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Pelvic Muscle Floor

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https://www.readbyqxmd.com/read/29049052/a-cost-utility-analysis-of-nonsurgical-treatments-for-stress-urinary-incontinence-in-women
#1
Andrea N Simpson, Alaina Garbens, Fahima Dossa, Peter C Coyte, Nancy N Baxter, Colleen D McDermott
OBJECTIVE: The objective of this study was to perform a cost-utility analysis of nonsurgical treatments for stress urinary incontinence (SUI) in healthy adult women with a health system perspective over a 1-year time horizon. METHODS: A decision tree model was constructed to evaluate the following nonsurgical treatment options for SUI in a simulated healthy adult female cohort who had failed Kegel exercises: pelvic floor muscle therapy (PFMT), a disposable tampon device (Impressa), a self-fitting intravaginal incontinence device (Uresta), and a traditional incontinence pessary...
October 18, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29048743/menopause-is-associated-with-impaired-responsiveness-of-involuntary-pelvic-floor-muscle-contractions-to-sudden-intra-abdominal-pressure-rise-in-women-with-pelvic-floor-symptoms-a-retrospective-study
#2
Wen-Chen Huang, Jenn-Ming Yang
AIMS: To explore the effect of menopause on the movements of the bladder neck and genital hiatus during involuntary and voluntary pelvic floor muscle (PFM) contractions among women with pelvic floor symptoms. METHODS: The data of 162 premenopausal and 215 postmenopausal women were retrospectively analyzed. The investigation encompassed clinical interview, pelvic examination, and four-dimensional ultrasound. The ultrasound manifestations of the bladder neck and genital hiatus during involuntary and voluntary PFM contractions were assessed during coughing and maximal squeezing...
October 19, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29034074/recent-advances-in-managing-chronic-prostatitis-chronic-pelvic-pain-syndrome
#3
REVIEW
Jaspreet Sandhu, Hin Yu Vincent Tu
Chronic prostatitis/chronic pelvic pain syndrome is a common disorder seen in men under the age of 50 and has a considerable negative impact on quality of life; it is a complex and difficult condition to treat, owing to its wide symptomatology. In order to effectively treat this condition, the UPOINT system was developed: it allows clinical profiling of a patient's symptoms into six broad categories (urinary symptoms, psychological dysfunction, organ-specific symptoms, infectious causes, neurologic dysfunction, and tenderness of the pelvic floor muscles) to allow individualized and multimodal therapy...
2017: F1000Research
https://www.readbyqxmd.com/read/29031841/management-of-post-radical-prostatectomy-urinary-incontinence-a-review
#4
REVIEW
Kushan D Radadia, Nicholas J Farber, Brian Shinder, Charles F Polotti, Lee J Milas, Hari Tunuguntla
Post-prostatectomy urinary incontinence (PPUI) has significant impact on the quality of life of patients who undergo radical prostatectomy. Stress and overflow incontinence may result from the procedure, with sphincteric incompetence and detrusor hypocontractility implicating their development, respectively. In many cases, treatment begins with conservative approaches, including pelvic floor muscle training/biofeedback. Pharmacotherapy can be used to treat overactive bladder. For stress incontinence, transurethral bulking agents are utilized in select patients, however AUS and male slings are the most efficacious options with good success rates...
October 11, 2017: Urology
https://www.readbyqxmd.com/read/29030080/-effectiveness-of-pelvic-floor-rehabilitation-in-erectile-dysfunction-a-literature-review
#5
T Rival, L Clapeau
PURPOSE: The pelvic floor is now well known and its role in the mechanism of erection is demonstrated. We wanted to know what is the evidence of the effectiveness of perineal rehabilitation in erectile dysfunction. MATERIALS: An English search was performed in Google scholar and databases PubMed, Medline, Pedro with the keywords "pelvic floor, erectile dysfunction, impotence, physiotherapy, exercises, rehabilitation, PFMT". We have selected randomized clinical trials published in indexed journals...
