Pelvic floor disorders affect millions of women, yet services continue to face long waiting times, workforce pressure and variation in assessment.
Sensitive symptoms are often under-reported in time-limited consultations. When disclosure depends on how a question is asked, critical information can be missed - delaying diagnosis, complicating triage and increasing variation in care.
Well-validated, structured assessment tools have been shown to improve the identification and discussion of sensitive pelvic floor symptoms.
ePAQ®-PF is a clinically validated digital questionnaire developed within the NHS to capture the full spectrum of pelvic floor symptoms and their impact on quality of life.
Led by Professor Stephen Radley and recognised by NICE, the British Society of Urogynaecology (BSUG), and UK national mesh services, ePAQ-PF is one of the most rigorously evaluated assessment tools in urogynaecology, supported by more than 50 peer-reviewed publications.
It's adaptive design tailors questions to each patient’s responses while maintaining standardisation across four clinically critical domains:
• Bladder: Voiding, Pain, Overactive bladder, Stress incontinence
• Bowel: Constipation, IBS, Continence, Evacuation
• Vaginal: Body image, Prolapse, Pain, Capacity
• Sexual function: Impact of bladder, bowel and vaginal conditions on sexual activity, Dyspareunia
By capturing structured patient-reported data before clinic, ePAQ-PF, improves disclosure of sensitive symptoms, enables more accurate triage and prioritisation, strengthens shared decision-making, supports consistent, defensible clinical documentation, and contributes to measurable pathway improvement.
This is not about replacing clinical judgement.
It is about ensuring clinicians have complete, validated information before the consultation begins.
The Benefits
For Patients
and Families
Share sensitive symptoms privately and honestly, without embarrassment
Receive more personalised, targeted care and treatment plans
Experience improved quality of life outcomes through earlier, more accurate diagnosis
Fewer clinic visits and faster decisions about care
For
Clinicians
Comprehensive, structured data that highlights patient priorities before clinic, enabling more focused and effective consultations
Consistent, standardised assessment across all patients.
- Saves consultation time (50% shorter virtual consultations), freeing time to focus on treatment options
Reliable data that can be used to demonstrate outcomes, support research, and strengthen clinical decision-making
For Health Systems
Demonstrated efficiency savings (shorter clinics, reduced admin, fewer unnecessary investigations)
Releases capacity, enabling more patients to be seen with the same resource
Reduces costs by replacing paper-based PROMs, cutting follow-ups, and optimising investigations
Fully aligned with NICE guidance, BSUG standards