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Introduction and hypothesis
It has been suggested that repositioning pelvic organ prolapse (POP) by pessary support may improve pelvic floor muscle (PFM) function. The aim of the present study was to compare vaginal resting pressure and maximal voluntary contraction (MVC) of the PFM measured with and without a ring pessary in situ. 相似文献3.
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Introduction and hypothesis
This study investigated women’s experiences of doing prescribed pelvic floor muscle exercise (PFME) after participation in the Pelvic Organ Prolapse Physiotherapy (POPPY) trial. The aim was to understand post-supervised treatment adherence to PFME and to inform future advice for women being treated for pelvic organ prolapse (POP).Methods
Five women were purposively selected from the New Zealand branch of the multi-centre, multi-national POPPY trial and took part in a semi-structured interviews about their experiences of PFME. The interviews were subjected to an interpretative phenomenological analysis (IPA).Results
Three core themes were identified in the analysis. The first theme, “Patterns of PFME behaviour”, described exercise characteristics and behaviours. The second theme, “Influences on PFME maintenance cycles”, captured the participants’ responses to and evaluations of their exercise practice and related PFME self-efficacy. The “cycle” referred to the changing influences on exercise behaviour. The third theme, “Family as priority”, was expressed in terms of either putting family first or successfully combining the priorities of family and self.Conclusion
This study revealed the importance of family in influencing PFME patterns and behaviours in the treatment of POP. It is possible that identifying strategies to help women reach their PFME goals within the context of their families will promote more successful PFME adherence. The importance of family when prescribing exercise for women with other chronic health conditions is also worth exploring. 相似文献5.
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Associated pelvic organ prolapse in women with stress urinary incontinence: when to operate? 总被引:2,自引:0,他引:2
PURPOSE OF REVIEW: This review discusses recently published data concerning the indications for pelvic organ prolapse (POP) surgery in women who present with stress urinary incontinence (SUI). RECENT FINDINGS: POP can functionally mask SUI. Surgery for POP may unmask occult SUI in many women. Clinically continent women undergoing POP surgery are at risk for developing symptomatic SUI postoperatively. Preoperative identification of occult (and overt) SUI will facilitate the use of an appropriate prophylactic anti-incontinence procedure at the time of prolapse repair. Numerous studies on the preoperative prediction of SUI following repair of POP have been conducted in an effort to determine whether concomitant prophylactic measures should be taken at the time of POP repair to prevent the postoperative unmasking of SUI in women who do not have SUI preoperatively (with or without prolapse reduction). Although the literary evidence available is not sufficient for POP with occult SUI, there is some information available to guide clinicians in deciding when to perform concurrent POP surgery in women who are undergoing primary surgery for SUI. SUMMARY: The intended goal of surgical correction of SUI and POP is durable restoration of normal anatomy and function, with symptomatic relief and avoidance of morbidity. Recommendations regarding when to surgically intervene for POP in women who present with SUI are based on the available literature although contemporary studies are few and include small numbers of patients with no controls. Long-term, randomized, controlled prospective studies of large numbers of patients are indicated. 相似文献
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Ingrid Volløyhaug Siv Mørkved Kjell Å. Salvesen 《International urogynecology journal》2016,27(1):39-45
Introduction and hypothesis
It is known that pelvic floor muscle trauma (PFMT) after vaginal delivery is associated with pelvic organ prolapse (POP) symptoms (sPOP) and signs (POP-Q ≥2) in patient populations. Our aims were to establish the prevalence and investigate a possible association between PFMT and sPOP and POP-Q ≥2 in healthy women 20 years after their first delivery.Methods
During 2013 and 2014 we conducted a cross-sectional study among 847 women who delivered their first child between 1990 and 1997. Women responded to a postal questionnaire and were offered a clinical examination including prolapse grading and pelvic floor ultrasonography. The main outcome measures were sPOP, POP-Q ≥2 and PFMT, defined by levator avulsion or a levator hiatal area on Valsalva manoeuvre of >40 cm2 on ultrasonography.Results
Of the 847 eligible women, 608 (72 %) were examined. Data on POP symptoms, POP-Q stage, levator avulsion and levator hiatal area were available in 598, 608, 606 and 554 women, respectively, and of these 75 (13 %) had sPOP, 275 (45 %) had POP-Q ≥2, 113 (19 %) had levator avulsion and 164 (30 %) had a levator hiatal area >40 cm2. Levator avulsion was associated with POP-Q ≥2 with an odds ratio (OR) of 9.91 and a 95 % confidence interval (CI) of 5.73 – 17.13, and with sPOP (OR 2.28, 95 % CI 1.34 – 3.91). Levator hiatal area >40 cm2 was associated with POP-Q ≥2 (OR 6.98, 95 % CI 4.54, – 10.74) and sPOP (OR 3.28, 95 % CI 1.96 – 5.50).Conclusion
Many healthy women selected from the general population have symptoms and signs of POP 20 years after their first delivery, and PFMT is associated with POP-Q ≥2 and sPOP.9.