October 10, 2017: Progrès en Urologie
https://www.readbyqxmd.com/read/29024196/pelvic-floor-muscle-assessment-at-3-and-4-dimensional-transperineal-ultrasound-in-women-with-endometriosis-with-or-without-retroperitoneal-infiltration-a-step-towards-complete-functional-assessment
#6
Mohamed Mabrouk, Diego Raimondo, Simona Del Forno, Federica Baruffini, Alessandro Arena, Arianna Benfenati, Aly Youssef, Valentina Martelli, Renato Seracchioli
OBJECTIVES: Previous studies, comparing women with deep infiltrating endometriosis (DIE) and healthy controls, underlined an association between pelvic floor muscle (PFM) hypertonic dysfunction and deep lesions. The aim of the study is to compare the morphometry of pelvic floor muscle (PFM) in women affected by ovarian endometriosis with or without DIE, to assess the impact of retroperitoneal infiltration by the disease on PFM function. METHODS: A prospective study was conducted between March 2015 to December 2016 on symptomatic women with clinical and sonographic diagnosis of ovarian endometriosis with or without DIE, submitted to laparoscopic surgery...
October 11, 2017: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29019880/the-effect-of-water-immersion-delivery-on-the-strength-of-pelvic-floor-muscle-and-pelvic-floor-disorders-during-postpartum-period-an-experimental-study
#7
Yun Zhao, Mei Xiao, Fei Tang, Wan Tang, Heng Yin, Guo-Qiang Sun, Yin Lin, Yong Zhou, Yan Luo, Lu-Man Li, Zhi-Hua Tan
BACKGROUND: Water immersion delivery is a non-pharmacological approach to ease labor pain. This paper aims to investigate the effect of water immersion delivery on increasing strength of pelvic floor muscle (PFM) and relieving pelvic floor disorders (PFDs) during postpartum period. METHODS: A total of 2749 vaginal-delivery primiparas in postpartum 6-8 weeks were selected as research objects. Based on the modes of delivery, 600 patients were assigned into water immersion delivery group, 2149 were assigned into conventional delivery group...
October 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29016577/can-a-leaflet-with-brief-verbal-instruction-teach-nepali-women-how-to-correctly-contract-their-pelvic-floor-muscles
#8
Delena-Mae Caagbay, Kirsten Black, Ganesh Dangal, Camille Raynes-Greenow
BACKGROUND: Pelvic organ prolapse is a common disorder for women in Nepal causing symptoms and reduced quality of life. Pelvic floor muscle exercise is a conservative treatment option for pelvic organ prolapse but the effective way to teach women in Nepal is not known. The objective of this pilot study was to determine if an illustrative leaflet with brief verbal instruction could teach Nepali women to correctly contract their pelvic floor muscles. METHODS: Fifteen parous women attending two outpatient gynecology clinics in Kathmandu Valley were interviewed to assess their knowledge of pelvic organ prolapse and pelvic floor muscles exercise...
September 8, 2017: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/29016507/cadaveric-nerve-and-artery-proximity-to-sacrospinous-ligament-fixation-sutures-placed-by-a-suture-capturing-device
#9
Aaron Z Katrikh, Rajuno Ettarh, Margie A Kahn
OBJECTIVE: To simulate sacrospinous ligament fixation on cadaveric specimens, describe the surrounding retroperitoneal anatomy, and estimate the risk to nerves and arteries for the purposes of optimizing safe suture placement. METHODS: Sacrospinous ligament fixation was performed on eight fresh-tissue female cadavers using a Capio ligature capture device. Distances from placed sutures to the following structures were measured: ischial spine; fourth sacral root; pudendal nerve; the nerve to coccygeus muscle; the nerve to levator ani muscle; inferior gluteal artery; and internal pudendal artery...
October 6, 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28988909/detailed-muscular-structure-and-neural-control-anatomy-of-the-levator-ani-muscle-a-study-based-on-female-human-fetuses
#10
Krystel Nyangoh Timoh, David Moszkowicz, Mazen Zaitouna, Cedric Lebacle, Jelena Martinovic, Djibril Diallo, Maud Creze, Vincent Lavoue, Emile Darai, Gérard Benoit, Thomas Bessede
BACKGROUND: Injury to the levator ani muscle or pelvic nerves during pregnancy and vaginal delivery are responsible for pelvic floor dysfunction. OBJECTIVE: To demonstrate the presence of smooth muscular cell areas within the levator ani muscle and describe their localization and innervation. STUDY DESIGN: Five female human fetuses were studied after approval from the French Biomedicine Agency. Specimens were serially sectioned and stained by Masson's trichrome and immunostained for striated and smooth muscle, as well as for somatic, adrenergic, cholinergic, and nitriergic nerve fibers...
