Dr. Pamela Ellsworth is an Associate Professor of Urology/Surgery at the Warren Alpert School of Medicine at Brown University. She received her undergraduate education at Boston College where she graduated summa cum laude, followed by her medical degree at University of Massachusetts Medical School. Her Urology Residency was undertaken at Dartmouth-Hitchcock Medical Center followed by a fellowship in Pediatric Urology at the University of Florida-Gainesville. Dr. Ellsworth remains clinically active in both pediatric and adult urology, with a focus on lower urinary tract symptoms in children and adults. An avid learner herself, Dr. Ellsworth feels that dissemination of knowledge is critical and has been actively involved in a variety of educational endeavors designed to educate medical students, residents, colleagues, support staff and patients. An avid traveler she has lectured throughout the world and has been a volunteer surgeon in both Guatemala and Africa. She is the author of 9 published books and several in progress, the majority geared toward patient education and authored more than 50 peer reviewed articles as well as over 50 book chapters. Her presentation today is special to her as the topic is one that she chose with Barbara Steadman, NP and it was the recipient of a SUNA award. This was Barbara's first paper written for publication and 4 years later this topic remains as controversial as it was when the article was written.