International Urogynecology Journal

, Volume 21, Issue 1, pp 5–26

An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction

  • Bernard T. Haylen
  • Dirk de Ridder
  • Robert M. Freeman
  • Steven E. Swift
  • Bary Berghmans
  • Joseph Lee
  • Ash Monga
  • Eckhard Petri
  • Diaa E. Rizk
  • Peter K. Sand
  • Gabriel N. Schaer
Special Contribution

DOI: 10.1007/s00192-009-0976-9

Cite this article as:
Haylen, B.T., de Ridder, D., Freeman, R.M. et al. Int Urogynecol J (2010) 21: 5. doi:10.1007/s00192-009-0976-9

Abstract

Introduction and hypothesis

Next to existing terminology of the lower urinary tract, due to its increasing complexity, the terminology for pelvic floor dysfunction in women may be better updated by a female-specific approach and 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 at intervals by many external referees. Appropriate core clinical categories and a subclassification were developed to give an alphanumeric coding to each definition. An extensive process of 15 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 female pelvic floor dysfunction, encompassing over 250 separate definitions, has been developed. It is clinically based with the six 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 imaging (ultrasound, radiology, and MRI) has been a major addition while appropriate figures have been included to supplement and help clarify the text. Ongoing review is not only anticipated but will be required to keep the document updated and as widely acceptable as possible.

Conclusions

A consensus-based terminology report for female pelvic floor dysfunction has been produced aimed at being a significant aid to clinical practice and a stimulus for research.

Keywords

Female pelvic floor dysfunctionTerminologyConsensusSymptomatologyUrodynamicsDiagnosis

Copyright information

© The International Urogynecological Association 2009

Authors and Affiliations

  • Bernard T. Haylen
    • 1
    • 2
  • Dirk de Ridder
    • 3
  • Robert M. Freeman
    • 4
  • Steven E. Swift
    • 5
  • Bary Berghmans
    • 6
  • Joseph Lee
    • 7
  • Ash Monga
    • 8
  • Eckhard Petri
    • 9
  • Diaa E. Rizk
    • 10
  • Peter K. Sand
    • 11
  • Gabriel N. Schaer
    • 12
  1. 1.St Vincent’s ClinicSydneyAustralia
  2. 2.University of New South WalesSydneyAustralia
  3. 3.University HospitalUZ LeuvenLeuvenBelgium
  4. 4.Derriford HospitalPlymouthUK
  5. 5.Medical University of South CarolinaCharlestonUSA
  6. 6.Maastricht University HospitalMaastrichtNetherlands
  7. 7.Mercy Hospital for WomenMelbourneAustralia
  8. 8.Princess Anne HospitalSouthamptonUK
  9. 9.Klinikum SchwerinSchwerinGermany
  10. 10.Ain Shams UniversityCairoEgypt
  11. 11.Evanston Continence CentreEvanstonUSA
  12. 12.KantonsspitalAarauSwitzerland