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pelvic floor disorder

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https://www.readbyqxmd.com/read/28527720/overactive-bladder-oab-a-symptom-in-search-of-a-disease-its-relationship-to-specific-lower-urinary-tract-symptoms-and-conditions
#1
Jason P Van Batavia, Andrew J Combs, Angela M Fast, Kenneth I Glassberg
BACKGROUND: The ICCS defines OAB by the subjective symptom of urgency; detrusor overactivity (DO) is only implied. While no other symptom is required, OAB can also be associated with urinary frequency, decreased functional bladder capacity, and incontinence. OBJECTIVE: We sought to determine how often these associated findings occur in OAB and what if any uroflow/EMG-defined conditions are found to be associated with it. METHODS: The charts of 548 children (231M, 318F; mean age 9...
March 10, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28501541/characteristics-associated-with-treatment-response-and-satisfaction-in-women-undergoing-onabotulinumtoxina-and-sacral-neuromodulation-for-refractory-urgency-urinary-incontinence
#2
H E Richter, C L Amundsen, S W Erickson, J E Jelovsek, Y Komesu, C Chermansky, H S Harvie, M Albo, D Myers, W T Gregory, D Wallace
PURPOSE: To identify clinical and demographic characteristics associated with treatment response and satisfaction in women undergoing onabotulinumtoxinA and sacral neuromodulation therapies. MATERIAL AND METHODS: Data were analyzed from the Refractory Overactive Bladder: Sacral Neuromodulation vs Botulinum Toxin Assessment trial. Baseline participant characteristics and clinical variables associated with two definitions of treatment response: 1) reduction in mean daily urgency incontinence episodes over 6 months 2) ≥50% decrease in urgency incontinence episodes across 6 months were identified...
May 10, 2017: Journal of Urology
https://www.readbyqxmd.com/read/28499536/recognizing-and-managing-common-urogynecologic-disorders
#3
REVIEW
Denise M Elser
Many women experience urogynecologic or pelvic floor disorders, especially urinary incontinence and pelvic organ prolapse. The obstetrician/gynecologist is often the first health care professional to evaluate and treat these disorders. Treatments include pelvic floor muscle training, behavioral therapies, oral medications, neuromodulation, intradetrusor medications, and surgery. When approaching the woman with symptomatic prolapse, familiarity with pessaries and various surgical procedures aid in counseling...
June 2017: Obstetrics and Gynecology Clinics of North America
https://www.readbyqxmd.com/read/28464426/structured-behavioral-treatment-research-protocol-for-women-with-mixed-urinary-incontinence-and-overactive-bladder-symptoms
#4
REVIEW
Diane K Newman, Diane Borello-France, Vivian W Sung
AIMS: The primary aim is to provide detailed rationale and methodology for the development and implementation of a perioperative behavioral/pelvic floor exercise research protocol for women who self-chose surgical intervention and who may or may not have been offered behavioral treatments initially. This protocol is part of the ESTEEM trial (Effects of Surgical Treatment Enhanced with Exercise for Mixed Urinary Incontinence Trial) which was designed to determine the effect of a combined surgical and perioperative behavioral/pelvic floor exercise intervention versus surgery alone on improving mixed urinary incontinence (MUI) and overactive bladder (OAB) symptoms...
May 2, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28458477/role-of-vitamin-d-in-urogenital-health-of-geriatric-participants
#5
Harmanpreet Kaur, Ripan Bala, Madhu Nagpal
INTRODUCTION: Role of Vitamin D is very well known for the functioning of many body organs. However, its role in the postmenopausal women in relation to various genitourinary disorders has been recognized recently. The main objective of this study was to evaluate role of Vitamin D in vaginal health, prolapse, bladder and bowel function, and bacterial vaginosis (BV). MATERIALS AND METHODS: This was a randomized controlled study in which 200 geriatric female patients of 65-78 years of age divided into two groups comprising study and control group with 100 participants in each...
January 2017: Journal of Mid-life Health
https://www.readbyqxmd.com/read/28455942/the-evaluation-of-pelvic-floor-muscle-strength-in-women-with-pelvic-floor-dysfunction-a-reliability-and-correlation-study
#6
Beatriz Navarro Brazález, María Torres Lacomba, Pedro de la Villa, Beatriz Sánchez Sánchez, Virginia Prieto Gómez, Ángel Asúnsolo Del Barco, Linda McLean
AIMS: The purposes of this study were: (i) to evaluate the reliability of vaginal palpation, vaginal manometry, vaginal dynamometry; and surface (transperineal) electromyography (sEMG), when evaluating pelvic floor muscle (PFM) strength and/or activation; and (ii) to determine the associations among PFM strength measured using these assessments. METHODS: One hundred and fifty women with pelvic floor disorders participated on one occasion, and 20 women returned for the same investigations by two different raters on 3 different days...
