Michele Torosis, Erin Carey, Kristin Christensen, Melissa R Kaufman, Kimberly Kenton, Rhonda Kotarinos, H Henry Lai, Una Lee, Jerry L Lowder, Melanie Meister, Theresa Spitznagle, Kelly Wright, A Lenore Ackerman
OBJECTIVE: To develop evidence- and consensus-based clinical practice guidelines for management of high-tone pelvic floor dysfunction (HTPFD). HTPFD is a neuromuscular disorder of the pelvic floor characterized by non-relaxing pelvic floor muscles, resulting in lower urinary tract and defecatory symptoms, sexual dysfunction, and pelvic pain. Despite affecting 80% of women with chronic pelvic pain, there are no uniformly accepted guidelines to direct the management of these patients. METHODS: A Delphi method of consensus development was used, comprising three survey rounds administered anonymously via web-based platform (Qualtrics XM) to national experts in the field of HTPFD recruited through targeted invitation between September and December 2021...
February 22, 2024: Obstetrics and Gynecology