{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T16:27:27Z","timestamp":1782232047473,"version":"3.54.5"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2020,9,30]],"date-time":"2020-09-30T00:00:00Z","timestamp":1601424000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,9,30]],"date-time":"2020-09-30T00:00:00Z","timestamp":1601424000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100008375","name":"University of Basel","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100008375","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Gynecol Obstet"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Patients with pelvic floor disorders are growing in number. The aim of this study is to outline the main activities of a urotherapist, an advanced nurse practitioner, in the care of patients with pelvic floor disorders and to evaluate patient satisfaction with the service urotherapists provide.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>The prospective single-center observational study was carried out from July 2016 to June 2018. Parameters used to assess the urotherapist activities included the number of consultations, type of counselling, time frame of consultations and therapy and patient satisfaction. In a subgroup of 38 patients, satisfaction with the urotherapy sessions was evaluated by a questionnaire.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Totally, 1709 patients were examined by urogynecologists. Five hundred and fourteen (30%) with chronic pelvic floor disorders were subsequently referred to a urotherapist. Of these patients, 60% were at least 65\u00a0years old. The most common pelvic floor disorders (221 patients; 43%) were an overactive bladder, recurrent urinary tract infections, chronic cystitis and pelvic pain syndrome; the second most common pelvic floor disorder was pelvic organ prolapsed (151 patients; 29%). Of the study subgroup comprising 38 patients, 32 (84%) returned the patient satisfaction questionnaire. All 32 patients specified their level of agreement with the urotherapist\u2019s professional competence, empathy, temporal availability and quality of advice as \u201cagree to strongly agree.\u201d<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Management by a urotherapist was highly appreciated. The role of the urotherapist as a care coordinator, their level of autonomy and barriers to the implementation in primary care requires further exploration.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00404-020-05810-0","type":"journal-article","created":{"date-parts":[[2020,9,30]],"date-time":"2020-09-30T20:02:55Z","timestamp":1601496175000},"page":"471-479","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Urotherapist activities in caring for patients with pelvic floor disorders: a prospective single-center observational study"],"prefix":"10.1007","volume":"303","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8678-4923","authenticated-orcid":false,"given":"Verena","family":"Geissbuehler","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanne","family":"Forst","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Werner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cora-Ann","family":"Schoenenberger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Berner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0467-0170","authenticated-orcid":false,"given":"Cornelia","family":"Betschart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,9,30]]},"reference":[{"issue":"11","key":"5810_CR1","doi-asserted-by":"publisher","first-page":"1311","DOI":"10.1001\/jama.300.11.1311","volume":"300","author":"I Nygaard","year":"2008","unstructured":"Nygaard I, Barber MD, Burgio KL, Kenton K, Meikle S, Schaffer J, Spino C, Whitehead WE, Wu J, Brody DJ (2008) Prevalence of symptomatic pelvic floor disorders in US women. JAMA 300(11):1311\u20131316. https:\/\/doi.org\/10.1001\/jama.300.11.1311","journal-title":"JAMA"},{"issue":"6","key":"5810_CR2","doi-asserted-by":"publisher","first-page":"39","DOI":"10.7748\/nop.2018.e1050","volume":"30","author":"A Bardsley","year":"2018","unstructured":"Bardsley A (2018) Assessment, prevention and treatment of faecal incontinence in older people. Nurs Older People 30(6):39\u201347. https:\/\/doi.org\/10.7748\/nop.2018.e1050","journal-title":"Nurs Older People"},{"issue":"5","key":"5810_CR3","doi-asserted-by":"publisher","first-page":"380","DOI":"10.1097\/GCO.0000000000000200","volume":"27","author":"AA Dieter","year":"2015","unstructured":"Dieter AA, Wilkins MF, Wu JM (2015) Epidemiological trends and future care needs for pelvic floor disorders. Curr Opin Obstet Gynecol 