Management of complex pelvic floor disorders in a multidisciplinary pelvic floor clinic.

Management of complex pelvic floor disorders in a multidisciplinary pelvic floor clinic. Research Abstract Details 

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Management of complex pelvic floor disorders in a multidisciplinary pelvic floor clinic. Abstract Text:

D S Kapoor,A H Sultan,R Thakar,M A Abulafi,R I Swift,W Ness,D S Kapoor,A H Sultan,R Thakar,M A Abulafi,R I Swift,W Ness,D S Kapoor,A H Sultan,R Thakar,M A Abulafi,R I Swift,W Ness,

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.

Management of complex pelvic floor disorders in a multidisciplinary pelvic floor clinic. Publishing Authors By Initials

DS Kapoor,AH Sultan,R Thakar,MA Abulafi,RI Swift,W Ness,DS Kapoor,AH Sultan,R Thakar,MA Abulafi,RI Swift,W Ness,DS Kapoor,AH Sultan,R Thakar,MA Abulafi,RI Swift,W Ness,

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Management of complex pelvic floor disorders in a multidisciplinary pelvic floor clinic. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Colorectal disease : the official journal of the A

VOLUME: 10

Page Numbers: 118-23

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ISSN: 1463-1318

DAY: 17

MONTH: Feb

YEAR: 2008

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LANGUAGE: eng

NlmUniqueID: 100883611

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Grant and Affiliation Information for Management of complex pelvic floor disorders in a multidisciplinary pelvic floor clinic.

AFFILIATION: Mayday University Hospital, Department of Urogynaecology and Colorectal Surgery, London Road, Croydon, Surrey, UK.

Country: England

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MEDLINETA: Colorectal Dis

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