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Pelvic floor disorders

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https://www.readbyqxmd.com/read/29441607/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
#1
Rebecca G Rogers, Rachel N Pauls, Ranee Thakar, Melanie Morin, Annette Kuhn, Eckhard Petri, Brigitte Fatton, Kristene Whitmore, Sheryl Kinsberg, Joseph Lee
AIMS: 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...
February 14, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29439287/demonstration-of-improved-tissue-integration-and-angiogenesis-with-an-elastic-estradiol-releasing-polyurethane-material-designed-for-use-in-pelvic-floor-repair
#2
Sarah Shafaat, Naside Mangir, Sabiniano R Regureos, Christopher R Chapple, Sheila MacNeil
AIMS: Pelvic organ prolapse and stress urinary incontinence affect 40-50% of postmenopausal women worldwide. Polypropylene meshes have been extensively used for the surgical intervention of these disorders; however, these meshes can lead to severe complications in some patients. The need for synthetic materials more suited for use in pelvic floor repair is widely accepted. This study aims to develop an electrospun 17-β-estradiol releasing polyurethane (PU) scaffold that not only provides the appropriate mechanical support but can also stimulate new extracellular matrix (ECM) production and angiogenesis...
February 13, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29435856/modern-theories-of-pelvic-floor-support-a-topical-review-of-modern-studies-on-structural-and-functional-pelvic-floor-support-from-medical-imaging-computational-modeling-and-electromyographic-perspectives
#3
REVIEW
Yun Peng, Brandi D Miller, Timothy B Boone, Yingchun Zhang
PURPOSE OF REVIEW: Weakened pelvic floor support is believed to be the main cause of various pelvic floor disorders. Modern theories of pelvic floor support stress on the structural and functional integrity of multiple structures and their interplay to maintain normal pelvic floor functions. Connective tissues provide passive pelvic floor support while pelvic floor muscles provide active support through voluntary contraction. Advanced modern medical technologies allow us to comprehensively and thoroughly evaluate the interaction of supporting structures and assess both active and passive support functions...
February 12, 2018: Current Urology Reports
https://www.readbyqxmd.com/read/29432329/a-review-of-phytoestrogens-and-their-association-with-pelvic-floor-conditions
#4
Olivia Cardenas-Trowers, Isuzu Meyer, Alayne D Markland, Holly E Richter, Ilana Addis
INTRODUCTION: Urinary incontinence, pelvic organ prolapse, and fecal incontinence are pelvic floor disorders (PFDs) disproportionately experienced by postmenopausal women. Limited data exist suggesting that phytoestrogens may have an impact on the pathophysiology and symptom of PFDs. PURPOSE OF REVIEW: The aim of the study was to review the current literature addressing the role of phytoestrogens on PFDs, including the pathophysiology, symptom, treatment, and possible prevention...
February 9, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29420409/surgical-outcomes-after-apical-repair-for-vault-compared-with-uterovaginal-prolapse
#5
Rebecca G Rogers, Tracy L Nolen, Alison C Weidner, Holly E Richter, J Eric Jelovsek, Jonathan P Shepherd, Heidi S Harvie, Linda Brubaker, Shawn A Menefee, Deborah Myers, Yvonne Hsu, Joseph I Schaffer, Dennis Wallace, Susan F Meikle
OBJECTIVE: To retrospectively compare surgical success and complications between vaginal vault prolapse compared with uterovaginal prolapse in women who underwent apical prolapse repair for stage II-IV prolapse. METHODS: Women in one of three Pelvic Floor Disorders Network prolapse surgical trials were included. Absence of bothersome bulge symptoms, no prolapse beyond the hymen, and no subsequent prolapse treatment defined success and was our primary outcome. Secondary outcomes included comparison of quality-of-life measures, anatomic changes, and adverse events...
February 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29417352/urokin-a-software-to-enhance-our-understanding-of-urogenital-motion
#6
Catriona S Czyrnyj, Michel R Labrosse, Ryan B Graham, Linda McLean
Transperineal ultrasound (TPUS) allows for objective quantification of mid-sagittal urogenital mechanics, yet current practice omits dynamic motion information in favor of analyzing only a rest and a peak motion frame. This work details the development of UROKIN, a semi-automated software which calculates kinematic curves of urogenital landmark motion. A proof of concept analysis, performed using UROKIN on TPUS video recorded from 20 women with and 10 women without stress urinary incontinence (SUI) performing maximum voluntary contraction of the pelvic floor muscles...
February 7, 2018: Annals of Biomedical Engineering
https://www.readbyqxmd.com/read/29412977/sleep-and-nocturia-in-older-adults
#7
REVIEW
Camille P Vaughan, Donald L Bliwise
Older adults frequently experience nocturia and sleep disturbance concurrently, and problems with sleep resulting from nocturia are a major factor accompanying the bother associated with nocturia. A multicomponent treatment strategy is usually warranted. Initial treatment includes lifestyle modification and behavioral treatment with consideration of pelvic floor muscle exercise-based therapy. Early evidence suggests that behavioral treatment results in similar nocturia reductions compared with the most frequently used drug therapies...
