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Review
. 2020 Nov;39(8):2040-2071.
doi: 10.1002/nau.24508.

An International Continence Society (ICS) report on the terminology for female pelvic floor fistulas

Judith Goh  1 , Lauri Romanzi  2 , Sohier Elneil  3 , Bernard Haylen  4 , Grace Chen  5 , Gamal Ghoniem  6 , Munir'deen Ijaiya  7 , Soo Kwon  8 , Joseph Lee  4 , Sherif Mourad  9 , Rajeev Ramanah  10 , Mohan Regmi  11 , Raheela Mohsin Rivzi  12 , Rebecca Rogers  13 , Jonothan Sharp  14 , Vivian Sung  15
Affiliations
Review

An International Continence Society (ICS) report on the terminology for female pelvic floor fistulas

Judith Goh et al. Neurourol Urodyn. 2020 Nov.

Erratum in

  • Corrigendum.
    [No authors listed] [No authors listed] Neurourol Urodyn. 2022 Sep;41(7):1637. doi: 10.1002/nau.24679. Epub 2022 Jul 13. Neurourol Urodyn. 2022. PMID: 35830727 No abstract available.

Abstract

Introduction: The terminology for female pelvic floor fistulas (PFF) needs to be defined and organized in a clinically based consensus Report.

Methods: This Report combines the input of members of the International Continence Society (ICS) assisted at intervals by external referees. Appropriate core clinical categories and a sub-classification were developed to give a coding to definitions. An extensive process of 19 rounds of internal and external review was involved to examine each definition, with decision-making by collective opinion (consensus).

Results: A terminology report for female PFF, encompassing 416 (188 NEW) 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 different specialty groups involved in female pelvic floor dysfunction and PFF. Female-specific imaging (ultrasound, radiology, and magnetic resonance imaging) and conservative and surgical PFF managements as well as appropriate figures have been included to supplement and clarify the text. Interval (5-10 years) review is anticipated to keep the document updated and as widely acceptable as possible.

Conclusion: A consensus-based terminology report for female PFF has been produced to aid clinical practice and research.

Keywords: Female urinary incontinence; Pelvic Floor Fistula; Pelvic reconstructive surgery.

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References

REFERENCES

    1. Haylen BT, De Ridder D, Freeman R, et al. An International Urogynecological Association (IUGA)/International: Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn. 2010;29(1):4-20. Int Urogynecol J. 2010;21:5-26.
    1. D'Ancona CD, Haylen BT, Oelke M, et al. An International Continence Society (ICS) report on the terminology for adult male lower urinary tract and pelvic floor symptoms and dysfunction. Neurourol Urodyn. 2019;1:1-45. https://doi.org/10.1002/nau.23897
    1. Haylen BT, Maher CF, Barber MD, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP). Int Urogynecol J. 2016;27(2):165-194. Neurourol Urodyn. 2016;35(2):137-168.
    1. The World Health Organization (WHO). Obstetric Fistula: Guiding Principles for Clinical Management and Programme Development. Geneva: WHO Press; 2006.
    1. The World Health Organization (WHO). Recommendation on Duration of Bladder Catheterization After Surgical Repair of Simple Obstetric Urinary Fistula. Geneva: World Health Organization; 2018.

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