An International Urogynecological Association (IUGA)/International Continence Society (ICS) Joint Report on the Terminology for Female Anorectal Dysfunction

Article English OPEN
Sultan, A. H. ; Monga, A. ; Lee, J. ; Emmanuel, A. ; Norton, C. ; Santoro, G. ; Hull, T. ; Berghmans, B. ; Brody, S. ; Haylen, B. T. (2017)
  • Publisher: WILEY-BLACKWELL
  • Subject: Anorectal, Fecal incontinence, Female pelvic floor, Female sexual dysfunction, Imaging, Terminology | Science & Technology, Life Sciences & Biomedicine, Urology & Nephrology, Anorectal, Fecal Incontinence, Female Sexual Dysfunction, Female Pelvic Floor, Imaging, Terminology, Quality-of-Life, Pelvic Floor Dysfunction, External Anal-Sphincter, Neurogenic Fecal Incontinence, Vector Volume Manometry, Low-Dose Amitriptyline, Lower Urinary-Tract, Organ Prolapse, 3-Dimensional Endosonography, Sensorimotor Dysfunction

INTRODUCTION: The terminology for anorectal dysfunction in women has long been in need of a specific clinically-based Consensus Report. METHODS: This Report combines the input of members of the Standardization and Terminology Committees of two International Organizations, the International Urogynecological Association (IUGA) and the International Continence Society (ICS), assisted on Committee by experts in their fields to form a Joint IUGA/ICS Working Group on Female Anorectal Terminology. Appropriate core clinical categories and sub classifications were developed to give an alphanumeric coding to each definition. An extensive process of twenty rounds of internal and external review was developed to exhaustively examine each definition, with decision-making by collective opinion (consensus). RESULTS: A Terminology Report for anorectal dysfunction, encompassing over 130 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 all the different specialty groups involved in female pelvic floor dysfunction. Female-specific anorectal investigations and imaging (ultrasound, radiology and MRI) has been included whilst appropriate figures have been included to supplement and help clarify the text. Interval review (5–10 years) is anticipated to keep the document updated and as widely acceptable as possible. CONCLUSION: A consensus-based Terminology Report for female anorectal dysfunction terminology has been produced aimed at being a significant aid to clinical practice and a stimulus for research. Neurourol. Urodynam. 36:10–34, 2017. © 2016 Wiley Periodicals, Inc., and The International Urogynecological Association.
  • References (32)
    32 references, page 1 of 4

    1. Snooks SJ, Setchell M, Swash M, Henry MM. Injury to innervation of pelvic floor sphincter musculature in childbirth. Lancet. 1984 Sep 8;2(8402):546-50. PubMed PMID: 6147604.

    2. Sultan AH, Kamm MA, Hudson CN, Thomas JM, Bartram CI. Anal-sphincter disruption during vaginal delivery. The New England Journal of Medicine. 1993 Dec 23;329(26):1905-11. PubMed PMID: 8247054.

    3. Andrews V, Sultan AH, Thakar R, Jones PW. Occult anal sphincter injuries--myth or reality? BJOG : an international journal of obstetrics and gynaecology. 2006 Feb;113(2):195-200. PubMed PMID: 16411998.

    4. Dal Corso HM, D'Elia A, De Nardi P, Cavallari F, Favetta U, Pulvirenti D'Urso A, et al. Anal endosonography: a survey of equipment, technique and diagnostic criteria adopted in nine Italian centers. Techniques in coloproctology. 2007 Mar;11(1):26-33. PubMed PMID: 17357863.

    5. Kapoor DS, Sultan AH, Thakar R, Abulafi MA, Swift RI, Ness W. Management of complex pelvic floor disorders in a multidisciplinary pelvic floor clinic. Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland. 2008 Feb;10(2):118-23. PubMed PMID: 18199292.

    6. Milsom I, Altman D, Lapitan MC, Nelson R, Sillen U, Thom D. Epidemiology of Urinary (UI) and Faecal (FI) Incontinence and Pelvic Organ Prolapse (POP). In: P Abrams L Cardozo S Khoury A Wein, Editors. 4th International Consultation on Incontinence. Paris: Health Publication Ltd 2009. Chapter 1, page 35-111.

    7. Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. International urogynecology journal. 2010 Jan;21(1):5- 26. PubMed PMID: 19937315.

    8. Rosier PF, de Ridder D, Meijlink J, Webb R, Whitmore K, Drake MJ. Developing evidencebased standards for diagnosis and management of lower urinary tract or pelvic floor dysfunction. Neurourol Urodyn. 2012 Jun;31(5):621-4. doi: 10.1002/nau.21253. PubMed PMID: 22396134.

    9. Stedman's Medical Dictionary 28th Edition Baltimore, Maryland USA: (2006) Lippincott, Williams and Wilkins 2006. p1884

    10. Abrams P, Blaivas JG, Stanton SL, Andersen JT. The standardisation of terminology of lower urinary tract function. The International Continence Society Committee on Standardisation of Terminology. Scandinavian journal of urology and nephrology Supplementum. 1988;114:5-19. PubMed PMID: 3201169.

  • Metrics
    No metrics available
Share - Bookmark