27(5):380\u2013384. https:\/\/doi.org\/10.1097\/GCO.0000000000000200","journal-title":"Curr Opin Obstet Gynecol"},{"issue":"1","key":"5810_CR4","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1097\/aog.0000000000000057","volume":"123","author":"JM Wu","year":"2014","unstructured":"Wu JM, Vaughan CP, Goode PS, Redden DT, Burgio KL, Richter HE, Markland AD (2014) prevalence and trends of symptomatic pelvic floor disorders in U.S. women. Obstet Gynecol 123(1):141\u2013148. https:\/\/doi.org\/10.1097\/aog.0000000000000057","journal-title":"Obstet Gynecol"},{"issue":"6","key":"5810_CR5","doi-asserted-by":"publisher","first-page":"1925","DOI":"10.1002\/nau.23568","volume":"37","author":"J Krhut","year":"2018","unstructured":"Krhut J, Gartner M, Mokris J, Horcicka L, Svabik K, Zachoval R, Martan A, Zvara P (2018) Effect of severity of urinary incontinence on quality of life in women. Neurourol Urodyn 37(6):1925\u20131930. https:\/\/doi.org\/10.1002\/nau.23568","journal-title":"Neurourol Urodyn"},{"key":"5810_CR6","doi-asserted-by":"publisher","first-page":"421","DOI":"10.1016\/j.ogc.2009.08.002","volume":"36","author":"VW Sung","year":"2009","unstructured":"Sung VW, Star Hampton B (2009) Epidemiology of pelvic floor dysfunction. Obstet Gynecol Clin N Am 36:421\u2013443. https:\/\/doi.org\/10.1016\/j.ogc.2009.08.002","journal-title":"Obstet Gynecol Clin N Am"},{"key":"5810_CR7","doi-asserted-by":"publisher","first-page":"70","DOI":"10.1016\/j.ijnurstu.2017.11.002","volume":"79","author":"M Karam","year":"2018","unstructured":"Karam M, Brault I, Van Durme T, Macq J (2018) Comparing interprofessional and interorganizational collaboration in healthcare: a systematic review of the qualitative research. Int J Nurs Stud 79:70\u201383. https:\/\/doi.org\/10.1016\/j.ijnurstu.2017.11.002","journal-title":"Int J Nurs Stud"},{"issue":"3","key":"5810_CR8","doi-asserted-by":"publisher","first-page":"275","DOI":"10.1111\/jnu.12130","volume":"47","author":"G Lancaster","year":"2015","unstructured":"Lancaster G, Kolakowsky-Hayner S, Kovacich J, Greer-Williams N (2015) Interdisciplinary communication among physicians, nurses, and unlicensed assistive personnel. J Nurs Scholarsh 47(3):275\u2013284. https:\/\/doi.org\/10.1111\/jnu.12130","journal-title":"J Nurs Scholarsh"},{"key":"5810_CR9","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD000072.pub3","author":"S Reeves","year":"2017","unstructured":"Reeves S, Pelone F, Harrison R, Goldman J, Zwarenstein M (2017) Interprofessional collaboration to improve professionalpractice and healthcare outcomes. Cochrane Database Syst Rev. https:\/\/doi.org\/10.1002\/14651858.CD000072.pub3(Issue 6. Art. No.: CD000072)","journal-title":"Cochrane Database Syst Rev"},{"issue":"Suppl 1","key":"5810_CR10","first-page":"196","volume":"39","author":"JHV Gilbert","year":"2010","unstructured":"Gilbert JHV, Yan J, Hoffman SJ (2010) A WHO report: framework for action on interprofessional education and collaborative practice. J Allied Health. Fall 39(Suppl 1):196\u2013197","journal-title":"J Allied Health. Fall"},{"issue":"1","key":"5810_CR11","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1016\/j.healthpol.2017.06.002","volume":"122","author":"FRM Leijten","year":"2018","unstructured":"Leijten FRM, Struckmann V, van Ginneken E, Czypionka T, Kraus M, Reiss M, Tsiachristas A, Boland M, de Bont A, Bal R, Busse R, Rutten-van M\u00f6lken M, Selfie consortium (2018) The SELFIE framework for integrated care for multi-morbidity: development and description. Health Policy 122(1):12\u201322. https:\/\/doi.org\/10.1016\/j.healthpol.2017.06.002","journal-title":"Health Policy"},{"issue":"12","key":"5810_CR12","first-page":"1661","volume":"64","author":"KJ Davis","year":"2010","unstructured":"Davis KJ, Kumar D, Wake C (2010) Pelvic floor dysfunction: a scoping study exploring current service provision in the UK, interprofessional collaboration and future management priorities. Int J ClinPract 64(12):1661\u20131670","journal-title":"Int J ClinPract"},{"key":"5810_CR13","unstructured":"Nijman R, Tekgul S et al (2017) Bladder rehabilitation and urotherapy. In: Abrams B, Cardozo L, Wagg A, Wein A (eds). Incontinence, 6th edn. ICUD ICS, pp 999\u20131000"},{"key":"5810_CR14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jped.2019.02.007","author":"GM Assis","year":"2019","unstructured":"Assis GM, Silva C, Martins G (2019) Urotherapy in the treatment of children and adolescents with bladder and bowel dysfunction: a systematic review. J Pediatr (Rio J). https:\/\/doi.org\/10.1016\/j.jped.2019.02.007","journal-title":"J Pediatr (Rio J)"},{"key":"5810_CR15","doi-asserted-by":"publisher","first-page":"1494","DOI":"10.1002\/nau.23491","volume":"37","author":"TC