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BackgroundUrinary incontinence (UI) affects millions of women with substantial health and quality-of-life impacts. Supervised pelvic floor muscle training (PFMT) is the recommended first-line treatment. However, multiple individual and institutional barriers impede women’s access to skilled care. Evidence suggests that digital health solutions are acceptable and may be effective in delivering first-line incontinence treatment, although these technologies have not yet been leveraged at scale. ObjectiveThe primary objective is to describe the effectiveness and safety of a prescribed digital health treatment program to guide PFMT for UI treatment among real-world users. The secondary objectives are to evaluate patient engagement following an updated user platform and identify the factors predictive of success. MethodsThis retrospective cohort study of women who initiated device use between January 1, 2022, and June 30, 2023, included users aged ≥18 years old with a diagnosis of stress, urgency, or mixed incontinence or a score of >33.3 points on the Urogenital Distress Inventory Short Form (UDI-6). Users are prescribed a 2.5-minute, twice-daily, training program guided by an intravaginal, motion-based device that pairs with a smartphone app. Data collected by the device or app include patient-reported demographics and outcomes, adherence to the twice-daily regimen, and pelvic floor muscle performance parameters, including angle change and hold time. Symptom improvement was assessed by the UDI-6 score change from baseline to the most recent score using paired 2-tailed t tests. Factors associated with meeting the UDI-6 minimum clinically important difference were evaluated by regression analysis. ResultsOf 1419 users, 947 met inclusion criteria and provided data for analysis. The mean baseline UDI-6 score was 46.8 (SD 19.3), and the mean UDI-6 score change was 11.3 (SD 19.9; P

Pelvic floor disorders encompass a spectrum of different functional and anatomical disorders, which often require input from different disciplines. Usually, patients are referred with one main complaint, but often other symptoms are associated. For example, a patient referred with rectal prolapse may also suffer with urinary incontinence and associated anterior and middle compartment prolapse.Multidisciplinary assessment and treatment should be conducted from initial assessment to best understand which specialties should be involved in symptom management. Conservative and surgical interventions both play an important role for these pathologies and are often used in combination.The aim of this manuscript is to present the importance of the multidisciplinary approach to pelvic floor disorders and the value of different healthcare professionals and specialties. Consideration about future expansions of pelvic floor services will be presented as well, with special attention to the role of dietician, pain team and psychologist.