October 5, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28977091/pelvic-floor-muscle-training-protocol-for-stress-urinary-incontinence-in-women-a-systematic-review
#11
Marlene Oliveira, Margarida Ferreira, Maria João Azevedo, João Firmino-Machado, Paula Clara Santos
INTRODUCTION: Strengthening exercises for pelvic floor muscles (SEPFM) are considered the first approach in the treatment of stress urinary incontinence (SUI). Nevertheless, there is no evidence about training parameters. OBJECTIVE: To identify the protocol and/or most effective training parameters in the treatment of female SUI. METHOD: A literature research was conducted in the PubMed, Cochrane Library, PEDro, Web of Science and Lilacs databases, with publishing dates ranging from January 1992 to March 2014...
July 2017: Revista da Associação Médica Brasileira
https://www.readbyqxmd.com/read/28961380/effects-of-magnetic-stimulation-on-urodynamic-stress-incontinence-refractory-to-pelvic-floor-muscle-training-in-a-randomized-sham-controlled-study
#12
Tomonori Yamanishi, Tsuneki Suzuki, Ryo Sato, Kanya Kaga, Mayuko Kaga, Miki Fuse
OBJECTIVE: The aim of the present study was to evaluate the effect of magnetic stimulation on urodynamic stress incontinence refractory to pelvic floor muscle training in a randomized sham-controlled study. METHODS: Female patients with urodynamic stress incontinence who had not been cured by pelvic floor muscle training were randomly assigned at a ratio of 2 : 1 to either active treatment or sham treatment for 10 weeks. The randomization was made using magnetic cards for individuals indicating active or sham stimulation...
September 29, 2017: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/28953985/relationship-between-aerobic-capacity-and-pelvic-floor-muscles-function-a-cross-sectional-study
#13
S P Jürgensen, A Borghi-Silva, A M F G Bastos, G N Correia, V S Pereira-Baldon, R Cabiddu, A M Catai, P Driusso
The objective of this study was to evaluate the relationship between aerobic capacity and pelvic floor muscles (PFM) function in adult women. Women aged 18 or over and without urinary dysfunction or other chronic diseases were eligible to participate. They completed the habitual physical activity (HPA) questionnaire, underwent a PFM functional evaluation by palpation and perineometry, and performed a submaximal (between 75 and 85% of maximum heart rate) cardiopulmonary exercise (CPX) test to determine the ventilatory anaerobic threshold (VAT)...
September 21, 2017: Brazilian Journal of Medical and Biological Research, Revista Brasileira de Pesquisas Médicas e Biológicas
https://www.readbyqxmd.com/read/28946874/design-of-a-single-arm-clinical-trial-of-regenerative-therapy-by-periurethral-injection-of-adipose-derived-regenerative-cells-for-male-stress-urinary-incontinence-in-japan-the-adresu-study-protocol
#14
Shinobu Shimizu, Tokunori Yamamoto, Shinobu Nakayama, Akihiro Hirakawa, Yachiyo Kuwatsuka, Yasuhito Funahashi, Yoshihisa Matsukawa, Keisuke Takanari, Kazuhiro Toriyama, Yuzuru Kamei, Kazutaka Narimoto, Tomonori Yamanishi, Osamu Ishizuka, Masaaki Mizuno, Momokazu Gotoh
BACKGROUND: Male stress urinary incontinence is a prevalent condition after radical prostatectomy. While the standard recommendation for the management of urine leakage is pelvic floor muscle training, its efficacy is still unsatisfactory. Therefore, we have focused on regenerative therapy, which consists of administering a periurethral injection of autologous regenerative cells from adipose tissue, separated using the Celution® system. Based on an interim data analysis of our exploratory study, we confirmed the efficacy and acceptable safety profile of this treatment...
