eP625 - How Psychiatric Conditions Can Influence Pelvic Floor Disorders Care. a Single Center Study

Purpose/Background: Pelvic floor disorders (PFD) are common across UK population. Prior studies have demonstrated that patients with PFD often have in comorbidity psychiatric disorders. Which of the two disorders develops first is difficult to say, however they are often linked. Although the prevalence of psychiatric disorders in PFD patients has been previously demonstrated, this is the first study to highlight their influence on diagnosis and treatment process of PFD patients.Methods/Interventions: A retrospective study was conducted at Guy’s and St Thomas’ Hospital, data collected from 2013 to 2018. For each patient we collected data related to demographics, main complaint, symptoms, psychiatric disorders, Consultant referral, biofeedback referral, diagnostics, Multidisciplinary meeting (MDM) outcomes, treatment received and review appointments. Chi squared, ANOVA and Mann-Whitney tests were performed to evaluate how clinical variables differenced in patients with and without psychiatric disorders.Results/Outcomes: A total of 2001 patients have been analysed. We had to exclude 8 patients due to incomplete data. The final group was made of 1993 patients, 399 of them suffered from at least one psychiatric disorder. Although main complaint didn’t differ significantly in the two groups, we observed a higher number of patients who suffered from anal incontinence in the depressed group. Moving to symptoms, the number of patients who complaint of faecal incontinence symptoms was significant higher in the group with psychiatric disorders (p=0.02). We found to be slight evidence that Telephone assessment triage clinic (TTAC) referral to test varied between the 2 groups with a higher rate of referrals in patients with psychiatric disorders. We also found that the number of patients who have seen a consultant was higher in patients with mental conditions. However, the results for these two variables did not quite reach statistical significance. The final outcome was found to vary strongly between patients with and without psychiatric disorders: patients with mental health issues were found to do not attend (DNA) follow up appointments more often compared to patients without psychiatric disorders (p=0.005).Conclusion/

Discussion: PFD have a significant impact on quality of life of patients. In particular,individuals experiencing fecal incontinence seem to exhibit a higher frequency of coexisting psychiatric disorders. Furthermore, we have highlighted how patients suffering from psychiatric disorders are more likely to DNA the process of care. The engagement of patients in the process of care is important cause psychiatric conditions can contribute to a suboptimal adherence and unfavorable outcomes. This study allowed us to highlight the importance of the psychologist's involvement in the multidisciplinary care of these patients.