An International Continence Society (ICS)/ International Urogynecological Association (IUGA) joint report on the terminology for the assessment and management of obstetric pelvic floor disorders.

Autor: Doumouchtsis SK; Department of Obstetrics and Gynaecology, Epsom and St. Helier University Hospitals NHS Trust, Epsom, UK. sdoum@yahoo.com.; St. George's University of London, London, UK. sdoum@yahoo.com.; Laboratory of Experimental Surgery and Surgical Research 'N.S. Christeas', National and Kapodistrian University of Athens, Medical School, Athens, Greece. sdoum@yahoo.com.; School of Medicine, American University of the Caribbean, Cupecoy, Sint Maarten. sdoum@yahoo.com.; School of Medicine, Ross University, Miramar, FL, USA. sdoum@yahoo.com., de Tayrac R; Nimes University Hospital, Nimes, France., Lee J; University New South Wales, Sydney, Australia., Daly O; Western Health, Melbourne, Australia., Melendez-Munoz J; Hospital Universitari Dr. Josep Trueta, Girona, Spain., Lindo FM; Houston Methodist Hospital, Texas A&M University College of Medicine, Houston Methodist Hospital, Houston, TX, USA., Cross A; Middlemore Hospital, Auckland, New Zealand., White A; University of Texas at Austin, Austin, TX, USA., Cichowski S; Oregon Health & Sciences University, Portland, OR, USA., Falconi G; Complex Operative Unit of Gynecology, Fondazione Policlinico Tor Vergata University Hospital, Rome, Italy., Haylen B; University New South Wales, Sydney, Australia.
Jazyk: angličtina
Zdroj: International urogynecology journal [Int Urogynecol J] 2023 Jan; Vol. 34 (1), pp. 1-42. Date of Electronic Publication: 2022 Nov 28.
DOI: 10.1007/s00192-022-05397-x
Abstrakt: Aims: The terminology of obstetric pelvic floor disorders should be defined and reported as part of a wider clinically oriented consensus.
Methods: This Report combines the input of members of two International Organizations, the International Continence Society (ICS) and the International Urogynecological Association (IUGA). The process was supported by external referees. Appropriate clinical categories and a sub-classification were developed to give coding to definitions. An extensive process of 12 main rounds of internal and 2 rounds of external review was involved to exhaustively examine each definition, with decision-making by consensus.
Results: A terminology report for obstetric pelvic floor disorders, encompassing 357 separate definitions, has been developed. It is clinically-based with the most common diagnoses defined. Clarity and user-friendliness have been key aims to make it usable by different specialty groups and disciplines involved in the study and management of pregnancy, childbirth and female pelvic floor disorders. Clinical assessment, investigations, diagnosis, conservative and surgical treatments are major components. Illustrations have been included to supplement and clarify the text. Emerging concepts, in use in the literature and offering further research potential but requiring further validation, have been included as an Appendix. As with similar reports, interval (5-10 year) review is anticipated to maintain relevance of the document and ensure it remains as widely applicable as possible.
Conclusion: A consensus-based Terminology Report for obstetric pelvic floor disorders has been produced to support clinical practice and research.
(© 2022. The Author(s).)
Databáze: MEDLINE
Externí odkaz: