International Urogynecology Journal

, Volume 28, Issue 2, pp 191–213 | Cite as

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

  • Kari BoEmail author
  • Helena C. Frawley
  • Bernard T. Haylen
  • Yoram Abramov
  • Fernando G. Almeida
  • Bary Berghmans
  • Maria Bortolini
  • Chantale Dumoulin
  • Mario Gomes
  • Doreen McClurg
  • Jane Meijlink
  • Elizabeth Shelly
  • Emanuel Trabuco
  • Carolina Walker
  • Amanda Wells
Special Contribution


Introduction and hypothesis

There has been an increasing need for the terminology on the conservative management of female pelvic floor dysfunction to be collated in a clinically based consensus report.


This Report combines the input of members and elected nominees 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. An extensive process of nine rounds of internal and external review was developed to exhaustively examine each definition, with decision-making by collective opinion (consensus). Before opening up for comments on the webpages of ICS and IUGA, five experts from physiotherapy, neurology, urology, urogynecology, and nursing were invited to comment on the paper.


A Terminology Report on the conservative management of female pelvic floor dysfunction, encompassing over 200 separate definitions, has been developed. It is clinically based, with the most common symptoms, signs, assessments, diagnoses, and treatments defined. Clarity and ease of use have been key aims to make it interpretable by practitioners and trainees in all the different specialty groups involved in female pelvic floor dysfunction. Ongoing review is not only anticipated, but will be required to keep the document updated and as widely acceptable as possible.


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


Consensus Conservative management Pelvic floor dysfunction Terminology Female 



We thank Professors Jacques Corcos (Urologist McGill University, Montreal Canada, Mandy Fader (Nurse, University of Southampton, UK), Ingrid Nygaard (Urogynecologist, University of Utah, Salt Lake City, USA), Marijke van Kampen (Physiotherapist, University Hospital Gasthuisberg, K.U. Leuven, Belgium) and David Vodusek (Neurophysiologist, University of Ljubljana, Slovenia) for expert advice on the draft manuscript.

Compliance with ethical standards


Any products/companies referred to in this document are not necessarily recommended or endorsed by the ICS.

Conflicts of interest

Elizabeth Shelly is a consultant to Analytica and Amanda Wells is a consultant to ARC Health Services. None of the other authors have any conflicts of interest.


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Copyright information

© Wiley Periodicals Inc., and The International Urogynecological Association 2016

Authors and Affiliations

  • Kari Bo
    • 1
    Email author
  • Helena C. Frawley
    • 2
  • Bernard T. Haylen
    • 3
  • Yoram Abramov
    • 4
  • Fernando G. Almeida
    • 5
  • Bary Berghmans
    • 6
  • Maria Bortolini
    • 5
  • Chantale Dumoulin
    • 7
  • Mario Gomes
    • 8
  • Doreen McClurg
    • 9
  • Jane Meijlink
    • 10
  • Elizabeth Shelly
    • 11
  • Emanuel Trabuco
    • 12
  • Carolina Walker
    • 13
  • Amanda Wells
    • 14
  1. 1.Department of Sports MedicineNorwegian School of Sport SciencesOsloNorway
  2. 2.Cabrini HealthLa Trobe UniversityMelbourneAustralia
  3. 3.University of New South WalesSydneyAustralia
  4. 4.Technion UniversityHaifaIsrael
  5. 5.Federal UniversitySão PaoloBrazil
  6. 6.Maastricht University Medical CentreMaastrichtNetherlands
  7. 7.University of MontrealMontrealCanada
  8. 8.Centro Hospitalar PortoOportoPortugal
  9. 9.Glasgow Caledonian UniversityGlasgowUK
  10. 10.NaardenNetherlands
  11. 11.MolineUSA
  12. 12.Mayo ClinicMinnesotaUSA
  13. 13.Hospital Universitario QuirónMadridSpain
  14. 14.University of ExeterExeterUK

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