Table 2.

Potential reasons for urgent visits in the FPMRS clinic during a pandemic

Reason	Explanation
Acute pelvic pain or pelvic floor myalgia	Severe pain or worsening pain/flare/need for trigger point injections
Acute interstitial cystitis flare	Flare or need for bladder instillation
Refractory or relapsing UTI	Failed empiric antibiotics or complicating symptoms such as fever or concern for pyelonephritis
Postoperative concerns or complications	Examples: persistent nausea/vomiting, concern for urinary retention, heavy vaginal bleeding, severe abdominal pain, concern for infection or cuff dehiscence
Acute retention	See voiding dysfunction and retention section
Pessary complications	Pessary patient with persistent or significant vaginal bleeding or pain
New onset of genitourinary or rectovaginal fistula	Consider if evaluation in office may change your management (e.g., transurethral catheter or antibiotics)
Acute genitourinary postpartum complaints	Separation of 3rd/4th degree perineal laceration, acute retention, or concern for a fistula
Refractory vaginitis or vulvar complaints	Failed empiric treatment
Urethral or vaginal mass (other than prolapse)	In cases with acute retention or concern for mass causing obstruction, when examination can facilitate referral to a specialist (e.g., gynecologic oncologist)
Mesh complication	New onset complaint or worsening symptoms