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An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for reporting outcomes of surgical procedures for pelvic organ prolapse

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Abstract

Introduction and hypothesis

Standardized terminology has yet to be developed for reporting the outcomes for surgery for pelvic organ prolapse (POP).

Methods

This report combines the input of the Terminology and Standardization Committees of the International Urogynecological Association (IUGA) and the International Continence Society (ICS) and a joint Working Group on this topic, as well as expert external referees. The aim was to present a standardized terminology for the definitions of surgery and propose a structure for reporting the outcomes of surgical procedures for POP. An extensive drafting and review process was undertaken, as well as open review on both IUGA and ICS websites.

Results

A terminology report was developed outlining the recommended structure for reporting outcomes of surgical trials involving POP. This document does not define success and failure. The report includes patient-reported, subjective and objective outcomes to enable researchers to report on their results and compare them with other studies.

Conclusions

A consensus-based method for standardizing terminology for reporting outcome measures of POP surgery was developed to aid clinicians working in this area of research.

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Acknowledgments

This document underwent 23 versions and seven collations prior to being available for review on both the IUGA and ICS Web sites to allow members to submit comments and recommendations, which have enabled appropriate revisions. The authors acknowledge the comments of Dr. Annette Holden, Dr. Giuseppe Di Paola, Dr. Rufus Cartwright, Prof. Hans Peter Dietz, Dr. Joseph Gauta, Dr. Jian Wein, and Dr. Alexandros Derpapas. In particular, the authors thank Elektra McDermott, managing editor of the International Urogynecology Journal, for her support and help in the preparation of the final draft and proofreading, and the Peninsula College of Medicine and Dentistry (UK) for the section on Economic Evaluation and Cost Analysis. The authors acknowledge the support of the IUGA and ICS leadership in this joint report from the two societies, following on from the Joint Reports on Terminology for Female Pelvic Floor Dysfunction, and Prostheses and Mesh Complications and, concurrently, Complications Related to Native Tissue Female Pelvic Floor Surgery.

Conflicts of interest

Philip Toozs-Hobson: Educational meetings, Astellas and Pfizer

Robert Freeman: Educational meetings, Astellas and Pfizer (speaker fees). National Institute for Health Research (NIIHR) Collaboration (PenCLAHRC), UK. (the views expressed are not necessarily those of the NHS, the NIHR, or the Department of Health, UK)

Matthew Barber: No disclosures

Christopher Maher: Director, Urogynaecology Society of Australasia

Bernard Haylen: No disclosures

Stavros Athanasiou: No disclosures

Steven Swift: Pfizer, acceptance of paid travel expenses or honoraria; acceptance of payment for research. Astellas: consultant.

Kristene Whitmore: Research grants, Boston Scientific, Pfizer, Allergan, Ortho-McNeill

Gamal Ghoniem: Speaker, Astellas; consultant , Boston Scientific, Uroplasty, Coloplast

Dirk de Ridder: Consultant, AMS, Bard, Asyellas, Pfizer, Medtronic, Allergan; speaker, AMS, Astellas, Pfizer, Medtronic, Allergan; investigator, AMS, Astellas, Allergan; research grants, AMS, Bard, Astellas, Medtronic, Gynecare, Dynamesh

Terminology and Standardization Committee IUGA working members: Philip M. Toozs-Hobson, Bernard T. Haylen, Robert M Freeman, Christopher Maher, Stephen E. Swift,

Stavros Athanasiou

Standardisation Steering Committee (ICS) members: Robert. M Freeman, Dirk de Ridder, Kristene Whitmore

Joint IUGA-ICS Working Group on Outcomes for Female POP Surgery members:

Matthew Barber, Gamal Ghoniem

The respective journals of the sponsoring organizations, the International Continence Society (ICS), and the International Urogynecological Association (IUGA).

International Urogynecology Journal, Vol. 23, No. 5, 2012. Copyright 2012. This material is reproduced with permission of Wiley-Liss, Inc., a subsidiary of John Wiley & Sons, Inc., and the International Urogynecological Association.

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Correspondence to Philip Toozs-Hobson.

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This document is being published simultaneously in Neurourology and Urodynamics (NAU) and the International Urogynecology Journal (IUJ).

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Toozs-Hobson, P., Freeman, R., Barber, M. et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for reporting outcomes of surgical procedures for pelvic organ prolapse. Int Urogynecol J 23, 527–535 (2012). https://doi.org/10.1007/s00192-012-1726-y

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