April 28, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28455080/the-maternal-childbirth-experience-more-than-a-decade-after-delivery
#7
Carla M Bossano, Kelly M Townsend, Alexandra C Walton, Joan L Blomquist, Victoria L Handa
BACKGROUND: Maternal satisfaction with the birth experience is multidimensional and influenced by many factors, including mode of delivery. To date, few studies have investigated maternal satisfaction outside of the immediate postpartum period. OBJECTIVE: This study investigated whether differences in satisfaction based on mode of delivery are observed more than a decade after delivery. STUDY DESIGN: This was a planned, supplementary analysis of data collected for the Mothers' Outcomes after Delivery (MOAD) study, a longitudinal cohort study of pelvic floor disorders in parous women and their association with mode of delivery...
April 25, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28443271/refractory-urinary-incontinence-in-girls-the-role-of-the-bladder-neck
#8
Rafal Chrzan
BACKGROUND: Prevalence of lower urinary tract dysfunction (LUTD) in children is between 6 and 9% with urinary incontinence (UI) being one of the most common symptom. VARIOUS ASPECTS OF LOWER URINARY TRACT SYMPTOMS LUTS: Anatomical anomalies of the urinary tract as well as neurogenic underlying pathology can results in LUTS. Comorbidities and long-term consequences of the LUTD for the female patients as well as genetic issues are also briefly discussed. THE ROLE OF THE BLADDER NECK: Thanks to urodynamics, we have learnt a lot about the lower urinary tract function, but the role of the bladder neck in the pathophysiology of LUTS in children is not clear...
2017: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/28430729/impact-of-distance-to-treatment-center-on-care-seeking-for-pelvic-floor-disorders
#9
Emily English, Lisa Rogo-Gupta
OBJECTIVE: The aim of this study was to evaluate the impact of distance from residence to treatment center on access to care for female pelvic floor disorders at an academic institution. METHODS: A retrospective cross-sectional study was conducted of women seen for pelvic floor disorders at an academic institution from 2008 to 2014. Patient characteristics were extracted from charts. Geographical and US census data was obtained from public records and used to calculate distance from patient residence to physician office...
April 20, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28430727/changing-referral-patterns-to-urogynecology
#10
Julia Geynisman-Tan, Oluwateniola Brown, Margaret Mueller, Alix Leader-Cramer, Bhumy Dave, Katarzyna Bochenska, Sarah Collins, Christina Lewicky-Gaupp, Kimberly Kenton
OBJECTIVE: The study aims to identify sources of and changes in referral patterns for pelvic floor disorders. METHODS: All new patient visits to urogynecology at our institution between January 2010 and December 2015 were identified. Patient demographics, referral source, insurance type, and visit diagnoses using ICD-9 codes were abstracted. ICD-9 codes were grouped into 18 urogynecologic diagnoses. Data were analyzed using SPSS (Version 20; Chicago, IL). RESULTS: Five thousand seven hundred ninety-nine new patient visits were included in the analysis...
April 20, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28396018/urinary-incontinence-and-other-pelvic-floor-disorders-after-radiation-therapy-in-endometrial-cancer-survivors
#11
Saya Segal, Gabriella John, Mary Sammel, Uduak Umoh Andy, Christina Chu, Lily A Arya, Justin Brown, Kathryn Schmitz
OBJECTIVE: To investigate radiation therapy as a risk factor for urinary or fecal incontinence, pelvic organ prolapse, and sexual dysfunction in endometrial cancer survivors. STUDY DESIGN: We performed a retrospective cohort study of endometrial cancer survivors. Data were collected using a mailed survey and the medical record. Validated questionnaires were used to generate rates of urinary incontinence and other pelvic floor disorders. The incidence rates of pelvic floor disorders were compared across groups with different exposures to radiation...
March 18, 2017: Maturitas
https://www.readbyqxmd.com/read/28394528/-female-pelvic-floor-dysfunction-from-the-perspectives-of-genetic-studies
#12
L V Akulenko, G R Kasyan, Yu O Kozlova, N V Tupikina, D A Vishnevsky, D Yu Pushkar
Currently, despite the growing prevalence of female pelvic floor dysfunction, no consensus exists among researchers regarding its etiology and pathogenesis. There is no doubt, however, that this is a multifactorial disorder with a genetic predisposition. The risk for developing pelvic floor dysfunction is determined by the interaction of multiple additive genetic (mutations and/or polymorphic alleles) and environmental factors. This review of the world literature presents a rationale for searching specific molecular genetic factors shaping the structure of the genetic susceptibility to female pelvic floor dysfunction...
April 2017: Urologii︠a︡
https://www.readbyqxmd.com/read/28389782/spanish-version-of-the-pelvic-organ-prolapse-urinary-incontinence-sexual-questionnaire%C3%A2-iuga-revised-pisq-ir-%C3%A2-transcultural-validation
#13
Montserrat Mestre, Judith Lleberia, Josep Pubill, Montserrat Espuña-Pons
INTRODUCTION AND HYPOTHESIS: The aim of this study was to transculturally adapt the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR) into Spanish and to validate the new version. METHODS: We carried out a two-stage observational cross-sectional study: translation and back-translation, followed by a validation stage in which the final version was administered to 268 consecutive women (118 not sexually active [NSA] and 150 sexually active [SA]) older than 18 from an Urogynecology Unit...
