Multidisciplinary management of perineal dysfunctions within the Lower Tract Pathology Network ASL TO4

Objectives: The study aims to describe and evaluate the integrated care pathway within the Lower Tract Pathology Network, offered to women with perineal dysfunction. Methodology: 44 women were referred to the Corporate Perineal Care Service for different pelvic floor dysfunctions. After a perineal health assessment, an evidence-based rehabilitation pathway was planned. The effectiveness of the Care Pathway is measured with the comparison of clinical parameters before and after the cycle, the eventual access to the second level of care and the patients' satisfaction index (satisfaction questionnaire). Results: After 4-6 months of rehabilitative treatment with the midwife, 35 women out of 44 achieved better indices of perineal muscle performance, among these 7 were managed in an integrated manner with the second level of care of specialists in the Network; 36 women out of 44 detected improvement in symptoms and the totality of women involved indicated very high degree of satisfaction. Four patients abandoned the pathway for personal reasons. Conclusions: The active provision of a Perineal Care Service with multidisciplinary Network care management allows the pursuit of an important women's health goal.