Management of complex pelvic floor disorders in a multidisciplinary pelvic floor clinic
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 disor...
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| Veröffentlicht in: | Colorectal disease 2008-02, Vol.10 (2), p.118-123 |
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| creator | Kapoor, D. S. Sultan, A. H. Thakar, R. Abulafi, M. A. Swift, R. I. Ness, W. |
| description | 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. |
| doi_str_mv | 10.1111/j.1463-1318.2007.01208.x |
| format | Article |
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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.</description><identifier>ISSN: 1462-8910</identifier><identifier>EISSN: 1463-1318</identifier><identifier>DOI: 10.1111/j.1463-1318.2007.01208.x</identifier><identifier>PMID: 18199292</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Combined Modality Therapy ; Constipation - diagnosis ; Constipation - physiopathology ; Constipation - therapy ; double incontinence ; faecal incontinence ; Fecal Incontinence - diagnosis ; Fecal Incontinence - physiopathology ; Fecal Incontinence - therapy ; Female ; Humans ; Middle Aged ; obstructed defaecation ; Patient Satisfaction ; Pelvic Floor - pathology ; Pelvic floor clinic ; Quality of Life ; Rectocele - diagnosis ; Rectocele - physiopathology ; Rectocele - therapy ; rectoceles ; rectopexy ; Retrospective Studies ; sacrocolpopexy ; Surveys and Questionnaires ; urinary incontinence ; Urinary Incontinence - diagnosis ; Urinary Incontinence - physiopathology ; Urinary Incontinence - therapy</subject><ispartof>Colorectal disease, 2008-02, Vol.10 (2), p.118-123</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4068-bc11a00dcb8a2747b45fa151ec370eb9b296f2dec806e8d17e9fe9621a5dd48c3</citedby><cites>FETCH-LOGICAL-c4068-bc11a00dcb8a2747b45fa151ec370eb9b296f2dec806e8d17e9fe9621a5dd48c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1463-1318.2007.01208.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1463-1318.2007.01208.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18199292$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kapoor, D. S.</creatorcontrib><creatorcontrib>Sultan, A. H.</creatorcontrib><creatorcontrib>Thakar, R.</creatorcontrib><creatorcontrib>Abulafi, M. A.</creatorcontrib><creatorcontrib>Swift, R. I.</creatorcontrib><creatorcontrib>Ness, W.</creatorcontrib><title>Management of complex pelvic floor disorders in a multidisciplinary pelvic floor clinic</title><title>Colorectal disease</title><addtitle>Colorectal Dis</addtitle><description>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.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Combined Modality Therapy</subject><subject>Constipation - diagnosis</subject><subject>Constipation - physiopathology</subject><subject>Constipation - therapy</subject><subject>double incontinence</subject><subject>faecal incontinence</subject><subject>Fecal Incontinence - diagnosis</subject><subject>Fecal Incontinence - physiopathology</subject><subject>Fecal Incontinence - therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>obstructed defaecation</subject><subject>Patient Satisfaction</subject><subject>Pelvic Floor - pathology</subject><subject>Pelvic floor clinic</subject><subject>Quality of Life</subject><subject>Rectocele - diagnosis</subject><subject>Rectocele - physiopathology</subject><subject>Rectocele - therapy</subject><subject>rectoceles</subject><subject>rectopexy</subject><subject>Retrospective Studies</subject><subject>sacrocolpopexy</subject><subject>Surveys and Questionnaires</subject><subject>urinary incontinence</subject><subject>Urinary Incontinence - diagnosis</subject><subject>Urinary Incontinence - physiopathology</subject><subject>Urinary Incontinence - therapy</subject><issn>1462-8910</issn><issn>1463-1318</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1P4zAQhq0VaPn8CyufuCV4nDR2LkhQaEHqwgXE0XKcycrF-cBuofx7HFqx2tv64tH4ncejhxAKLIV4zpcp5EWWQAYy5YyJlAFnMt38IIffD3tfNU9kCeyAHIWwZAwKAfInOQAJZclLfkief-tO_8EWuxXtG2r6dnC4oQO6N2to4_re09qG3tfoA7Ud1bRdu5WNPWMHZzvtP_5Nm9i05oTsN9oFPN3dx-RpdvM4vU0WD_O76eUiMTkrZFIZAM1YbSqpuchFlU8aDRNAkwmGVVnxsmh4jUayAmUNAssGy4KDntR1Lk12TM623MH3r2sMK9XGzdA53WG_DkqwKEYWMgblNmh8H4LHRg3etnF7BUyNUtVSje7U6E6NUtWXVLWJo792f6yrFuu_gzuLMXCxDbxbhx__DVbTh-u7sYyAZAuwYYWbb4D2L6oQmZio5_u5uhLzq8V8tlCz7BN56pZj</recordid><startdate>200802</startdate><enddate>200802</enddate><creator>Kapoor, D. S.