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https://www.readbyqxmd.com/read/29629963/health-care-seeking-characteristics-of-women-with-pelvic-floor-disorders-after-obstetric-anal-sphincter-injury
#1
Jon F Pennycuff, Deborah R Karp, Julia Shinnick, Catherine O Hudson, Gina M Northington
OBJECTIVES: Obstetric anal sphincter injury (OASIS) is a potentially serious complication of vaginal delivery and can lead to both short-term and long-term sequelae. This study sought to identify health care seeking patterns of women who developed pelvic floor symptoms including pelvic pain after OASIS. It also identified demographic and clinical factors associated with seeking subspecialty care from a pelvic floor specialist and demographic and clinical factors associated with seeking care for pelvic pain after OASIS...
April 6, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29621041/transvaginal-trigger-point-injections-improve-pain-scores-in-women-with-pelvic-floor-hypertonicity-and-pelvic-pain-conditions
#2
Jamie Bartley, Esther Han, Priyanka Gupta, Natalie Gaines, Kim A Killinger, Judith A Boura, Morgan Farrah, Jason Gilleran, Larry T Sirls, Kenneth M Peters
OBJECTIVES: Chronic pelvic pain in women often requires multimodal treatment regimens. We describe our method of transvaginal trigger point injections (TPIs) and report outcomes using change in pain scores. METHODS: This was a retrospective review of women treated with in-office pelvic floor muscle injections from January 2012 to August 2015. Lidocaine 1% and 2%, bupivacaine 0.5%, or ropivacaine 0.5% with or without the addition of triamcinolone 40 mg was used for the injections...
April 4, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29605709/intra-peri-and-postoperative-complications-in-pelvic-organ-prolapse-surgery-in-geriatric-women
#3
Marc Körnig, Esther Brühlmann, Andreas Günthert, Corina Christmann
OBJECTIVE: Pelvic organ prolapse is a common problem among geriatric women. Advanced age is associated with a high prevalence of comorbidities that can lead to restrictive use of surgical treatment. With rising life expectancy it is predicted that surgical treatment in these women will be seen more frequently. Inconsistently there is a lack of clinical trials giving attention to elderly women suffering from pelvic organ prolapse. The aim of this study was to quantify the rate of complications in elderly women undergoing surgery for pelvic organ prolapse...
March 23, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29603845/vulvodynia-drug-research-heterogeneity-in-uncertainty-out
#4
Steven S Witkin
Vulvodynia is defined as an inability to experience pain-free vaginal penetration. It is a clinical diagnosis based on the exclusion of causative dermatological, infectious or endocrine factors. In the absence of objective laboratory criteria it is inevitable that multiple etiologies will be present in women with this diagnosis. It has been proposed that vulvodynia may be due to excessive local inflammation, sensitivity to a prior or current infection or dietary components, elevated local nerve fibre proliferation, hormonal alterations, central pain anomalies, pelvic floor muscle dysfunction, genetic factors or past psychological trauma (Lev-Sagie A and Witkin SS...
March 31, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29594747/pelvic-floor-function-following-ventral-rectopexy-versus-starr-in-the-treatment-of-obstructed-defecation
#5
D F Altomare, A Picciariello, R Memeo, M Fanelli, R Digennaro, N Chetta, M De Fazio
BACKGROUND: Obstructed defecation syndrome (ODS), most commonly found in females, can be treated by a transanal or abdominal approach with good success rate. Nevertheless, patients may experience de novo or persisting pelvic floor dysfunctions after surgery. The aim of this study was to compare the functional outcome of stapled transanal rectal resection (STARR) and ventral rectopexy (VRP) in a series of ODS patients. METHODS: Forty-nine female patients who had surgery for ODS between 2006 and 2016 were retrospectively evaluated: 28 (median age 60 years, IQR 54-69 years) had VRP and 21 (median age 58 years, IQR 51-66 years) had STARR...
March 28, 2018: Techniques in Coloproctology
https://www.readbyqxmd.com/read/29577569/high-impact-exercise-may-cause-pelvic-floor-dysfunction-against-is-high-impact-exercise-really-bad-for-your-pelvic-floor
#6
Jennifer Kruger
No abstract text is available yet for this article.
April 2018: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29577568/high-impact-exercise-may-cause-pelvic-floor-dysfunction-for-scale-strengthen-protect
#7
Debjyoti Karmakar, Peter L Dwyer
No abstract text is available yet for this article.
