The role of the urotherapist in the care of patients with pelvic floor disorders

2020 ◽  
Author(s):  
Verena Geissbuhler ◽  
Susanne Forst ◽  
Matthias Werner ◽  
Cora Ann Schoenenberger ◽  
Ruth Berner ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Disorders ◽  
Pain Syndrome ◽  
Time Frame ◽  
Pelvic Organ ◽  
Adult Patients ◽  
Pelvic Pain Syndrome ◽  
Data Systems ◽  
Bladder Sensation ◽  
Tract Infections

Abstract Background: To improve the management of healthcare requirements of pelvic floor disorders (PFDs) in adult patients, interprofessional collaborations are emerging. The aim of this study is to describe and evaluate the activities of a urotherapist in adult patients with PFDs. Methods: The prospective observational study was carried out at the Department of ObGyn at the Cantonal Hospital Winterthur/Switzerland, from July 2016 to June 2018. The activities of the urotherapist were assessed with respect to parameters such as, number of consultations, type of counselling, time frame of consultations and therapy as well patient satisfaction. Demographic and clinical data were collected by self-administered questionnaires and electronic medical data systems. Results: 1709 patients were examined by urogynecologists. Of these patients, 514 (30%) were subsequently referred to a urotherapist. 58% of the 514 patients were over 65 years old. The most common PFDs were complaints about increased bladder sensation such as an overactive bladder, recurrent urinary tract infections, chronic cystitis and pelvic pain syndrome in 221 patients (43%); the second most common was pelvic organ prolapse in 151 patients (29%). The average number of urotherapist consultations per patient was 3 . In the group with >5 consultations, 59% were patients with increased bladder sensation. The most common type of consultation was phone counselling (59% of all activities). Conclusions: Increased bladder sensation related complaints are chronic problems that result in the highest numbers of urotherapist consultations. Interprofessional collaborations between urotherapist, as a specialist nurse, and urogynecologist should be implemented in urogynecological units and further developed in the future.

scholarly journals Urotherapist activities in caring for patients with pelvic floor disorders: a prospective single-center observational study

2020 ◽  
Author(s):  
Verena Geissbuehler ◽  
Susanne Forst ◽  
Matthias Werner ◽  
Cora-Ann Schoenenberger ◽  
Ruth Berner ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Observational Study ◽  
Pelvic Floor ◽  
Pelvic Floor Disorders ◽  
Professional Competence ◽  
Pelvic Pain Syndrome ◽  
Single Center ◽  
Care Coordinator ◽  
Tract Infections ◽  
Single Center Observational Study

Abstract Purpose Patients with pelvic floor disorders are growing in number. The aim of this study is to outline the main activities of a urotherapist, an advanced nurse practitioner, in the care of patients with pelvic floor disorders and to evaluate patient satisfaction with the service urotherapists provide. Methods The prospective single-center observational study was carried out from July 2016 to June 2018. Parameters used to assess the urotherapist activities included the number of consultations, type of counselling, time frame of consultations and therapy and patient satisfaction. In a subgroup of 38 patients, satisfaction with the urotherapy sessions was evaluated by a questionnaire. Results Totally, 1709 patients were examined by urogynecologists. Five hundred and fourteen (30%) with chronic pelvic floor disorders were subsequently referred to a urotherapist. Of these patients, 60% were at least 65 years old. The most common pelvic floor disorders (221 patients; 43%) were an overactive bladder, recurrent urinary tract infections, chronic cystitis and pelvic pain syndrome; the second most common pelvic floor disorder was pelvic organ prolapsed (151 patients; 29%). Of the study subgroup comprising 38 patients, 32 (84%) returned the patient satisfaction questionnaire. All 32 patients specified their level of agreement with the urotherapist’s professional competence, empathy, temporal availability and quality of advice as “agree to strongly agree.” Conclusions Management by a urotherapist was highly appreciated. The role of the urotherapist as a care coordinator, their level of autonomy and barriers to the implementation in primary care requires further exploration.

scholarly journals How Do We Assess Patient Skills in a Competence-Based Program? Assessment of Patient Competences Using the Spanish Version of the Prolapse and Incontinence Knowledge Questionnaire and Real Practical Cases in Women with Pelvic Floor Disorders

