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Pelvic floor muscles

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https://www.readbyqxmd.com/read/29166313/the-perineal-turnover-perforator-flap-a-new-and-simple-technique-for-perineal-reconstruction-after-extralevator-abdominoperineal-excision
#1
Maria Chasapi, Mohamed Maher, Peter Mitchell, Milind Dalal
BACKGROUND: Extralevator abdominoperineal excision (ELAPE) is increasingly used to treat locally advanced low rectal cancer as it has been related to superior oncological outcomes than traditional abdominoperineal excision.However, ELAPE also has been associated with high perineal wound morbidity rates as it creates a larger perineal cavity than standard abdominoperineal excision. This greater defect, along with the effects of preoperative chemoradiation on wound healing, makes uneventful perineal reconstruction post-ELAPE a real challenge for the plastic surgeon...
November 21, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29145873/group-physiotherapy-compared-to-individual-physiotherapy-to-treat-urinary-incontinence-in-aging-women-study-protocol-for-a-randomized-controlled-trial
#2
Chantale Dumoulin, Mélanie Morin, Marie-Hélène Mayrand, Michel Tousignant, Michal Abrahamowicz
BACKGROUND: Urinary incontinence (UI), one of the most prevalent health concerns confronting women aged over 60 years, affects up to 55% of older community-dwelling women-20-25% with severe symptoms. Clinical practice guidelines recommend individualized pelvic floor muscle training (PFMT) as a first-line treatment for stress or mixed UI in women, although lack of human and financial resources limits delivery of this first-line treatment. Preliminary data suggest that group-based treatments may provide the answer...
November 16, 2017: Trials
https://www.readbyqxmd.com/read/29144956/re-pelvic-floor-muscle-training-for-secondary-prevention-of-pelvic-organ-prolapse-prevprol-a-multicentre-randomised-controlled-trial
#3
Alan J Wein
No abstract text is available yet for this article.
December 2017: Journal of Urology
https://www.readbyqxmd.com/read/29094029/novel-anal-sphincter-saving-procedure-with-partial-excision-of-levator-ani-muscle-in-rectal-cancer-invading-ipsilateral-pelvic-floor
#4
Gyoung Tae Noh, Jeonghee Han, Chinock Cheong, Yoon Dae Han, Nam Kyu Kim
Purpose: Tumors at the level of the anorectal junction had required total levator-ani muscle excision to achieve an adequate resection margin. However, in the cases of tumor invading ipsilateral levator-ani muscle and intact external sphincter, en bloc resection of rectum with levator-ani muscle including tumor would be possible. This hemilevator excision (HLE) technique enables preserving the anal sphincter function while obtaining oncologic clearance and avoiding permanent colostomy in those patients...
October 2017: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/29084229/a-manometry-classification-to-assess-pelvic-floor-muscle-function-in-women
#5
Priscylla Helouyse Angelo, Larissa Ramalho Dantas Varella, Maria Clara Eugênia de Oliveira, Monayane Grazielly Leite Matias, Maria Aneilma Ribeiro de Azevedo, Luzinete Medeiros de Almeida, Paulo Roberto Medeiros de Azevedo, Maria Thereza Micussi
OBJECTIVE: To develop a classification scale for manometry of pelvic floor muscles (PFM) in Brazilian women, according to the modified Oxford scale. METHODS: A cross sectional study, with 288 women enrolled in the Maternity, Natal, Brazil. Manometry and PFM strength data were collected and classified according to the modified Oxford scale. A simple linear regression was performed to determine the classification scale of manometry using the modified Oxford scale as the explanatory variable and the arithmetic mean of the manometry measurements as the response variable...
2017: PloS One
https://www.readbyqxmd.com/read/29077924/perioperative-behavioral-therapy-and-pelvic-muscle-strengthening-do-not-enhance-quality-of-life-after-pelvic-surgery-secondary-report-of-a-randomized-controlled-trial
#6
RANDOMIZED CONTROLLED TRIAL
Alison C Weidner, Matthew D Barber, Alayne Markland, David D Rahn, Yvonne Hsu, Elizabeth R Mueller, Sharon Jakus-Waldman, Keisha Y Dyer, Lauren Klein Warren, Marie G Gantz, Susie Meikle
Background: There is significant need for trials evaluating the long-term effectiveness of a rigorous program of perioperative behavioral therapy with pelvic floor muscle training (BPMT) in women undergoing transvaginal reconstructive surgery for prolapse. Objective: The purpose of this study was to evaluate the effect of perioperative BPMT on health-related quality of life (HRQOL) and sexual function following vaginal surgery for pelvic organ prolapse (POP) and stress urinary incontinence (SUI)...
