Current resource issues for pelvic floor services in the UK

TABLE 6 TYPES OF ANORECTAL PHYSIOLOGY TESTS UNDERTAKEN Investigation 2012 2006 Manometry 100% 100% Rectal sensation 100% 100% Pudendal nerve motor latency test 12% 57% Balloon expulsion test 80% - Electromyography 6% - Sphincter repairs, biofeedback and neuromodulation In the study in 2006, the numb...

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Bibliographic Details
Published inBulletin of the Royal College of Surgeons of England Vol. 96; no. 3; pp. e1 - e8
Main Authors Jadav, AM, Williams, JG, Brown, SR
Format Journal Article
LanguageEnglish
Published London BMJ Publishing Group LTD 01.03.2014
Subjects
Biofeedback
Constipation
Fecal incontinence
Fistula
Medical referrals
Nurse practitioners
Physiology
Population
Questionnaires
Studies
Surgeons
Surgery
Teaching hospitals
Ultrasonic imaging
Workloads
United Kingdom > UK
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Summary:TABLE 6 TYPES OF ANORECTAL PHYSIOLOGY TESTS UNDERTAKEN Investigation 2012 2006 Manometry 100% 100% Rectal sensation 100% 100% Pudendal nerve motor latency test 12% 57% Balloon expulsion test 80% - Electromyography 6% - Sphincter repairs, biofeedback and neuromodulation In the study in 2006, the number of sphincter repairs performed by a unit was given as another surrogate marker of pelvic floor activity. [...]more resources will be needed to accommodate this. Regarding the various tests incorporated under the umbrella term of ARP, one striking difference is the virtual abandonment of pudendal nerve motor latency tests and electromyography as part of a routine service, reflecting the general perception that neither is useful or practical. 6 Furthermore, owing to the significant role for ARP in the assessment of evacuatory disorders, most units provide a balloon expulsion test. 7,8 Sphincter repair numbers remain low. Please tick all applicable. able [/RAW_REF_TEXT] Personnel Healthcare scientists (clinical scientists / clinical physiologists / clinical technologists)[/RAW_REF_TEXT] [/RAW_REF_TEXT] Specialist nurse practitioners[/RAW_REF_TEXT] [/RAW_REF_TEXT] Consultant surgeons[/RAW_REF_TEXT] [/RAW_REF_TEXT] Research fellows[/RAW_REF_TEXT] [/RAW_REF_TEXT] Other (please state)[/RAW_REF_TEXT] AM Jadav 1, JG Williams 2, and SR Brown 1 1 Sheffield Teaching Hospitals NHS Foundation Trust 2 Royal Wolverhampton NHS Trust
ISSN:1473-6357
1478-7075
DOI:10.1308/003588414X13814021677999