, devices that assist with prolapse and incontinence issues.
  • Medical Intervention – When appropriate, medications may be prescribed that reduce symptoms in women.
  • Surgical Intervention - The clinic urogynecologists will provide surgical interventions for women with prolapse and stress incontinence issues.
  • Physiotherapy - Clinic physiotherapists provide education, assessment and treatment for complex clinic patients. Direct referrals for physiotherapy are NOT accepted.
  • Urodynamic Testing & Cystoscopy - These specialized tests are done to provide diagnostic information, when required.
  • Perineal Tears - New mothers with 3rd & 4th degree perineal tears. Treatment includes education, exercise class and physiotherapy
The team includes nurses, physiotherapists and physicians with a focus on patient-centered care, based on patient education. Patients may be seen by various team members during their treatment at the clinic. As this is a tertiary care specialty clinic, patients can expect to be discharged back to their referring provider. Our goal is to improve quality of life.
EMERGENCY REFERRAL PROCESS
Please direct patients to the nearest emergency department or urgent care facility.

Please direct patients to the nearest emergency department or urgent care facility.

URGENT REFERRAL PROCESS
Please follow the routine referral process AND call the on-call physician in the clinic at 780-735-5290.

Please follow the routine referral process AND call the on-call physician in the clinic at 780-735-5290.

ROUTINE REFERRAL PROCESS
Please fax a completed referral form to 780-735-5611.
Ask a urogynecologist non-urgent questions through eReferral Advice Request. For more information, go online.
Please fax a completed referral form to 780-735-5611.
Ask a urogynecologist non-urgent questions through eReferral Advice Request. For more information, go online.
ELIGIBILITY REQUIREMENTS
Eligibility requirements:
  • women with pelvic floor disorders
  • women with urinary and bowel incontinence
  • women with pelvic organ prolapse
  • New mothers with perineal 3rd or 4th degree tears
EXCLUSIONS:
  • Isolated fecal incontinence
  • Isolated pelvic mass
  • Isolated abnormal bleeding
  • Isolated pelvic pain
  • Pediatric cases (patient must 18 years old or older)
    Exception may be made for patients between age 16 and 18, please contact the on call Urogynecologist
  • Patients with isolated urinary incontinence and above age 80
    Please refer to the Glenrose Continence Clinic.



Eligibility requirements:
  • women with pelvic floor disorders
  • women with urinary and bowel incontinence
  • women with pelvic organ prolapse
  • New mothers with perineal 3rd or 4th degree tears
EXCLUSIONS:
  • Isolated fecal incontinence
  • Isolated pelvic mass
  • Isolated abnormal bleeding
  • Isolated pelvic pain
  • Pediatric cases (patient must 18 years old or older)
    Exception may be made for patients between age 16 and 18, please contact the on call Urogynecologist
  • Patients with isolated urinary incontinence and above age 80
    Please refer to the Glenrose Continence Clinic.



REFERRAL FORM
Please provide:
  • surgical history
  • previous UDS and/or cystoscopy results, if completed
  • delivery record for new mothers with perineal tears


Please provide:
  • surgical history
  • previous UDS and/or cystoscopy results, if completed
  • delivery record for new mothers with perineal tears


REFERRAL GUIDELINES
Routine Reason for Referral
Access Targets convey the clinically appropriate timeframe patients should be seen within, by reason for referral and priority level.
Access Target
Required Information/Investigations
Timing
Additional Details
Cystocele
Medication List (dose, frequency, route)
| Within 1 month

Past medical history
| Within 1 month

Urine culture
| Within 1 month

Enterocele
Medication List (dose, frequency, route)
| Within 1 month

Past medical history
| Within 1 month

Urine culture
| Within 1 month

Female pelvic organ prolapse
Medication List (dose, frequency, route)
| Within 1 month

Past medical history
| Within 1 month

Urine culture
| Within 1 month

Perineal laceration during delivery
Medication List (dose, frequency, route)
| Within 1 month

Past medical history
| Within 1 month

Urine culture
| Within 1 month

Rectocele
Medication List (dose, frequency, route)
| Within 1 month

Past medical history
| Within 1 month

Urine culture
| Within 1 month

Urinary incontinence
Medication List (dose, frequency, route)
| Within 1 month

Past medical history
| Within 1 month

Date of last PAP smear
| Within 1 month

Pelvic examination
| Within 3 months

Ultrasound scan of pelvic vessels
| Within 12 months

Urine culture
| Within 1 month

Uterine prolapse
Medication List (dose, frequency, route)
| Within 1 month

Past medical history
| Within 1 month

Urine culture
| Within 1 month

Vaginal mesh erosion
Medication List (dose, frequency, route)
| Within 1 month

Past medical history
| Within 1 month

Urine culture
| Within 1 month

Vaginal vault prolapse
Medication List (dose, frequency, route)
| Within 1 month

Past medical history
| Within 1 month

Urine culture
| Within 1 month

Voiding dysfunction
Medication List (dose, frequency, route)
| Within 1 month

Past medical history
| Within 1 month

Urine culture
| Within 1 month
ADDITIONAL SERVICE DETAILS
Fees may apply and include some cost recovery for products such as pessaries.

COMMUNICATION PROCESS
Communication of referral receipt to referral
source will occur within 7 calendar days.
 
Communication of appointment details or wait list status to patient and referral
source will occur within 14 calendar days.
 
Communication of initial appointment outcomes to referral
source will occur within 30 calendar days.
 