September 25, 2017: BMC Urology
https://www.readbyqxmd.com/read/28932006/a-newly-developed-floor-chair-placed-on-an-office-chair-reduces-lumbar-muscle-fatigue-by-cyclically-changing-its-lumbar-supporting-shape
#15
Tadamitsu Matsuda, Takayuki Koyama, Yasushi Kurihara, Miki Tagami, Yasuaki Kusumoto, Osamu Nitta
[Purpose] This study investigated lumbar muscle fatigue before and after maintaining a seated position for one hour, lumbar and pelvic inclination angle change, in subjects with and without active lumber support. [Subjects and Methods] Fourteen healthy subjects randomized into two groups sat on a floor chair, placed on an office chair, that cyclically changed its lumbar supporting shape to provide active lumbar support (ALS) or no ALS for one hour. Before and after, we measured the frequency of muscle waveforms of the trunk extensor muscles when the subjects lifted an object weighing 10% of their body weight, using both hands while seated...
September 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28925279/-awareness-of-the-methods-of-primary-and-secondary-childbirth-trauma-prevention-among-parturients
#16
A Veverková, V Kališ, Z Rušavý
OBJECTIVE: To evaluate the awareness of fresh mothers regarding the primary prevention of pelvic floor disorders after childbirth. The secondary objective was to identify sources of information, reality of childbirth trauma prevention and attitude to pelvic floor muscle training. DESIGN: Prospective survey study. SETTING: Department of Gynecology and Obstetrics, University Hospital and Medical Faculty in Pilsen, Charles University. METHODS: We included 202 women after a vaginal delivery at our center from 6/2015 to 12/2015...
2017: Ceská Gynekologie
https://www.readbyqxmd.com/read/28914708/efficacy-of-femiscan-pelvic-floor-therapy-for-the-treatment-of-anal-incontinence
#17
Shimon Segal, Abraham Morse, Purnima Sangal, Nathan Hirsch, Neeraj Kohli
OBJECTIVES: Pelvic floor muscle training can be effective in alleviating anal incontinence; however, women need instruction, motivation, and feedback to gain optimal benefit. The FemiScan Pelvic Floor Therapy System is approved in the United States and European Union for the treatment of urinary incontinence. It uses office electromyography and an in-home programmable device. This study was undertaken to document the effect of FemiScan on anal incontinence symptoms of women who completed a physician-supervised program...
September 13, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28913148/the-effect-of-pelvic-organ-prolapse-type-on-sexual-function-muscle-strength-and-pelvic-floor-symptoms-in-women-a-retrospective-study
#18
Nuriye Özengin, Hatice Çankaya, Elif Duygu, Muhammet Fatih Uysal, Yeşim Bakar
OBJECTIVE: This retrospective research was planned to investigate the effect of pelvic organ prolapse (POP) type on sexual function, muscle strength, and pelvic floor symptoms in symptomatic women. MATERIALS AND METHODS: Data on POP type and stages as assessed using the Pelvic Organ Prolapse-Quantification system of 721 women who presented to the women's health unit between 2009 and 2016 were collected retrospectively. POP types were recorded as asymptomatic, anterior, apical, and posterior compartment prolapses...
June 2017: Turk J Obstet Gynecol
https://www.readbyqxmd.com/read/28905083/assessing-exercises-recommended-for-women-at-risk-of-pelvic-floor-disorders-using-multivariate-statistical-techniques
#19
Tania Tian, Stephanie Budgett, Jackie Smalldridge, Lynsey Hayward, James Stinear, Jennifer Kruger
INTRODUCTION AND HYPOTHESIS: There is a widely held, but untested, belief that certain exercises and activities generate intraabdominal pressure (IAP) that may compromise the function of the pelvic floor muscles. Women with, or at risk of, pelvic floor disorders are advised therefore to refrain from these exercises and activities in order to theoretically protect their pelvic floor. The aim of this study was to compare IAPs generated during exercises of different types that are recommended to women as pelvic floor "safe" with those generated during the corresponding conventional exercises that women are typically cautioned against...
September 13, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28900822/an-international-review-and-meta-analysis-of-prehabilitation-compared-to-usual-care-for-cancer-patients
#20
REVIEW
C Treanor, T Kyaw, M Donnelly
PURPOSE: The purpose of the study is to systematically review and synthesise randomised controlled trials investigating the effectiveness of prehabilitation compared to usual care for newly diagnosed, adult-onset cancer patients. METHODS: MEDLINE, EMBASE, PsycINFO, CINAHL and SSCI were searched up to April 2017. Studies were included if disease-related, treatment-related, patient-reported and health service utilisation outcomes were assessed. Two reviewers independently reviewed and appraised the risk of bias of each study...
September 12, 2017: Journal of Cancer Survivorship: Research and Practice
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