Assessing use of eau recommendations in diagnostic and therapeutic strategies for chronic pelvic pain syndrome: a case vignette study on dutch pelvic floor physiotherapists practices
Abstract Background Chronic Pelvic Pain Syndrome (CPPS) presents as pain located in the pelvic area lasting for at least six months, often with a multifactorial aetiology. The International Continence Society divides CPPS in multiple domains; one is the musculoskeletal domain. Pelvic floor physiothe...
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BMC
2025-05-01
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| Series: | BMC Women's Health |
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| Online Access: | https://doi.org/10.1186/s12905-025-03782-4 |
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| author | Myrthe Wissing Marian Rombouts Monique Steegers Kris Vissers Selina van der Wal Kim Notten |
| author_facet | Myrthe Wissing Marian Rombouts Monique Steegers Kris Vissers Selina van der Wal Kim Notten |
| author_sort | Myrthe Wissing |
| collection | DOAJ |
| description | Abstract Background Chronic Pelvic Pain Syndrome (CPPS) presents as pain located in the pelvic area lasting for at least six months, often with a multifactorial aetiology. The International Continence Society divides CPPS in multiple domains; one is the musculoskeletal domain. Pelvic floor physiotherapy is a recommended treatment and is advised in the European Association of Urologist (EAU) guidelines. However, in the Netherlands, it is unclear which treatment strategies are used by pelvic floor physiotherapists (PFPs) for CPPS patients due to the lack of a Dutch evidenced-based guideline for physiotherapists. This study provides an overview of the adherence to the EAU guideline by PFPs in managing CPPS patients. Methods A case vignette study using two case vignettes and a general questionnaire defining contextual data. Participants were PFPs treating patients with CPPS in primary care. We contacted 550 qualified PFPs registered in the Dutch national quality registry for physiotherapy. Main outcome measure: first, adherence to EAU guidelines and second, the adherence compared to level of education and caseload. Results Of the invited participants, 198 completed the survey. Of these, 29 (14.6%) scored higher than 80% for both case vignettes; fifty-four (27%) scored 80% for the male case vignette and 30 (15%) scored 80% for the female case. Conclusions Our findings show low adherence to the EAU guideline’s proposed diagnostic and treatment criteria. PFPs should become more familiar with implementation of this guideline. |
| format | Article |
| id | doaj-art-2ca3451f561c4597ba697b01ca9af971 |
| institution | DOAJ |
| issn | 1472-6874 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
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| series | BMC Women's Health |
| spelling | doaj-art-2ca3451f561c4597ba697b01ca9af9712025-08-20T03:16:47ZengBMCBMC Women's Health1472-68742025-05-012511710.1186/s12905-025-03782-4Assessing use of eau recommendations in diagnostic and therapeutic strategies for chronic pelvic pain syndrome: a case vignette study on dutch pelvic floor physiotherapists practicesMyrthe Wissing0Marian Rombouts1Monique Steegers2Kris Vissers3Selina van der Wal4Kim Notten5Department of Obstetrics and Gynaecology, Radboudumc NijmegenDepartment of Anesthesiology Chronic Pain and Palliative Medicine, RadboudumcDepartment of Anesthesiology, Amsterdam UMCDepartment of Anesthesiology Chronic Pain and Palliative Medicine, RadboudumcDepartment of Anesthesiology Chronic Pain and Palliative Medicine, RadboudumcDepartment of Obstetrics and Gynaecology, Radboudumc NijmegenAbstract Background Chronic Pelvic Pain Syndrome (CPPS) presents as pain located in the pelvic area lasting for at least six months, often with a multifactorial aetiology. The International Continence Society divides CPPS in multiple domains; one is the musculoskeletal domain. Pelvic floor physiotherapy is a recommended treatment and is advised in the European Association of Urologist (EAU) guidelines. However, in the Netherlands, it is unclear which treatment strategies are used by pelvic floor physiotherapists (PFPs) for CPPS patients due to the lack of a Dutch evidenced-based guideline for physiotherapists. This study provides an overview of the adherence to the EAU guideline by PFPs in managing CPPS patients. Methods A case vignette study using two case vignettes and a general questionnaire defining contextual data. Participants were PFPs treating patients with CPPS in primary care. We contacted 550 qualified PFPs registered in the Dutch national quality registry for physiotherapy. Main outcome measure: first, adherence to EAU guidelines and second, the adherence compared to level of education and caseload. Results Of the invited participants, 198 completed the survey. Of these, 29 (14.6%) scored higher than 80% for both case vignettes; fifty-four (27%) scored 80% for the male case vignette and 30 (15%) scored 80% for the female case. Conclusions Our findings show low adherence to the EAU guideline’s proposed diagnostic and treatment criteria. PFPs should become more familiar with implementation of this guideline.https://doi.org/10.1186/s12905-025-03782-4Guideline adherencePelvic floor disorderPelvic painPhysical therapy |
| spellingShingle | Myrthe Wissing Marian Rombouts Monique Steegers Kris Vissers Selina van der Wal Kim Notten Assessing use of eau recommendations in diagnostic and therapeutic strategies for chronic pelvic pain syndrome: a case vignette study on dutch pelvic floor physiotherapists practices BMC Women's Health Guideline adherence Pelvic floor disorder Pelvic pain Physical therapy |
| title | Assessing use of eau recommendations in diagnostic and therapeutic strategies for chronic pelvic pain syndrome: a case vignette study on dutch pelvic floor physiotherapists practices |
| title_full | Assessing use of eau recommendations in diagnostic and therapeutic strategies for chronic pelvic pain syndrome: a case vignette study on dutch pelvic floor physiotherapists practices |
| title_fullStr | Assessing use of eau recommendations in diagnostic and therapeutic strategies for chronic pelvic pain syndrome: a case vignette study on dutch pelvic floor physiotherapists practices |
| title_full_unstemmed | Assessing use of eau recommendations in diagnostic and therapeutic strategies for chronic pelvic pain syndrome: a case vignette study on dutch pelvic floor physiotherapists practices |
| title_short | Assessing use of eau recommendations in diagnostic and therapeutic strategies for chronic pelvic pain syndrome: a case vignette study on dutch pelvic floor physiotherapists practices |
| title_sort | assessing use of eau recommendations in diagnostic and therapeutic strategies for chronic pelvic pain syndrome a case vignette study on dutch pelvic floor physiotherapists practices |
| topic | Guideline adherence Pelvic floor disorder Pelvic pain Physical therapy |
| url | https://doi.org/10.1186/s12905-025-03782-4 |
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