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Management of complex pelvic floor disorders in a multidisciplinary pelvic floor clinic
Article first published online: 30 JAN 2007
DOI: 10.1111/j.1463-1318.2007.01208.x
Additional Information
How to Cite
Kapoor, D. S., Sultan, A. H., Thakar, R., Abulafi, M. A., Swift, R. I. and Ness, W. (2008), Management of complex pelvic floor disorders in a multidisciplinary pelvic floor clinic. Colorectal Disease, 10: 118–123. doi: 10.1111/j.1463-1318.2007.01208.x
Publication History
- Issue published online: 30 JAN 2007
- Article first published online: 30 JAN 2007
- Received 27 November 2006; accepted 4 December 2006
- Abstract
- Article
- References
- Cited By
Keywords:
- Pelvic floor clinic;
- obstructed defaecation;
- rectoceles;
- double incontinence;
- rectopexy;
- sacrocolpopexy;
- urinary incontinence;
- faecal incontinence
Abstract
Objective To identify symptom clusters, management strategies and survey patient satisfaction in our combined multidisciplinary pelvic floor clinic (PFC).
Method Retrospective cohort study, patient satisfaction questionnaire. Sample: Secondary and tertiary referrals with complex pelvic floor disorders. Main outcome measures: symptom clusters and treatment received; patient satisfaction.
Results A total of 113 new cases over a 3-year period. There were two main symptom clusters: (i) obstructed defaecation with rectoceles (n = 55); of these, 23 had abdominal sacrocolpopexy with rectopexy, six had transvaginal rectocele repairs; and (ii) of the 33 with double incontinence, 10 had anal sphincter repairs, five had tension-free vaginal tapes and two had colposuspensions. Patient satisfaction audit: 73% found the care to be excellent/good, 12% satisfactory and 6% unsatisfactory.
Conclusion Combined PFCs led to a more pragmatic approach in treating patients’ symptoms. Combined surgery was undertaken in one-fourth of patients and is associated with cost savings and a single recuperation period. Overall, patients rated this service very highly.