MISSED APPOINTMENT GUIDELINES
If you are unable to attend a scheduled appointment, please contact the clinic a minimum of 48 hours in advance.
If you are unable to attend a scheduled appointment, please contact the clinic a minimum of 48 hours in advance.
DIRECTIONS
Ground floor, Robbins Pavilion Lois Hole Hospital for Women

The Lois Hole Hospital for Women is located at the Royal Alexandra Hospital

Bus stop: 111 Ave, 106 St NW
LRT station: Kingsway Avenue

Ground floor, Robbins Pavilion Lois Hole Hospital for Women

The Lois Hole Hospital for Women is located at the Royal Alexandra Hospital

Bus stop: 111 Ave, 106 St NW
LRT station: Kingsway Avenue

PARKING INSTRUCTIONS
Please allow 15-20 minutes for parking.
Payment for parking is required.
Rates apply 24 hours per day, and are in effect for all public parkers, including those with provincially issued placards for persons with disabilities. Public parking is GST exempt.
Pay by Plate machines accept Canadian coins or credit card (Visa, Mastercard, American Express). Maximum 28 Canadian coins per transaction, no pennies. Machines do not provide change.
Pay on Foot machines accept Canadian coins and bills, or credit card (Visa, Mastercard, American Express). These machines will provide change.
Parking office accepts payments by cash, credit card, debit or credit.

Please allow 15-20 minutes for parking.
Payment for parking is required.
Rates apply 24 hours per day, and are in effect for all public parkers, including those with provincially issued placards for persons with disabilities. Public parking is GST exempt.
Pay by Plate machines accept Canadian coins or credit card (Visa, Mastercard, American Express). Maximum 28 Canadian coins per transaction, no pennies. Machines do not provide change.
Pay on Foot machines accept Canadian coins and bills, or credit card (Visa, Mastercard, American Express). These machines will provide change.
Parking office accepts payments by cash, credit card, debit or credit.

PARKING MAP
ADDRESS
Ground level, Robbins Pavilion
10240 Kingsway Avenue
Edmonton Alberta
T5H 3V9
HOURS OF OPERATION
Monday: 8:00 am - 4:00 pm
Tuesday: 8:00 am - 4:00 pm
Wednesday: 8:00 am - 4:00 pm
Thursday: 8:00 am - 4:00 pm
Friday: 8:00 am - 4:00 pm


Description:
Hours may vary.
   
WHEELCHAIR ACCESSIBILITY
Yes

Front entrance


The primary purpose of the All Locations list is to let the user easily access any location of a service without going back to the main search screen.

The locations listed have 3 background colors:
  • Green means the service@location has referral information attached to it.
  • Brown means the service@location never had referral information attached to it, or it has unpublished referral information.
  • Red means
    • IA changed the service@location's status to something other than Current
    • It was deleted if it is an ARD service@location.
Green  and Brown are always at the top of the list. These are the Service@Locations with the status of Current.
The Red list at the bottom consists of non-current Service@locations that once had Published referral information in the ARD.
If the referral information was never published in ARD the Service@location will not show in the Red list.

The secondary purpose of the All Locations list is to allow ARD Administrators to recover (copy) referral information from the non-current Service@Locations to ones that are current.

Common Scenario:
A Service moves from one location to another. In this case the IA Service@Location record will be made defunct (non-current) and a new Service@Location record will be created with a current status. In this scenario the captured referral guidelines in ARD can become "orphaned" as they are not attached to any current IA service.

Categories of non-current or orphaned referral guidelines: INDIVIDUAL and COMMON.
The REFERRAL GUIDELINES section of the profile has the prefix INDIVIDUAL or COMMON to help you choose the method below when transferring referral guidelines from a non-current Service@Location to a current service@location.

Individual referral process
  1. Click on a non-current (Red) Service@Location at the bottom of the All Locations list.
  2. The non-current referral info is displayed with the link Copy this Referral Process to another Service@Location link on the upper right hand corner. Click on the copy link.
  3. Choose a current location (Green or Brown) from the All Locations list. This will be the Service@Location you are pasting the referral info into.
  4. The system will display the Edit Referral Info screen populated with the referral info from the non-current Service@Location you viewed in the first step.
  5. Click Save and the referral info is transferred from the non-current Service@Location to the current one.
  6. Repeat these steps for each Service@Location that needs attention.

Common referral process - 2 sub cases.
Case 1: At least 1 current Service@Location with common referral info is with current status for this service; One or more Service@Locations where replaced by new one.
  1. Click on any current Service@Location whether it has referral info (Green) or not (Brown).
  2. The service location opens in the Edit Referral Info screen populated with the current common referral info.
  3. Save it. 
  4. All locations will be updated with the common referral information, including all the locations that don't have referral info yet (Brown). The non-current referrals (Red) will also be updated.
Case 2:  All Service@Locations for a service are set to a non-current status and replaced by new ones. In this case there is no current additional referral info to copy from, so the only alternative is to pick up the non-current common referral process (Red). Follow the steps described in the section Individual Referral Process above to copy/paste the non-current common referral info to the current service locations.
Generally we want to replicate current common referral info to new or replaced service locations. We only resort to copying non-current common referral info if there is no other option.

Remember: Some fields can be location specific with the common referral process:
Parking Instructions, Directions, Parking Map, Wait Time, Referral Phone or Referral Fax.
To update these items you have to edit each Service@Location separately.

ADDITONAL NOTES:
  • The info icon after the All Locations drop down will be visible to ARD Administrators.
  • The system doesn't allow you to copy referral information from one non-current Service@Location to another.

 

V4.12