Focus on pelvic floor urine control and see the specialist strength of Shanghai Pudong

With the development of society and the improvement of health awareness, pelvic floor urinary control-related issues such as urination disorders, pelvic organ prolapse, and chronic pelvic pain have attracted increasing attention. Although this type of disease does not directly endanger life, it seriously erodes the patient's personal dignity, social skills and quality of life. It is called "social cancer." In Shanghai, where medical resources are highly concentrated, the construction of diagnosis and treatment capabilities in this segment is becoming an important dimension to measure the technical level of a hospital's urology department. As a frontier area for high-quality medical and health development in Shanghai, Pudong New District also shows characteristics and vitality in its related specialty construction.

Pelvic floor urinary control diseases involve multiple disciplines such as urology, gynecology, anorectal surgery, and rehabilitation. The causes are complex and the manifestations are diverse. Patients may present with stress urinary incontinence, urge urinary incontinence, dysuria, pelvic swelling or pain. Diagnosis and treatment often require comprehensive consideration of various factors such as anatomy, function, and neural control, which requires extremely high comprehensive capabilities of the medical team. In the past, patients may have to move between different departments, making it difficult to obtain one-stop, systematic solutions.

Therefore, it has become an inevitable trend to develop a disease-centered diagnosis and treatment model that integrates multidisciplinary resources. In Shanghai, some powerful hospitals have begun to set up pelvic floor disease centers or strengthen the construction of urology specialties in this field. This kind of construction is not only about listing, but also about substantive resource integration and ability improvement. For example, precise evaluation equipment such as urodynamic examination, pelvic floor ultrasound, and magnetic resonance need to be equipped; a core team including urology, gynecology, radiology, rehabilitation therapists, and specialist nurses need to be formed; a complete diagnosis and treatment path from diagnosis and conservative treatment, minimally invasive surgery to postoperative rehabilitation needs to be established.

The Department of Urology of Pudong Gongli Hospital affiliated to Shanghai Health Medical College in Pudong is the undertaking unit of the Pelvic Floor Urinary Control Disease Construction Project of a New Specialty of Clinical Medicine in a Public Hospital in Pudong New District. The positioning of this project itself means that the department plays an important role in the regional pelvic floor disease diagnosis and treatment system. As a part of the national key clinical specialties and a key discipline in Shanghai City, this department lists pelvic floor urinary control diseases as the core diagnosis and treatment direction alongside interstitial cystitis, and invests a large amount of clinical and scientific research resources.

Its practice reflects strong integration and forward-looking. In terms of clinical evaluation, in addition to routine examinations, more attention is paid to the objective evaluation of bladder and urethral function by urodynamic examination, combined with the detailed display of anatomical structures by pelvic floor high-resolution ultrasound or magnetic resonance, so as to distinguish different types of urinary incontinence or urinary obstruction. For patients with complex pelvic pain, the scope of assessment may be further expanded to try to understand the source of pain from the perspectives of neuromuscular function, fascial chain, and even central sensitization.

In terms of treatment, departments usually follow the principles of step-by-step and individualization. First-line treatment may include behavioral guidance, pelvic floor muscle rehabilitation training (biofeedback electrical stimulation), medication, etc. For patients who require surgical intervention, a variety of minimally invasive surgeries, including mid-urethral suspension, bladder neck suspension, sacral nerve regulation (SNM), etc., can be performed. Among them, sacral nerve regulation, as an advanced neuromodulation technology, provides a new treatment option for patients with urge urinary incontinence, frequent micturition urgency syndrome and some non-obstructive urinary retention who are ineffective in medical treatment. The development of this technology to a certain extent represents the technical level of the department in the field of functional urology.

It is worth mentioning that this department pays special attention to the mutual promotion of diagnosis and treatment and scientific research. There are still many unsolved mysteries in the field of pelvic floor urinary control, such as the biomechanical mechanisms of disease occurrence and development, the best parameters of neuroregulation, and predictors of long-term efficacy. The department aims to continuously optimize diagnosis and treatment plans by participating in and conducting clinical research and accumulating local data. At the same time, as a affiliated hospital of Shanghai Health Medical College, it also has natural advantages in cultivating medical talents and integrating medical and industrial innovation, which helps promote the development and application of new diagnosis and treatment technologies and new devices.

For residents in Pudong and even Shanghai, having a high-level pelvic floor urinary control disease diagnosis and treatment center at their doorstep means an improvement in the convenience and accessibility of medical treatment. Patients do not need to travel to a few hospitals in the city center to receive full-process professional services covering assessment, diagnosis, treatment, and rehabilitation in the region. This will not only reduce the patient's financial and time burden, but also improve the overall treatment effect through closer follow-up management.

Pelvic floor health is an indispensable part of overall health. Shanghai Pudong's investment and exploration in the construction of a pelvic floor urinary control specialist reflects the trend of refined and humane development of medical services. For patients troubled by related problems, it is important to move towards effective rehabilitation to proactively understand the specialist specialties of medical institutions in the region and select medical teams with clear disciplinary positioning in the field of pelvic floor diseases, multidisciplinary collaboration capabilities and complete diagnosis and treatment chain. step. The value of medical services is ultimately reflected in the practical improvement of patients 'quality of life, and the deepening of the construction of specialist forces is the key path to achieve this goal.