2025 Urogynecology for the Advanced Practice Provider-Pelvic Floor Disorders: A Practical Approach with a Gastroenterologist’s Insight & Treating Chronic Abdominal Pain: Current and Novel Treatments

Video Transcription

Video Summary

Dr. Taylin, a prominent figure in USF's Digestive Diseases and Nutrition division, presented a comprehensive discussion on motility disorders and pelvic floor dysfunction. With a background in esophageal issues and a focus on neurogastroenterology, she emphasized the complexity and prevalence of brain-gut interaction disorders, which constitute a significant portion of gastrointestinal practices.<br /><br />Her presentation delved into pelvic floor disorders, specifically fecal incontinence and dyssynergic defecation. She outlined the critical importance of understanding normal rectal and anal function to diagnose disorders accurately. Dr. Taylin highlighted various causes and types of fecal incontinence, such as passive, urge, and fecal seepage, and stressed the need for thorough patient history and examinations to distinguish these from conditions like diarrhea.<br /><br />A detailed case study illustrated how misdiagnosis and lack of specific inquiries, such as obstetric history, could lead patients to prolonged suffering. Dr. Taylin criticized the limited use of digital rectal exams in certain medical practices, advocating for better integration of this basic diagnostic tool.<br /><br />She covered diagnostic advancements like anal rectal manometry, anal ultrasound, and dynamic MRI, underscoring their roles in forming a comprehensive diagnosis. Treatment options ranging from conservative approaches, like dietary adjustments, to advanced interventions were discussed. Dr. Taylin also touched on novel therapies and the importance of cognitive behavioral therapy and patient-provider relationships in managing complex GI disorders. Overall, her talk was a mix of medical insights, practical advice, and the necessity for a multidisciplinary approach to digestive health.

Asset Subtitle

1. Pelvic Floor Disorders: A Practical Approach with a Gastroenterologist’s Insight

This talk provides a practical approach to diagnosing and managing pelvic floor disorders, focusing on symptoms like fecal incontinence and dyssynergic defecation. It covers key aspects of clinical evaluation, including diagnostic workup and evidence-based treatment strategies.

Learning Objectives:

Identify symptoms of pelvic floor disorders
Fecal Incontinence
Dyssynergic defecation
Determine workup plan for pelvic floor disorders
Determine treatment options for pelvic floor disorders

2. Treating Chronic Abdominal Pain: Current and Novel Treatments

This talk explores current and emerging treatments for chronic abdominal pain in IBS and other disorders of gut-brain interaction (DGBI). It highlights both pharmacologic and non-pharmacologic approaches to enhance patient care and symptom management.

Learning Objectives:

To review current treatments to treat abdominal pain in IBS and other disorders of gut-brain interaction (DGBI)
To discuss novel pharmacologic and non-pharmacologic treatments for chronic abdominal pain and IBS

Speaker - Camille Thelin

Keywords

motility disorders

pelvic floor dysfunction

neurogastroenterology

brain-gut interaction

fecal incontinence

dyssynergic defecation

diagnostic advancements

anal rectal manometry

cognitive behavioral therapy

multidisciplinary approach

digestive health