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I n t e r n a t i o n a l C o n f e r e n c e o n
Physicians, Surgeons and
Case Reports
November 19-20 , 2018
Par i s , France
Medical Case Reports
ISSN: 2471-8041
PSCR 2018
Introduction:
Pelvic floor is a very narrow space and contains many organs
closed to each other. These many different organs are managed from different
specialties depending on clinical picture or defect. In fact any weakness
or defect will affect all organs in the pelvis in different levels which means
management of this group of diseases should be through a team including
general surgeon, urologist, and gynaecologist and may be some others as per
need.
Purpose&Objectives:
The aim is to highlight the importance of interdisciplinary
clinical team work for management of the pelvic floor defects and its impact
on clinical and surgical outcome.
Methods:
Summary of the literature in this regard together with our experience
in team work for managing pelvic defects.
Discussion:
The descent of the pelvic floor usually affects more or less all
the pelvic organs irrespective of the clinical picture of the patient. The mild
to moderate defects not related to the specialty field of the treating physician
could be difficult to detect or to deal with will without having the opinions of
the other colleagues of interest. The pre/intra/and post-operative consultation
at the right time can improve the clinical and surgical outcome and may avoid
or reduce the complication risk before occurring.
Results:
Establishment of pelvic floor centres like that practised in the German
system seems to be an effective way of better preoperative assessment and
postoperative results. This clinical team may include general surgery, urology,
gynaecology and as per need neurology, spine surgery, psychiatry and dietician.
Detection of hidden pelvic floor defects will be easier and earlier through this
combined teamwork. The continuous interdisciplinary management in the pre-
intra-and-post phase seems to improve the clinical and surgical outcome. This
multidisciplinary group work as it takes care of all pelvic organs at the same
time can reduce the complications risk.
Conclusion:
Preoperative interdisciplinary team assessment and cooperation
of the all involved surgeons/physicians (pre/intra/and postoperatively)
seems to improve the clinical and surgical outcomes and reduce the risk of
complications.
Biography
Ahmed Masaoud Mohamed has completed his Medical Study
at University of Tripoli, Libya. Then he finished his urological
training and got his German Board and the European Board
Urological Qualification in 2007, from Witten/Herdecke
University in Germany and Postdoctoral Studies from the same
University. He is a Consultant Urologist since 2009, now he is
practicing as an Asst. Professor at Al-Faisal University, Riyadh,
KSA. He has published many papers in reputed journals and
has shared in many international congresses.
a-assaid@web.deInterdisciplinary team work in pelvic floor surgery
Ahmed Masaoud Mohamed, T Nasser, Y Salamand
Abdulrahman Badawi
Aldara Hospital and Medical Centre, Al-Faisal University, KSA
Ahmed Masaoud Mohamed et al., Med Case Rep. 2018, Volume:4
DOI: 10.21767/2471-8041-C2-005