Multi-Disciplinary Team (MDT)

Effective treatment for complex pelvic floor disorders requires combined care from a multidisciplinary team.

We meet regularly with our colleagues and have a monthly formal multidisciplinary team meeting to discuss particularly complex cases. There is open discussion between everyone in the team and results are reviewed. This helps to provide ‘joined-up care’, giving you the best possible chance of recovery.

When you are referred by your doctor to our unit, you will initially be seen in our pelvic floor clinic by a surgeon. The surgeon will ask questions relating to your symptoms to try to establish their underlying cause, and will examine you. It is very likely that he or she will then refer you to other team members for investigation.

The next stage will vary according to your symptoms, but many patients will have a defaecating proctogram and transit study performed in the X-ray department by radiographers, with the results analysed by radiologists. You may also have anorectal physiology and ultrasound, which is undertaken by nurse specialists and physiologists. These tests are explained elsewhere on this website. You will be seen back in clinic to discuss your results and treatment options.

We will often see if we can improve your symptoms with simple measures such as dietary changes, laxatives and pelvic floor exercise or pelvic floor retraining. Many people find that their symptoms are completely resolved by such measures. Much of this advice and help will come from our specialist nurses.

For those patients requiring surgery, the operation itself is of course done by a surgeon. However, of great importance is the expertise of our theatre staff who are familiar with our specialist and often highly technical practice. You will be cared for in a safe and welcoming environment on our wards.