March 2018: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/29409326/five-year-outcome-after-pelvic-floor-reconstructive-surgery-evaluation-using-dynamic-magnetic-resonance-imaging-compared-to-clinical-examination-and-quality-of-life-questionnaire
#8
Céline D Alt, Laura Benner, Theresa Mokry, Florian Lenz, Peter Hallscheidt, Christof Sohn, Hans-Ulrich Kauczor, Kerstin A Brocker
Background Dynamic magnetic resonance imaging (dMRI) captures the entire pelvis during Valsalva maneuver and helps diagnosing pelvic floor changes after reconstructive surgery. Purpose To evaluate therapeutic outcome five years after reconstructive surgery using clinical examination, dMRI, and quality-of-life (QOL) questionnaire. Material and Methods Clinical examination, dMRI, and QOL questionnaire were conducted before surgery and in the follow-ups at 12 weeks, one year, and five years in women with pelvic organ prolapse (POP) stage ≥2...
January 1, 2018: Acta Radiologica
https://www.readbyqxmd.com/read/29374871/-should-every-woman-after-labor-be-offered-pelvic-floor-physiotherapy
#9
REVIEW
Vered Eisenberg, Rachel Kafri
Pelvic floor damage can occur during pregnancy, during childbirth or post-partum, and may be expressed by symptoms such as urinary incontinence, fecal and gas incontinence, sexual dysfunction, pelvic organ prolapse and chronic pelvic pain. Some of the symptoms, which manifest later in a woman's life, will go unrecognized in the immediate postpartum period. Most women do not mention their general health, unless specifically asked. Physiotherapists, who are adept with the anatomy of the musculoskeletal system and the ability to diagnose unique differences, can aid in the diagnosis and treatment of postpartum pelvic floor problems...
January 2018: Harefuah
https://www.readbyqxmd.com/read/29369841/making-progress-in-pelvic-floor-disorders-research-we-can-t-do-it-alone
#10
Catherine S Bradley, Halina M Zyczynski
No abstract text is available yet for this article.
January 24, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29350301/constipation-in-parkinson-s-disease-a-nuisance-or-nuanced-answer-to-the-pathophysiological-puzzle
#11
REVIEW
Amol Sharma, Julie Kurek, John C Morgan, Chandramohan Wakade, Satish S C Rao
PURPOSE OF REVIEW: Chronic constipation is a common, nonmotor, and prodromal symptom in Parkinson's disease (PD). Its underlying neuropathology may provide pathophysiological insight into PD. Here, we critically review what is currently known about the neuroanatomical and brain-gut interactions, and the origin and progression of Lewy pathology (LP) at three levels-brain/brainstem, spinal cord, and enteric nervous system. RECENT FINDINGS: Many recent studies have illustrated the challenges of examining LP in tissues obtained from colon biopsies of PD patients...
January 19, 2018: Current Gastroenterology Reports
https://www.readbyqxmd.com/read/29340289/automatic-segmentation-method-of-pelvic-floor-levator-hiatus-in-ultrasound-using-a-self-normalizing-neural-network
#12
Ester Bonmati, Yipeng Hu, Nikhil Sindhwani, Hans Peter Dietz, Jan D'hooge, Dean Barratt, Jan Deprest, Tom Vercauteren
Segmentation of the levator hiatus in ultrasound allows the extraction of biometrics, which are of importance for pelvic floor disorder assessment. We present a fully automatic method using a convolutional neural network (CNN) to outline the levator hiatus in a two-dimensional image extracted from a three-dimensional ultrasound volume. In particular, our method uses a recently developed scaled exponential linear unit (SELU) as a nonlinear self-normalizing activation function, which for the first time has been applied in medical imaging with CNN...
April 2018: Journal of Medical Imaging
https://www.readbyqxmd.com/read/29335782/association-of-endogenous-circulating-sex-steroids-and-condition-specific-quality-of-life-domains-in-postmenopausal-women-with-pelvic-floor-disorders
#13
Barbara Bodner-Adler, Klaus Bodner, Oliver Kimberger, Ksenia Halpern, Heinz Koelbl, Wolfgang Umek
OBJECTIVE: To examine the relationship between endogenous sex steroids and various condition-specific quality of life domains in postmenopausal women with pelvic floor disorders. We hypothesized that woman with lowest androgen and estradiol concentrations would report worse scores of quality of life domains. METHODS: Forty-six women with pelvic organ prolapse (POP) and 47 cases with stress urinary incontinence (SUI) answered the validated pelvic floor questionnaire and underwent serum sex steroid measurement...
January 15, 2018: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/29330765/pudendal-nerve-terminal-motor-latency-testing-does-not-provide-useful-information-in-guiding-therapy-for-fecal-incontinence
#14
Julia T Saraidaridis, George Molina, Lieba R Savit, Holly Milch, Tiffany Mei, Samantha Chin, James Kuo, Liliana Bordeianou
PURPOSE: Pudendal nerve terminal motor latency (PNTML) testing is a standard recommendation for the evaluation of fecal incontinence. Its role in guiding therapy for fecal incontinence has been previously questioned. The aim of this study was to evaluate the relationship between PNTML testing and anorectal dysfunction. METHODS: This was a retrospective analysis of data collected prospectively from patients who presented to a pelvic floor disorder center from 2007 to 2015...
