Standardized Examination Protocol for Pelvic organ prolapse and Urinary incontinence

This study addresses the need for a standardized examination protocol (SEPPU) for pelvic organ prolapse (POP) and urinary incontinence (UI) in women. The objective is to identify predictors and diagnostic tools to be included in the SEPPU, along with underlying reasons for their inclusion. Effective diagnosis and treatment of POP and UI can improve women's quality of life. However, the lack of a SEPPU poses a challenge in providing consistent and optimal care. A questionnaire and focus group session involving pelvic physiotherapists (pPTs) were conducted to gather their opinions and beliefs. Univariate testing and logistic regression revealed significant differences in inclusion criteria and indicators of the diagnostic tools. Among the respondents (N=126), 54.8% expressed a perceived need for the SEPPU. Micturition diaries, Pelvic Organ Prolapse Quantification (POPQ), and pelvic physiotherapeutic examination (PPE) were recommended for inclusion, while consensus on diagnostic questionnaires is yet to be reached. Ultrasound and uroflowmetry were excluded due to additional costs. According to the findings of this study, micturition diaries, the POPQ and PPE are recommended diagnostic tools to be included in the SEPPU. Further research is needed to finalize the protocol and explore the inclusion of diagnostic questionnaires.