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Disorders of the Urinary System01:20

Disorders of the Urinary System

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The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
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Disorders of the Female Reproductive System01:24

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The female reproductive system can be affected by several disorders, including Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), endometriosis, and various forms of cancer. PMS and PMDD are cyclical conditions that cause physical and emotional distress, with symptoms that include edema, mood swings, and food cravings. PMDD is a more severe form of PMS characterized by increased symptom severity that peaks during the luteal phase and tends to improve or resolve shortly after...
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Disorders of the Male Reproductive System01:20

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Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
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To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
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Panic Disorder01:27

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Panic disorder is an anxiety disorder characterized by recurrent and sudden minutes-long episodes of intense fear, known as panic attacks. These attacks may feel like heart attacks and often happen without warning or a specific cause. They can include symptoms such as rapid heart rate, shortness of breath, chest pain, trembling, sweating, dizziness, and a sense of helplessness. During a panic attack, individuals may feel as though they are experiencing a heart attack or are in a...
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Urinary Bladder01:23

Urinary Bladder

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The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
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Racial Disparities in Pelvic Floor Disorders.

Carlotta Sarzo1, Nur Nurmahomed, Charlotte Ralston

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Summary

Racial disparities and socioeconomic status significantly impact colorectal pelvic floor disorder (PFD) care, leading to unequal diagnosis and treatment. Addressing these inequalities is crucial for equitable healthcare access.

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Area of Science:

  • Colorectal surgery
  • Pelvic floor disorders
  • Health disparities

Background:

  • Racial disparities in colorectal pelvic floor disorder (PFD) care are under-researched.
  • Existing research primarily focuses on urogynecological PFD.

Purpose of the Study:

  • To investigate the influence of racial disparities on colorectal PFD care.
  • To examine the impact of socioeconomic status on colorectal PFD management.

Main Methods:

  • Retrospective study of 2001 patients with colorectal PFD (2013-2018).
  • Patients categorized by Index of Multiple Deprivation (IMD) quintiles.
  • Analysis of patient complaints, referrals, investigations, multidisciplinary meeting (MDM) discussions, treatment, and follow-up.

Main Results:

  • Constipation was the most frequent complaint across all ethnic groups.
  • White British and Asian patients had higher rates of consultant and surgical referrals.
  • Patients in the most deprived IMD quintiles received fewer diagnostic tests, MDM discussions, and surgical treatments.

Conclusions:

  • Significant disparities in colorectal PFD diagnosis and treatment exist based on ethnicity and socioeconomic status.
  • Inequalities in care access and provision were observed.
  • The findings support the need for service provision frameworks to mitigate healthcare inequalities.