Sarcouncil Journal of Internal Medicine and Public Health

Abstract: Purpose: The current research evaluates the effectiveness of multidisciplinary teams, which combine gynecological and urological skills in managing complex pelvic floor disorders in women and focusing on the elimination of symptoms, improvements in quality of life, and the optimization of clinical processes. Methods: A retrospective cohort study was done on 140 women aged 45-75 years (mean BMI=30kg minus 2) with stress-urinary incontinence (70%), pelvic organ prolapse stage II or above (50%), and mixed lower-urinary-tract symptoms, treated at a tertiary referral centre during the period of January 2023 up to December 2025. Biweekly meetings of multidisciplinary teams (including a Uro gynecologist, urologist, physiotherapist, and colorectal surgeon) were conducted, and cases were reviewed by at least two pelvic compartments, or in case of failure of conservative therapy. Interventional measures were first-line pelvic floor muscle training (n = 98), biofeedback or electrical stimulation (n = 56), and team-imposed surgeries (tension-free vaginal tape slips, n = 84, and mesh-based prolapse repair, n = 56). Assessment occurred at 6 and 12 months based on PFDI-20, PFIQ-7, Pelvic Organ Prolapse Quantification system, urodynamic investigation, and a visual-analogue patient satisfaction scale. Risk factors were identified using logistic regression models as adjusted odds ratios and 95% confidence intervals. Findings: The management was altered by a multidisciplinary approach in 20 per cent of cases, 16 per cent of which involved alteration of the specialty. The rate of adherence to conservative measures was 42-67 per cent, and the 12-month surgical cure rate was 75 per cent in objective stress urinary incontinence control (105/140), 65 per cent in anatomical prolapse reduction (91/140), and 80 per cent in subjective satisfaction (112/140). The scores of PFIQ-7 dropped by half (38.7±18 to 19.2-+12; p < 0.001). Forty percent of participants were reported to have complications (urinary- tract infection 15, mesh erosion 5). The BMI over 30 (OR= 2.1; 95%-CI= 1.4-3.2), being post-menopausal (OR=2.5; 95%-CI=1.6-3.9), and having over three parities (OR=1.8; 95%-CI=1.2-2.7) were found to be significant risk factors of poorer outcomes. Conclusions: Gynecologyurology multidisciplinary teams have better outcomes when compared to single-specialty care and achieve higher cure rates of up to 75-80% compared to isolated benchmarks and provide significant improvements in the quality of life in multimorbid patient populations.