November 1, 2017: Physical Therapy
https://www.readbyqxmd.com/read/29071395/-25%C3%A2-years-of-integral-theory-by-petros-what-remains-and-what-s-next
#7
REVIEW
A Gunnemann, B Liedl, K Goeschen
BACKGROUND: The Integral Theory (IT) states that urinary stress and urge symptoms mainly arise from lax suspensory ligaments, which are a consequence of altered collagen/elastin. Four important muscle groups (pubococcygeal muscle, levatorplate, longitudinal muscle of the anus, and the puborectalis muscle) are only able to guarantee the opening and closure mechanism of the bladder, the urethra and the anal tube if the suspensory ligaments are intact. The first practical application of the IT was the repair of the pubourethral ligament (PUL) known as tension-free vaginal tape (TVT)...
October 25, 2017: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/29067053/pelvic-floor-muscle-strength-of-women-consulting-at-the-gynecology-outpatient-clinics-and-its-correlation-with-sexual-dysfunction-a-cross-sectional-study
#8
Filiz Ciledag Ozdemir, Erkan Pehlivan, Rauf Melekoglu
OBJECTIVE: To investigate the pelvic floor muscle strength of the women andevaluateits possible correlation with sexual dysfunction. METHODS: In this cross-sectional type study, stratified clusters were used for the sampling method. Index of Female Sexual Function (IFSF) worksheetwere used for questions on sexual function. The pelvic floor muscle strength of subjects was assessed byperineometer. The chi-squared test, logistic regression and Pearson's correlation analysis were used for the statistical analysis...
July 2017: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/29063998/diabetes-mellitus-and-the-colon
#9
REVIEW
Marc S Piper, Richard J Saad
Diabetes mellitus (DM) can affect the structure and function of the colon promoting commonly encountered lower gastrointestinal symptoms such as constipation, diarrhea, abdominal distention, bloating, and abdominal pain. Specific colonic disorders for which adults with DM are at greater risk include chronic constipation, enteropathic diarrhea, colorectal cancer (CRC), inflammatory bowel disease, microscopic colitis, and Clostridium difficile colitis. Smooth muscle structure and function, density of the interstitial cells of Cajal, and the health and function of the autonomic and enteric nerves of the colon are all potential affected by DM...
December 2017: Current Treatment Options in Gastroenterology
https://www.readbyqxmd.com/read/29056536/predicting-risk-of-pelvic-floor-disorders-12-and-20-years-after-delivery
#10
J Eric Jelovsek, Kevin Chagin, Maria Gyhagen, Suzanne Hagen, Don Wilson, Michael W Kattan, Andrew Elders, Matthew D Barber, Björn Areskoug, Christine MacArthur, Ian Milsom
BACKGROUND: Little progress has been made in the prevention of pelvic floor disorders, despite their significant health and economic impact. The identification of women who are at risk remains a key element in targeting prevention and planning health resource allocation strategies. Although events around the time of childbirth are recognized clinically as important predictors, it is difficult to counsel women and to intervene around the time of childbirth because of an inability to convey a patient's risk accurately in the presence of multiple risk factors and the long time lapse, which is often decades, between obstetric events and the onset of pelvic floor disorders later in life...
October 19, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29049052/a-cost-utility-analysis-of-nonsurgical-treatments-for-stress-urinary-incontinence-in-women
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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...
November 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28988909/detailed-muscular-structure-and-neural-control-anatomy-of%C3%A2-the-levator-ani-muscle-a-study-based-on-female-human%C3%A2-fetuses
#20
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 is responsible for pelvic floor dysfunction. OBJECTIVE: We sought 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 trichrome and immunostained for striated and smooth muscle, as well as for somatic, adrenergic, cholinergic, and nitriergic nerve fibers...
October 6, 2017: American Journal of Obstetrics and Gynecology
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