A One-Day Multidisciplinary Pelvic Floor Program: An organizational model for comprehensive assessment and coordinated care - 10/11/26
, Chloé Miguet-Bensouda 1, #, Maiti de Boisredon 1, #, Lilia Casciuc 1, #, Graziella Moufawad 1, #, Stéphanie Moret 1, #, Charles-André Philip 1, 2, #, Erdogan Nohuz 1, #, Laurence Derain-Dubourg 2, 3, 4, #Abstract |
Introduction |
Pelvic floor disorders significantly affect women’s quality of life but remain frequently underdiagnosed, leading to fragmented care pathways and delayed management.
Objective |
To describe the organization and feasibility of a one-day multidisciplinary pelvic floor program, focusing on access to specialist care, therapeutic management and patient acceptability.
Materials and Methods |
We conducted a retrospective, single-center study from February 2023 to February 2024. Patients underwent a one-day multidisciplinary assessment including validated symptom questionnaires, pelvic floor examination, urodynamic testing, pelvic floor ultrasound, therapeutic education, pessary fitting and training, and posterior tibial nerve stimulation when indicated. An individualized treatment plan was established at the end of the assessment.
Results |
A total of 285 patients were included (mean age, 56.7 ± 0.9 years). The mean interval between symptom onset and first consultation was 4.2 ± 0.2 years, compared with 2.1 ± 0.1 months from referral to the program. Referrals came primarily from gynecologists (58.9%), general practitioners (28.4%), and midwives (6.3%). The main presenting complaints were urinary incontinence (51.9%) and pelvic organ prolapse (24.2%). Pelvic floor rehabilitation was recommended for 54.7% of patients, surgery for 41.0%, and posterior tibial nerve stimulation for 16.8%. The mean interval between assessment and surgery was 2.2 ± 0.1 months. Among the 262 patients who completed the satisfaction questionnaire, 92.3% rated the quality of examinations as excellent, and 91.0% rated their overall satisfaction as excellent. All respondents would recommend the program.
Conclusion |
A one-day multidisciplinary pelvic floor program appears to be a feasible and well-accepted model for the coordinated assessment and management of women with pelvic floor disorders. It may facilitate timely care, improve multidisciplinary coordination, and achieve high patient satisfaction
Le texte complet de cet article est disponible en PDF.Key words : Pelvic floor disorders, pelvic organ prolapse, multidisciplinary care, day hospital, outpatient management
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