</creator><creator>Sultan, A. H.</creator><creator>Thakar, R.</creator><creator>Abulafi, M. A.</creator><creator>Swift, R. I.</creator><creator>Ness, W.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200802</creationdate><title>Management of complex pelvic floor disorders in a multidisciplinary pelvic floor clinic</title><author>Kapoor, D. S. ; Sultan, A. H. ; Thakar, R. ; Abulafi, M. A. ; Swift, R. I. ; Ness, W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4068-bc11a00dcb8a2747b45fa151ec370eb9b296f2dec806e8d17e9fe9621a5dd48c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Combined Modality Therapy</topic><topic>Constipation - diagnosis</topic><topic>Constipation - physiopathology</topic><topic>Constipation - therapy</topic><topic>double incontinence</topic><topic>faecal incontinence</topic><topic>Fecal Incontinence - diagnosis</topic><topic>Fecal Incontinence - physiopathology</topic><topic>Fecal Incontinence - therapy</topic><topic>Female</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>obstructed defaecation</topic><topic>Patient Satisfaction</topic><topic>Pelvic Floor - pathology</topic><topic>Pelvic floor clinic</topic><topic>Quality of Life</topic><topic>Rectocele - diagnosis</topic><topic>Rectocele - physiopathology</topic><topic>Rectocele - therapy</topic><topic>rectoceles</topic><topic>rectopexy</topic><topic>Retrospective Studies</topic><topic>sacrocolpopexy</topic><topic>Surveys and Questionnaires</topic><topic>urinary incontinence</topic><topic>Urinary Incontinence - diagnosis</topic><topic>Urinary Incontinence - physiopathology</topic><topic>Urinary Incontinence - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kapoor, D. S.</creatorcontrib><creatorcontrib>Sultan, A. H.</creatorcontrib><creatorcontrib>Thakar, R.</creatorcontrib><creatorcontrib>Abulafi, M. A.</creatorcontrib><creatorcontrib>Swift, R. I.</creatorcontrib><creatorcontrib>Ness, W.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Colorectal disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kapoor, D. S.</au><au>Sultan, A. H.</au><au>Thakar, R.</au><au>Abulafi, M. A.</au><au>Swift, R. I.</au><au>Ness, W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Management of complex pelvic floor disorders in a multidisciplinary pelvic floor clinic</atitle><jtitle>Colorectal disease</jtitle><addtitle>Colorectal Dis</addtitle><date>2008-02</date><risdate>2008</risdate><volume>10</volume><issue>2</issue><spage>118</spage><epage>123</epage><pages>118-123</pages><issn>1462-8910</issn><eissn>1463-1318</eissn><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.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>18199292</pmid><doi>10.1111/j.1463-1318.2007.01208.x</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Aged Aged, 80 and over Combined Modality Therapy Constipation - diagnosis Constipation - physiopathology Constipation - therapy double incontinence faecal incontinence Fecal Incontinence - diagnosis Fecal Incontinence - physiopathology Fecal Incontinence - therapy Female Humans Middle Aged obstructed defaecation Patient Satisfaction Pelvic Floor - pathology Pelvic floor clinic Quality of Life Rectocele - diagnosis Rectocele - physiopathology Rectocele - therapy rectoceles rectopexy Retrospective Studies sacrocolpopexy Surveys and Questionnaires urinary incontinence Urinary Incontinence - diagnosis Urinary Incontinence - physiopathology Urinary Incontinence - therapy |
| title | Management of complex pelvic floor disorders in a multidisciplinary pelvic floor clinic |
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