2021 ◽  
Vol 18 (5) ◽  
pp. 2377
Author(s):  
Beatriz Sánchez-Sánchez ◽  
Beatriz Arranz-Martín ◽  
Beatriz Navarro-Brazález ◽  
Fernando Vergara-Pérez ◽  
Javier Bailón-Cerezo ◽  
...  
Keyword(s):  
Decision Making ◽  
Pelvic Floor ◽  
Discriminant Validity ◽  
Pelvic Floor Disorders ◽  
Assessment Tool ◽  
Pelvic Organ ◽  
Assessment Tools ◽  
Measurement Properties ◽  
Competence Assessment ◽  
Knowledge Questionnaire

Therapeutic patient education programs must assess the competences that patients achieve. Evaluation in the pedagogical domain ensures that learning has taken place among patients. The Prolapse and Incontinence Knowledge Questionnaire (PIKQ) is a tool for assessing patient knowledge about urinary (UI) and pelvic organ prolapse (POP) conditions. The aim of this study was to translate the Prolapse and Incontinence Knowledge Questionnaire (PIKQ) into Spanish and test its measurement properties, as well as propose real practical cases as a competence assessment tool. The cross-cultural adaptation was conducted by a standardized translation/back-translation method. Measurement properties analysis was performed by assessing the validity, reliability, responsiveness, and interpretability. A total of 275 women were recruited. The discriminant validity showed statistically significant differences in the PIKQ scores between patients and expert groups. Cronbach’s alpha revealed good internal consistency. The test–retest reliability showed excellent correlation with UI and POP scales. Regarding responsiveness, the effect size, and standardized response mean demonstrated excellent values. No floor or ceiling effects were shown. In addition, three “real practical cases” evaluating skills in identifying and analyzing, decision making, and problem-solving were developed and tested. The Spanish PIKQ is a comprehensible, valid, reliable, and responsive tool for the Spanish population. Real practical cases are useful competence assessment tools that are well accepted by women with pelvic floor disorders (PFD), improving their understanding and their decision-making regarding PFD.

scholarly journals Sexual function in women with pelvic floor disorders

2013 ◽  
Vol 7 (9-10) ◽  
pp. 199 ◽  
Author(s):  
Rebecca G. Rogers
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Organ Prolapse ◽  
Stress Urinary Incontinence ◽  
Sexual Function ◽  
Pelvic Floor ◽  
Pelvic Floor Disorders ◽  
Pelvic Floor Dysfunction ◽  
Pelvic Organ ◽  
The Impact

Pelvic floor disorders (PFDs) can impact sexual function. This summary provides an overview of the impact of stress urinary incontinence and pelvic organ prolapse and their treatments on sexual function. In general, interventions that successfully address PFDs will generally improve sexual function as well. However, there are patients whose sexual function will remain unchanged despite treatment, and a small but significant minority who will report worsened sexual function following treatment for their pelvic floor dysfunction.

Pelvic-floor relaxation techniques using biofeedback – more effective therapy for chronic prostatitis/chronic pelvic pain syndrome

2020 ◽  
Vol 13 (6) ◽  
pp. 454-459
Author(s):  
Manish Pandey ◽  
Vaibhav Shrivastava ◽  
Vijay Patidar ◽  
Sabby Dias ◽  
Sameer Trivedi
Keyword(s):  
Pelvic Floor ◽  
Pelvic Pain ◽  
Chronic Prostatitis ◽  
Pelvic Floor Muscle ◽  
Muscle Relaxation ◽  
Chronic Pelvic Pain Syndrome ◽  
Pain Syndrome ◽  
Pelvic Pain Syndrome ◽  
Group A ◽  
Group B

Objective: Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is characterized by pelvic pain and voiding symptoms, the management of which is challenging. The present study was designed to assess the efficacy of biofeedback and pelvic-floor relaxation treatment for CP/CPPS. Methods: A total of 84 patients diagnosed with CP/CPPS were randomly assigned to one of the two groups: conventional therapy (group A) and pelvic-floor muscle relaxation and biofeedback (group B). The Biofeedback and Electrical Stimulation apparatus was used for pelvic-floor muscle electrical stimulation and relaxation with biofeedback. National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) scores were evaluated at the start of therapy, after 3 months of treatment and at 6 months (3 months after last treatment received). Results: At 3 months, patients in both groups had a significant decrease (improvement in symptoms) in NIH-CPSI scoring. However, at 6 months, only 19 (47.5%) patients in group A maintained a fall in NIH-CPSI score >6 compared with 37 (94.8%) patients in group B ( p<0.05). At 6 months, there was significant decrease in NIH-CPSI score in group B, whereas in group A, scores had increased (worsening of symptoms). Conclusions: Pelvic-floor muscle relaxation and biofeedback training is a safe and effective treatment for CP/CPPS with sustained efficacy.

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