Urotherapist activities in caring for patients with pelvic floor disorders: a prospective single-center observational st
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GENERAL GYNECOLOGY
Urotherapist activities in caring for patients with pelvic floor disorders: a prospective single‑center observational study Verena Geissbuehler1 · Susanne Forst1 · Matthias Werner1 · Cora‑Ann Schoenenberger2 · Ruth Berner1 · Cornelia Betschart3 Received: 10 August 2020 / Accepted: 18 September 2020 © The Author(s) 2020
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. Keywords Advanced nurse practitioner · Urotherapy · Pelvic floor disorders · Patient satisfaction · Interprofessional collaboration
Introduction
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00404-020-05810-0) contains supplementary material, which is available to authorized users. * Verena Geissbuehler [email protected]; [email protected] 1
Department of Obstetrics and Gynecology, Cantonal Hospital Winterthur, Brauerstrasse 15, 8401 Winterthur, Switzerland
2
Clinic of Gynecology/Gynecologic Oncology, St. Claraspital Basel, Basel, Switzerland
3
Department of Gynecology, University Hospital Zurich, Zurich, Switzerland
Pelvic floor disorders (PFDs) consisting of an overactive bladder, chronic bladder diseases and urinary stress incontinence, recurrent urinary tract infections, pelvic organ prolapse and fecal incontinence [1, 2] are often chronic diseases that may require regular assistance over long periods of time [3]. Th
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