January 13, 2018: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/29318334/physiotherapy-for-pelvic-pain-and-female-sexual-dysfunction-an-untapped-resource
#15
REVIEW
Bary Berghmans
INTRODUCTION AND HYPOTHESIS: Chronic pelvic pain (CPP) in women is a complex syndrome. Pain sensation and intensity often do not correspond with the identified lesion location but are felt elsewhere, leading to muskuloskeletal and myofascial disorders and sexual dysfunction (SD). Although physical aspects are prevalent, they are often underdiagnosed and undertreated due to lack of understanding regarding its origin and distribution. Frequently, patients experience pelvic pain as psychological distress resulting in physical complaints, leading clinicians to prescribe medication or surgical intervention to correct or alleviate these symptoms, often with insufficient results...
January 9, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29314096/formats-of-responsibility-elective-surgery-in-the-era-of-evidence-based-medicine
#16
Ariel Ducey, Shoghi Nikoo
This article illustrates what pragmatic sociology refers to as investments in form, by examining the formats created and used by a group of surgeons to determine when elective surgery for pelvic floor disorders could be responsibly undertaken. Drawing upon ethnographic observations of surgical consultations at an academic medical centre in Canada, we show how two specific formats - that the patient is sufficiently bothered and the patient accepts the risks of surgery - allow for justifiable action in conditions of uncertainty and contingency and in light of the demands of dominant imperatives in medicine and health care, especially evidence-based medicine (EBM)...
January 3, 2018: Sociology of Health & Illness
https://www.readbyqxmd.com/read/29307482/-relationship-between-perineal-characteristics-and-symptoms-and-pelvic-girdle-pain-a-literature-review
#17
M Rejano-Campo, A Desvergée, A C Pizzoferrato
INTRODUCTION: Pelvic girdle pain (PGP) is characterized by the presence of pain in the posterior pelvic area, distally and laterally to the fifth lumbar vertebra, and/or at the pubic symphysis. PGP is a very common pain condition in women, especially during pregnancy and postpartum. After delivery, pain prevalence decreases to 7 % in the first three months. The current literature describes an association between pelvic girdle pain and different perineal characteristics and symptoms...
January 4, 2018: Progrès en Urologie
https://www.readbyqxmd.com/read/29306355/neurophysiology-of-the-pelvic-floor-in-clinical-practice-a-systematic-literature-review
#18
REVIEW
Fiorella Bianchi, Giovanna M Squintani, M Osio, A Morini, C Bana, G Ardolino, S Barbieri, L Bertolasi, R Caramelli, F Cogiamanian, A Currà, G de Scisciolo, C Foresti, V Frasca, E Frasson, M Inghilleri, L Maderna, L Motti, E Onesti, M C Romano, U Del Carro
Neurophysiological testing of the pelvic floor is recognized as an essential tool to identify pathophysiological mechanisms of pelvic floor disorders, support clinical diagnosis, and aid in therapeutic decisions. Nevertheless, the diagnostic value of these tests in specific neurological diseases of the pelvic floor is not completely clarified. Seeking to fill this gap, the members of the Neurophysiology of the Pelvic Floor Study Group of the Italian Clinical Neurophysiology Society performed a systematic review of the literature to gather available evidence for and against the utility of neurophysiological tests...
October 2017: Functional Neurology
https://www.readbyqxmd.com/read/29302716/role-of-sacral-neuromodulation-in-modern-urogynaecology-practice-a-review-of-recent-literature
#19
REVIEW
Samina Tahseen
Sacral neuromodulation (SNM) offers promise in the therapy of many pelvic floor disorders. This innovative treatment has slowly gained popularity. A review of recent literature is presented in relation to its efficacy and complications in various pelvic floor conditions: overactive bladder and urge urinary incontinence, chronic urinary retention, painful bladder syndrome, pelvic pain and double incontinence. It is a minimally invasive, completely reversible safe procedure with good long-term outcomes. However, the treatment is costly, the revision rate is high and patients require life-long follow-up...
January 4, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29300257/ultrasound-indicators-of-rectal-support-defect-in-women-with-obstructive-defecatory-symptoms
#20
Ghazaleh Rostaminia, Pouya Javadian, Charbel Awad, S Abbas Shobeiri
OBJECTIVE: The anatomic and physiologic pathophysiology of obstructive defecatory symptoms is complex and poorly understood. As a consequence, there is no one surgical method that can achieve overall superiority. We aimed to investigate rectal architectural change in women with obstructive defecatory symptoms using three-dimensional pelvic floor ultrasound. METHODS: This retrospective cohort study included 65 women who were referred to our urogynecology clinic because of varied pelvic floor disorders between January 2013 and January 2014...
January 3, 2018: Female Pelvic Medicine & Reconstructive Surgery
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