April 2018: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29577166/an-international-urogynecological-association-iuga-international-continence-society-ics-joint-report-on-the-terminology-for-the-assessment-of-sexual-health-of-women-with-pelvic-floor-dysfunction
#8
Rebecca G Rogers, Rachel N Pauls, Ranee Thakar, Melanie Morin, Annette Kuhn, Eckhard Petri, Brigitte Fatton, Kristene Whitmore, Sheryl A Kingsberg, Joseph Lee
INTRODUCTION AND HYPOTHESIS: The terminology in current use for sexual function and dysfunction in women with pelvic floor disorders lacks uniformity, which leads to uncertainty, confusion, and unintended ambiguity. The terminology for the sexual health of women with pelvic floor dysfunction needs to be collated in a clinically-based consensus report. METHODS: This report combines the input of members of the Standardization and Terminology Committees of two International Organizations, the International Urogynecological Association (IUGA), and the International Continence Society (ICS), assisted at intervals by many external referees...
March 26, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29575371/practical-guide-to-dynamic-pelvic-floor-mri
#9
Mariya Kobi, Milana Flusberg, Viktoriya Paroder, Victoria Chernyak
Pelvic floor dysfunction encompasses a spectrum of functional disorders that result from impairment of the ligaments, fasciae, and muscles supporting the pelvic organs. It is a prevalent disorder that carries a lifetime risk over 10% for undergoing a surgical repair. Pelvic floor weakness presents as a wide range of symptoms, including pain, pelvic pressure or bulging, urinary and fecal incontinence, constipation, and sexual dysfunction. A correct diagnosis by clinical examination alone can be challenging, particularly in cases involving multiple compartments...
March 25, 2018: Journal of Magnetic Resonance Imaging: JMRI
https://www.readbyqxmd.com/read/29574170/an-education-program-about-pelvic-floor-muscles-improved-women-s-knowledge-but-not-pelvic-floor-muscle-function-urinary-incontinence-or-sexual-function-a-randomised-trial
#10
Roberta Leopoldino de Andrade, Kari Bø, Flavia Ignácio Antonio, Patricia Driusso, Elaine Cristine Lemes Mateus-Vasconcelos, Salvador Ramos, Monica Pitanguy Julio, Cristine Homsi Jorge Ferreira
QUESTION: Does an educational program with instructions for performing 'the Knack' improve voluntary contraction of the pelvic floor muscles, reduce reports of urinary incontinence, improve sexual function, and promote women's knowledge of the pelvic floor muscles? DESIGN: Randomised, controlled trial with concealed allocation, intention-to-treat analysis and blinded assessors. PARTICIPANTS: Ninety-nine women from the local community. INTERVENTION: The experimental group (n=50) received one lecture per week for 4 weeks, and instructions for performing 'the Knack'...
March 21, 2018: Journal of Physiotherapy
https://www.readbyqxmd.com/read/29568896/peroxisome-proliferator-activated-receptor-%C3%AE-and-its-related-pathway-in-bone-marrow-mesenchymal-stem-cell-differentiation-co-cultured-with-mechanically-stretched-ligament-fibroblasts
#11
Bing Zhao, Mengcai Hu, Huiyan Wu, Chenchen Ren, Juan Chen, Xiaodan Zhang, Shihong Cui
The occurrence of pelvic floor dysfunctional disease (PFD) is closely related with elasticity, toughness, and functional changes of the connective tissue of the pelvic support tissue. Bone marrow mesenchymal stem cells (BMSCs) have been confirmed to have the capacity to differentiate into a variety of cell types such as osteoblasts, chondroblasts, adipocytes and fibroblasts. Therefore, BMSCs have the potential to improve the clinical outcomes for PFD. Peroxisome proliferator-activated receptor-γ (PPAR-γ), a ligand activated transcription factor, has acquired a great deal of attention as it is involved in the fibrosis and cell differentiation...
March 20, 2018: International Journal of Molecular Medicine
https://www.readbyqxmd.com/read/29568322/modelling-of-soft-connective-tissues-to-investigate-female-pelvic-floor-dysfunctions
#12
Aroj Bhattarai, Manfred Staat
After menopause, decreased levels of estrogen and progesterone remodel the collagen of the soft tissues thereby reducing their stiffness. Stress urinary incontinence is associated with involuntary urine leakage due to pathological movement of the pelvic organs resulting from lax suspension system, fasciae, and ligaments. This study compares the changes in the orientation and position of the female pelvic organs due to weakened fasciae, ligaments, and their combined laxity. A mixture theory weighted by respective volume fraction of elastin-collagen fibre compound (5%), adipose tissue (85%), and smooth muscle (5%) is adopted to characterize the mechanical behaviour of the fascia...
2018: Computational and Mathematical Methods in Medicine
https://www.readbyqxmd.com/read/29564692/a-systematic-review-of-pfe-pre-prostatectomy
#13
REVIEW
S S Goonewardene, D Gillatt, R Persad
Male Stress Urinary Incontinence is a complication post robotic radical prostatectomy. This is a major problem that needs to be solved, since it has great impact on quality of life affecting the patient's physical activity and social well-being. A systematic review relating to literature on impact of preoperative PFE on continence outcomes for patients undergoing prostatectomy was conducted. The search strategy aimed to identify all references related to pelvic floor exercises and post-prostatectomy. Search terms used were as follows: (Pelvic floor exercises) AND (incontinence) AND (prostatectomy)...