Noordhoff","year":"2017","unstructured":"Noordhoff TC, t\u2019Hoen LA, van den Hoek J, Verhallen-Dantuma J, van Ledden-Klok MJ, Blok BFM, Scheepe JR (2017) Urotherapy in children with dysfunctional voiding and the responsiveness of two condition-specific questionnaires. Neurourol Urodyn 37:1494\u20131500","journal-title":"Neurourol Urodyn"},{"issue":"8","key":"5810_CR16","doi-asserted-by":"publisher","first-page":"913","DOI":"10.1007\/s00192-009-0878-x","volume":"20","author":"R Oliver","year":"2009","unstructured":"Oliver R, Thakar R, Sultan AH, Phillimore A (2009) Urogynecology triage clinic: a model of healthcare delivery. Int Urogynecol J 20(8):913\u2013917. https:\/\/doi.org\/10.1007\/s00192-009-0878-x","journal-title":"Int Urogynecol J"},{"issue":"11","key":"5810_CR17","doi-asserted-by":"publisher","first-page":"2723","DOI":"10.11124\/JBISRIR-2016-003016","volume":"15","author":"C Sangaleti","year":"2017","unstructured":"Sangaleti C, Schveitzer MC, Peduzzi M, Zoboli E, Soares CB (2017) Experiences and shared meaning of teamwork and interprofessional collaboration among health care professionals in primary health care settings: a systematic review. JBI Database Syst Rev Implement Rep 15(11):2723\u20132788","journal-title":"JBI Database Syst Rev Implement Rep"},{"issue":"9","key":"5810_CR18","doi-asserted-by":"publisher","first-page":"2084","DOI":"10.1111\/jan.13299","volume":"73","author":"MH Lovink","year":"2017","unstructured":"Lovink MH, Persoon A, Koopmans RTCM, Van Vught AJAH, Schoonhoven L, Laurant MGH (2017) Effects of substituting nurse practitioners, physician assistants or nurses for physicians concerning healthcare for the ageing population: a systematic literature review. J Adv Nurs 73(9):2084\u20132102. https:\/\/doi.org\/10.1111\/jan.13299","journal-title":"J Adv Nurs"},{"issue":"1","key":"5810_CR19","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1007\/s00192-009-0976-9","volume":"21","author":"BT Haylen","year":"2010","unstructured":"Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J et al (2010) An International Urogynecological Association (IUGA)\/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J 21(1):5\u201326","journal-title":"Int Urogynecol J"},{"key":"5810_CR20","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1007\/s00192-009-0997-4","volume":"21","author":"K Baessler","year":"2010","unstructured":"Baessler K, O'Neill SM, Maher CF, Battistutta D (2010) A validated self-administered female pelvic floor questionnaire. Int Urogynecol J 21:163\u2013172. https:\/\/doi.org\/10.1007\/s00192-009-0997-4","journal-title":"Int Urogynecol J"},{"issue":"1","key":"5810_CR21","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1016\/j.ogc.2015.10.002","volume":"43","author":"N White","year":"2016","unstructured":"White N, Iglesia CB (2016) Overactive bladder. Obstet Gynecol Clin N Am 43(1):59\u201368. https:\/\/doi.org\/10.1016\/j.ogc.2015.10.002","journal-title":"Obstet Gynecol Clin N Am"},{"issue":"6","key":"5810_CR22","doi-asserted-by":"publisher","first-page":"1211","DOI":"10.1016\/j.eururo.2014.01.019","volume":"65","author":"A Agarwal","year":"2014","unstructured":"Agarwal A, Eryuzlu LN, Cartwright R, Thorlund K, Tammela TL, Guyatt GH et al (2014) What is the most bothersome lower urinary tract symptom? Individual- and population-level perspectives for both men and women. Eur Urol 65(6):1211\u20131217","journal-title":"Eur Urol"},{"issue":"2","key":"5810_CR23","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1097\/SPV.0000000000000252","volume":"22","author":"LK Brown","year":"2016","unstructured":"Brown LK, Fenner DE, DeLancey JO, Schimpf MO (2016) Defining patient knowledge and perceptions of vaginal pessaries for prolapse and incontinence. Female Pelvic Med Reconstr Surg 22(2):93\u201397. https:\/\/doi.org\/10.1097\/SPV.0000000000000252","journal-title":"Female Pelvic Med Reconstr Surg"},{"key":"5810_CR24","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22916","author":"C Betschart","year":"2015","unstructured":"Betschart C, Cervigni M, Contreras Ortiz O, Doumouchtsis SK, Koyama M, Medina C, Haddad JM, la Torre F, Zanni G (2015) Management of apical compartment prolapse (uterine and vault prolapse): a FIGO Working Group report. Neurourol Urodyn. https:\/\/doi.org\/10.1002\/nau.22916","journal-title":"Neurourol Urodyn"},{"key":"5810_CR25","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12766","author":"TR de Mattos Lourenco","year":"2019","unstructured":"de Mattos Lourenco TR, Pergialiotis V, Durnea C, Elfturi A, Haddad JM, Betschart C, Falconi G, Doumouchtsis SK, An International Collaboration for Harmonising Outcomes R, Standards