Barrett Francesca, Stewart Lauren E, Brucker Benjamin M
Departments of Urology and Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, NYU Langone Health/NYU Grossman School of Medicine, New York, NY USA.
Curr Bladder Dysfunct Rep. 2021;16(4):97-104. doi: 10.1007/s11884-021-00635-2. Epub 2021 Nov 3.
To summarize the available literature regarding telehealth interventions in the management of pelvic floor disorders.
Most Female Pelvic Medicine and Reconstructive Surgery (FPMRS) patients own and feel comfortable operating the technology required to participate in telehealth interventions and would be willing to interact remotely with their providers. Telehealth may be an appropriate and effective tool for patient education about bladder and pelvic physiology and pathophysiology, remote pelvic floor muscle strengthening when in-person physical therapy is not accessible, overactive bladder follow-up and medication management, and for postoperative care following uncomplicated incontinence and prolapse surgery.
There is a growing body of literature specific to FPMRS supporting various telehealth interventions that could reasonably be expected to improve access to sub-specialty care while maintaining or improving healthcare quality and reducing costs to the patient and the healthcare system.
总结关于远程医疗干预在盆底疾病管理中的现有文献。
大多数女性盆底医学与重建外科（FPMRS）患者拥有并能自如操作参与远程医疗干预所需的技术，且愿意与医疗服务提供者进行远程互动。远程医疗可能是一种合适且有效的工具，用于患者膀胱及盆腔生理与病理生理学教育、在无法进行面对面物理治疗时进行远程盆底肌肉强化、膀胱过度活动症随访及药物管理，以及用于简单尿失禁和脱垂手术后的术后护理。
有越来越多专门针对FPMRS的文献支持各种远程医疗干预，有望在维持或提高医疗质量并降低患者及医疗系统成本的同时，改善专科医疗服务的可及性。