March 21, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29564512/does-vaginal-delivery-cause-more-damage-to-the-pelvic-floor-than-cesarean-section-as-determined-by-3d-ultrasound-evaluation-a-systematic-review
#14
REVIEW
Camila Carvalho de Araujo, Suelene A Coelho, Paulo Stahlschmidt, Cassia R T Juliato
INTRODUCTION AND HYPOTHESIS: Pregnancy and delivery are well-established risk factors for pelvic floor dysfunction (PFD), but the physiopathology, such as the delivery route, is not well understood. This study evaluated the impact of delivery route on the pelvic floor muscles via 3D ultrasound. METHODS: This review is registered in the PROSPERO database. The criteria for inclusion were prospective studies with 3D translabial ultrasound assessment in primigravida women during pregnancy and postpartum published in English, Spanish or Portuguese between 1980 and 2016...
March 21, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29556878/effectiveness-of-pelvic-floor-rehabilitation-for-bowel-dysfunction-after-intersphincteric-resection-for-lower-rectal-cancer
#15
Hideaki Nishigori, Masayuki Ishii, Yujiro Kokado, Kouji Fujimoto, Hiroshi Higashiyama
BACKGROUND: The aim of this study was to evaluate the effectiveness of pelvic floor rehabilitation (PFR) for patients with bowel dysfunction after intersphincteric resection (ISR) and to compare the treatment response to that of patients after low anterior resection (LAR). METHODS: Thirty patients with postoperative bowel dysfunction for more than 6 months were enrolled and treated with PFR for 6 months. RESULTS: In the ISR group, significant improvements in the number of bowel movements and the use of antidiarrheal medications were observed, but no significant improvement was observed in the Wexner score (WS) and the fecal incontinence severity index (FISI)...
March 19, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29552740/help-seeking-behaviour-for-pelvic-floor-dysfunction-in-women-over-55-drivers-and-barriers
#16
Amy Tinetti, Nicole Weir, Usanee Tangyotkajohn, Angela Jacques, Judith Thompson, Kathy Briffa
OBJECTIVE: Our aim was to identify drivers of and barriers to help-seeking behaviour of older women with pelvic floor dysfunction (PFD) living independently in Australia . METHODS: Women aged ≥55 years were recruited to this cross-sectional study during July and August 2016. Bladder, bowel, pelvic organ prolapse (POP) and sexual dysfunction were assessed with the Australian Pelvic Floor Questionnaire (APFQ). Drivers and barriers were based on the Barriers to Incontinence Care Seeking Questionnaire...
March 19, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29551556/what-is-the-best-treatment-option-for-coexisting-pelvic-floor-dysfunctions
#17
Manuela Tutolo, Enrico Ammirati, Frank Van der Aa
Although both intravesical onabotulinumtoxinA injections and sacral neuromodulation could be offered in cases of bladder pain syndrome and overactive bladder syndrome, there is still no scientific agreement on the best option after failure of standard therapies.
March 15, 2018: European Urology Focus
https://www.readbyqxmd.com/read/29539927/re-frailty-cognitive-impairment-and-functional-disability-in-older-women-with-female-pelvic-floor-dysfunction
#18
Tomas L Griebling
No abstract text is available yet for this article.
May 2017: Journal of Urology
https://www.readbyqxmd.com/read/29532121/impact-of-subsequent-pregnancies-on-pelvic-floor-functional-anatomy
#19
Hans Peter Dietz, Francesco Scoti, Nishamini Subramaniam, Talia Friedman, Ka Lai Shek
INTRODUCTION AND HYPOTHESIS: Vaginal childbirth clearly has an effect on pelvic floor anatomy, and pregnancy itself also likely plays a role. This study investigated the effects of consecutive pregnancies by comparing pelvic organ support and function in urogynecological patients delivered by cesarean section (CS) only. METHODS: This was a retrospective study using 161 archived data sets of urogynecological patients delivered exclusively by CS presenting with symptoms of pelvic floor dysfunction between 2007 and 2015...
March 12, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29512048/the-clinical-value-of-magnetic-resonance-defecography-in-males-with-obstructed-defecation-syndrome
#20
V Piloni, M Bergamasco, G Melara, P Garavello
BACKGROUND: The aim of the present study was to assess the relationship between symptoms of obstructed defecation and findings on magnetic resonance (MR) defecography in males with obstructed defecation syndrome (ODS). METHODS: Thirty-six males with ODS who underwent MR defecography at our institution between March 2013 and February 2016 were asked in a telephone interview about their symptoms and subsequent treatment, either medical or surgical. Patients were divided into 2 groups, one with anismus (Group 1) and one with prolapse without anismus (Group 2)...
March 2018: Techniques in Coloproctology
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