in U, Women's H (2019) Systematic review of reported outcomes and outcome measures in randomized controlled trials on apical prolapse surgery. Int J Gynaecol Obstet. https:\/\/doi.org\/10.1002\/ijgo.12766","journal-title":"Int J Gynaecol Obstet"},{"key":"5810_CR26","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1016\/j.cnur.2018.01.006","volume":"53","author":"GL Hooper","year":"2018","unstructured":"Hooper GL (2018) Person-centered care for patients with pessarie. Nurs Clin N Am 53:289\u2013301. https:\/\/doi.org\/10.1016\/j.cnur.2018.01.006","journal-title":"Nurs Clin N Am"},{"key":"5810_CR27","doi-asserted-by":"publisher","first-page":"103552","DOI":"10.1016\/j.ijnurstu.2020.10355","volume":"105","author":"M Deschodt","year":"2020","unstructured":"Deschodt M, Laurent G, Cornelissen L, Yip O, Z\u00fa\u00f1iga F, Denhaerynck K, Briel M, Karabegovic A, De Geest S, INSPIRE consortium (2020) Core components and impact of nurse-led integrated care models for home-dwelling older people: a systematic review and meta-analysis. Int J Nurs Stud 105:103552. https:\/\/doi.org\/10.1016\/j.ijnurstu.2020.10355","journal-title":"Int J Nurs Stud"},{"key":"5810_CR28","doi-asserted-by":"publisher","first-page":"103443","DOI":"10.1016\/j.ijnurstu.2019.1034","volume":"104","author":"C Torrens","year":"2020","unstructured":"Torrens C, Campbell P, Hoskins G, Strachan H, Wells M, Cunningham M, Bottone H, Polson R, Maxwell M (2020) Barriers and facilitators to the implementation of the advanced nurse practitioner role in primary care settings: a scoping review. Int J Nurs Stud 104:103443. https:\/\/doi.org\/10.1016\/j.ijnurstu.2019.1034","journal-title":"Int J Nurs Stud"},{"issue":"1","key":"5810_CR29","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1007\/s00192-018-3784-2","volume":"30","author":"MLS Lie","year":"2019","unstructured":"Lie MLS, Lecouturier J, Harding C (2019) Should I stay or should I go? A qualitative study exploring participation in a urology clinical trial. Int Urogynecol J 30(1):9\u201316. https:\/\/doi.org\/10.1007\/s00192-018-3784-2","journal-title":"Int Urogynecol J"},{"issue":"2","key":"5810_CR30","doi-asserted-by":"publisher","first-page":"Doc22","DOI":"10.3205\/zma000964","volume":"32","author":"U Walkenhorst","year":"2015","unstructured":"Walkenhorst U, Mahler C, Aistleithner R, Hahn EG, Kaap-Frohlich S, Karstens S, Reiber K, Stock-Schroer B, Sottas B (2015) Position statement GMA committee\u2013\u201cInterprofessional Education for the Health Care Professions\u201d. GMS Z Med Ausbild 32(2):Doc22. https:\/\/doi.org\/10.3205\/zma000964","journal-title":"GMS Z Med Ausbild"},{"issue":"1","key":"5810_CR31","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1111\/jan.13162","volume":"73","author":"S Bookey-Bassett","year":"2016","unstructured":"Bookey-Bassett S, Markle-Reid M, Mckey CA, Akhtar-Danesh N (2016) Understanding interprofessional collaboration in the context of chronic disease management for older adults living in communitiers: a concept analysis. J Adv Nurs 73(1):71\u201384. https:\/\/doi.org\/10.1111\/jan.13162","journal-title":"J Adv Nurs"}],"container-title":["Archives of Gynecology and Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00404-020-05810-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00404-020-05810-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00404-020-05810-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T01:37:14Z","timestamp":1632965834000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00404-020-05810-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,30]]},"references-count":31,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,2]]}},"alternative-id":["5810"],"URL":"https:\/\/doi.org\/10.1007\/s00404-020-05810-0","relation":{},"ISSN":["0932-0067","1432-0711"],"issn-type":[{"value":"0932-0067","type":"print"},{"value":"1432-0711","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,30]]},"assertion":[{"value":"10 August 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 September 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 September 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The authors declare no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The study was approved by the Ethic Committee of the Canton Zurich (Swissethics: BASEC 2016-00211).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"All participants provided written consent.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"A preprint of an earlier version of the manuscript is registered at  at the platform . Since then, the manuscript has been substantially revised.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosure of preprint"}}]}}