April 8, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28381078/sexual-pain-in-women-quality-of-sex-life-and-marital-relations
#14
Anna Ghizzani, Cinzia Orlandini, Maria G Bernardi, Gabriele Cevenini, Stefano Luisi
Common gynecological and dermatological conditions resulting in sexual pain are seen often in gynecological practice and are easily diagnosed with visual observation and laboratory tests. The lower genital tract diseases we are referring to are: vaginitis, vaginoses, dermatoses, hypoestrogenism and endometriosis. All of them affect the vaginal mucosa with diverse mechanisms, their effects lasting for only few days or many months. Furthermore, they change the women's sense of well being sometimes significantly and for a long period...
April 4, 2017: Minerva Ginecologica
https://www.readbyqxmd.com/read/28378110/validation-of-the-pfdi-20-and-pfiq-7-quality-of-life-questionnaires-in-two-african-languages
#15
Etienne W Henn, Barry W Richter, Masekhoko M P Marokane
INTRODUCTION AND HYPOTHESIS: Self-administered quality of life (QOL) questionnaires provide objective evaluation of an individual's symptoms. The Pelvic Floor Distress Inventory-20 (PFDI-20) and the Pelvic Floor Impact Questionnaire-7 (PFIQ-7) are condition-specific short form questionnaires. There are very few validated QOL questionnaires for women in Africa. The aim of this study was to validate these questionnaires in African women for the Afrikaans and Sesotho languages. METHODS: Patients with pelvic floor disorders completed the questionnaires at baseline, 1 week later and after 6 months...
April 4, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28378109/prevalence-of-cognitive-impairment-in-older-women-with-pelvic-floor-disorders
#16
Cynelle Murray Kunkle, Melinda G Abernethy, Lily R Van Tongeren, Tola B Fashokun, Edward J Wright, Chi Chiung Grace Chen
INTRODUCTION AND HYPOTHESIS: This study aimed to determine the prevalence of mild cognitive impairment (MCI) and early dementia among women >55 years seeking care for pelvic floor disorders (PFDs) and to describe the impact of cognitive impairment on condition-specific quality of life (QoL). We hypothesized that the prevalence of MCI would be at least 15% among this population. METHODS: This was a cross-sectional study of English-speaking women >55 years presenting for evaluation of PFDs...
April 4, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28363439/patient-satisfaction-and-informed-consent-for-surgery
#17
Jennifer L Hallock, Rebeca Rios, Victoria L Handa
BACKGROUND: Informed consent is a process that necessitates time and effort. Underlying this investment is the belief that informing patients about the surgery promotes patient satisfaction with the decision for surgery and potentially satisfaction more broadly. OBJECTIVE: The objective of the study was to investigate the extent to which preoperative satisfaction with a decision to pursue surgery is associated with understanding after an informed consent discussion...
March 28, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28339839/recent-advances-in-understanding-pelvic-floor-tissue-of-women-with-and-without-pelvic-organ-prolapse-considerations-for-physical-therapists
#18
Kimberly Saunders
Pelvic organ prolapse is a fairly common condition that imposes significant symptoms, diminished quality of life, social burden, financial expense, and surgical risk on women. As evidence supporting the benefit of pelvic-floor muscle training in nonsurgical management of pelvic organ prolapse grows, physical therapists are becoming a provider of choice interacting with women affected by pelvic organ prolapse. This perspective article will review recent research on tissue characteristics of 3 key components of pelvic organ support: skeletal muscle, ligament, and vaginal wall...
April 1, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28319316/barriers-to-the-management-of-obstructed-defecation-according-to-colorectal-surgeons
#19
Nagham Al-Mozany, Caroline Wright, Greg O'Grady, Christopher J Young, Michael J Solomon
INTRODUCTION: Obstructive defecation (OD) has a high prevalence and disease impact, however patients often experience suboptimal management. This problem reflects the complex pathophysiology of OD, as well as health service delivery factors. This study aimed to identify factors acting as a barrier to effective OD management as perceived by specialist colorectal surgeons treating this disorder. METHOD: A postal questionnaire was administered to a bi-national sampling of colorectal specialists in Australia and New Zealand who were registered with their specialty society...
March 20, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28315786/effects-of-bariatric-surgery-on-female-pelvic-floor-disorders
#20
Avner Leshem, Mordechai Shimonov, Hadar Amir, David Gordon, Asnat Groutz
OBJECTIVES: To assess the effect of weight loss on urinary incontinence (UI), pelvic organ prolapse, colorectal-anal complaints and sexual dysfunction among obese women undergoing bariatric surgery. METHODS: 160 consecutive women who underwent bariatric surgery were prospectively enrolled. Four validated questionnaires (ICIQ-UI, BFLUTS-SF, PFDI-20, PISQ-12) were used to evaluate pelvic floor disorders and sexual dysfunction before, and 3-6 months after surgery. RESULTS: 150 participants (mean age 43±12...
March 15, 2017: Urology
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