Judith Goh1, Lauri Romanzi2, Sohier Elneil3, Bernard Haylen4, Grace Chen5, Gamal Ghoniem6, Munir'deen Ijaiya7, Soo Kwon8, Joseph Lee4, Sherif Mourad9, Rajeev Ramanah10, Mohan Regmi11, Raheela Mohsin Rivzi12, Rebecca Rogers13, Jonothan Sharp14, Vivian Sung15. 1. Department of Gynecology, Griffith University, Gold Coast, Queensland, Australia. 2. Department of Global Health and Global Medicine, Harvard Medical School, New York, New York, USA. 3. Department of Urogynecology, University College, London Hospitals, London, UK. 4. Department of Gynecology, University of New South Wales, Sydney, New South Wales, Australia. 5. Department of Gynecology, John Hopkins University, Baltimore, Maryland, USA. 6. Division of Female Urology, UC Irvine Health, Irvine, California, USA. 7. Department of Obstetrics and Gynecology, University of IIorin, IIorin, Kwara, Nigeria. 8. Department of Gynecology, Zucker School of Medicine, New York, New York, USA. 9. Department of Gynecology, Ain Shams University, Cairo, Egypt. 10. Department of Urology, CHU Besancon, Besancon, France. 11. Department of Obstetrics and Gynecology, BP Koirala Institute, Dharan, Nepal. 12. Department of Obsterics and Gynecology, Aga Khan University, Karachi, Pakistan. 13. Department of Obstetrics and Gynecology, University of Texas, Austin, Texas, USA. 14. Department of Women's Health, Fenwek Hospital, Bomet, Kenya. 15. Division of Urogynecology, Woman & Infants Hospital, Providence, Rhode Island, USA.
Abstract
INTRODUCTION: The terminology for female pelvic floor fistulas (PFF) needs to be defined and organized in a clinically based consensus Report. METHODS: This Report combines the input of members of the International Continence Society (ICS) assisted at intervals by external referees. Appropriate core clinical categories and a sub-classification were developed to give a coding to definitions. An extensive process of 19 rounds of internal and external review was involved to examine each definition, with decision-making by collective opinion (consensus). RESULTS: A terminology report for female PFF, encompassing 416 (188 NEW) 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 interpretable by practitioners and trainees in different specialty groups involved in female pelvic floor dysfunction and PFF. Female-specific imaging (ultrasound, radiology, and magnetic resonance imaging) and conservative and surgical PFF managements as well as appropriate figures have been included to supplement and clarify the text. Interval (5-10 years) review is anticipated to keep the document updated and as widely acceptable as possible. CONCLUSION: A consensus-based terminology report for female PFF has been produced to aid clinical practice and research.
INTRODUCTION: The terminology for female pelvic floor fistulas (PFF) needs to be defined and organized in a clinically based consensus Report. METHODS: This Report combines the input of members of the International Continence Society (ICS) assisted at intervals by external referees. Appropriate core clinical categories and a sub-classification were developed to give a coding to definitions. An extensive process of 19 rounds of internal and external review was involved to examine each definition, with decision-making by collective opinion (consensus). RESULTS: A terminology report for female PFF, encompassing 416 (188 NEW) 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 interpretable by practitioners and trainees in different specialty groups involved in female pelvic floor dysfunction and PFF. Female-specific imaging (ultrasound, radiology, and magnetic resonance imaging) and conservative and surgical PFF managements as well as appropriate figures have been included to supplement and clarify the text. Interval (5-10 years) review is anticipated to keep the document updated and as widely acceptable as possible. CONCLUSION: A consensus-based terminology report for female PFF has been produced to aid clinical practice and research.