Are routine pelvic exams indicated?

The American College of Physicians has published new guidelines which suggest that the routine pelvic examination in an average risk, asymptomatic woman serves no useful purpose.  This is a controversial position, and one with which many physicians disagree.  I was asked my opinion by the MedPageToday website, and responded in a video interview included on its piece on the subject, on Sanjay Gupta, MD's blog:

ACP: No Need for Routine Pelvic Exams

Another poop question .. really?

I really do think that some, well all, of the questions that I receive from Maxim Magazine were thought up while some alcohol was being consumed.  So here is the latest, which appeared in the May, 2014, issue of the magazine

As I explained to the interviewer, there are several disease states, including infections, trauma, tumors or just congenital malformations, which create connections between the bladder and bowel, bowel and vagina, or some other combination.  You can use your imagination.  In these cases, patients can have urine coming from the vagina or rectum, or stool from the vagina, or even to a fistula to the pelvic or perineal skin.