Does pelvic floor muscle maximum voluntary contraction improve after vaginal pelvic organ prolapse surgery? A prospective study 下载免费PDF全文
Thaiana B. Duarte Marília A. P. Bonacin Luiz G. O. Brito Helena Frawley Peter L. Dwyer Elizabeth Thomas Cristine H. J. Ferreira 《Neurourology and urodynamics》2018,37(5):1744-1750
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Helena Talasz Markus Kofler Elisabeth Kalchschmid Michael Pretterklieber Monika Lechleitner 《International urogynecology journal》2010,21(4):475-481
Introduction and hypothesis
The aim of this cross-sectional study was to determine correlations between pelvic floor muscle (PFM) function and expiratory function in healthy young nulliparous women.Methods
In 40 volunteers, PFM function was assessed by vaginal palpation. Forced expiration patterns were evaluated visually and by palpation of the suprapubic insertion region of the anterolateral abdominal muscles. Forced vital capacity (FVC) and forced expiratory flows (FEF) were determined by spirometry.Results
Incremental positive correlation was found between voluntary PFM contraction strength and forced expiratory flow at 25%, 50% and 75% (FEF25%, FEF50%, FEF75%) of the FVC, respectively. Positive correlation was also found between PFM contraction strength and forced expired volume in 1 s (FEV1). No correlation was found between PFM contraction strength and FVC or peak expiratory flow (PEF).Conclusions
Despite some limitations of this study, the observed correlation between PFM contraction strength and forced expiratory flows may serve as theoretical background for a potential role of coordinated abdominal and PFM training in diseases with expiratory flow limitations. 相似文献11.
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Lior Lowenstein Ilan Gruenwald Irena Gartman Yoram Vardi 《International urogynecology journal》2010,21(5):553-556
Introduction and hypothesis
This study aims to evaluate the association between pelvic floor muscle (PFM) strength and sexual functioning.Methods
Retrospective chart review of consecutive all women who were referred with a primary complaint of sexual dysfunction. Women underwent standardized clinical evaluation including pelvic muscle strength which was ranked from 0 (weak) to 2 (strong). The duration of pelvic muscle contraction was also recorded in seconds. Sexual function was evaluated by using a validated questionnaire, the Female Sexual Function Index (FSFI).Results
One hundred seventy-six women with a mean age of 37?±?11 years were included. Women with strong or moderate PFM scored significantly higher on the FSFI orgasmic and arousal domains than women with weak PFM (5.4?±?0.8 vs. 2.8?±?0.8, and 3.9?±?0.5 vs. 1.7?±?0.24, respectively; P?<?0.001). The duration of PFM contraction was correlated with FSFI orgasmic domain and sexual arousal (r?=?0.26, P?<?0.001; r?=?0.32, P?<?0.0001, respectively).Conclusions
Our findings suggest that both the orgasm and arousal function are related to better PFM function. 相似文献15.
M. Vella E. Nellist L. Cardozo H. Mastoroudes I. Giarenis J. Duckett 《International urogynecology journal》2013,24(11):1947-1951
Introduction and hypothesis
Pelvic floor muscle training (PFMT) is the recommended first-line treatment for women with urinary incontinence (UI). Success rates are variable and dependent on a number of factors. The development of an incontinence treatment motivation questionnaire (ITMQ) provides us with a tool to assess patient self-motivation with respect to PFMT and UI. The aim of this study was to determine the effect of women’s self-motivation to perform PFMT on outcome.Methods
Women with stress predominant UI completed an ITMQ and a 24-h pad test and then underwent a 12-week course of supervised PFMT. At the end of their treatment they completed a patient global impression of improvement questionnaire (PGI-I) and a second 24-h pad test. The PGI-I scores and the difference in pad test weight correlated with the ITMQ according to Spearman’s correlation coefficient.Results
Sixty-five women were recruited. Thirty-two (49 %) patients perceived themselves as having improved, 28 women (43 %) did not experience any change in symptoms and 5 women (8 %) felt that their symptoms deteriorated following treatment. When correlating the PGI-I with the ITMQ, 3 of the 5 domains: MQS1 (positive attitude for treatment; p?=?0.003), MQS3 (frustration of living with incontinence; p?=?0.002) and MQS4 (desire for treatment; p?=?0.002) correlated significantly with outcome. Desire for treatment was the only domain to correlate with change in pad weight (p?=?0.001).Conclusion
Self-motivation is essential in order to determine improved success rates with PFMT. 相似文献16.
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Yakir Segev Ron Auslender Benny Feiner Arie Lissak Ofer Lavie Yoram Abramov 《International urogynecology journal》2009,20(12):1451-1453
Introduction and hypothesis
Pelvic organ prolapse and hernia are common disorders which share several pathopysiological and epidemiological features. We therefore aimed to assess whether women with advanced pelvic organ prolapse have a higher prevalence of hernia. 相似文献18.
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Benjamin Feiner Fuad Fares Nail Azam Ron Auslender Miriam David Yoram Abramov 《International urogynecology journal》2009,20(9):1061-1065
Introduction and hypothesis COLIA1 polymorphism is associated with increased risk for stress urinary incontinence. We hypothesize that a similar association
exists with pelvic organ prolapse (POP).
Methods Patients with advanced prolapse and healthy controls were evaluated by interview, validated questionnaires, and pelvic examination.
DNA was extracted from peripheral blood, and polymerase chain reaction was performed to determine the presence or absence
of the polymorphism. Power calculation indicated the need for 36 patients in each arm.
Results The prevalence of the polymorphic heterozygous genotype (GT) in the study and control groups was 33.3% and 19.4%, respectively,
leading to an odds ratio of 1.75. This difference, however, did not reach statistical significance (p = 0.27).
Conclusions The COLIA1 polymorphism was not significantly associated with increased risk for POP. 相似文献
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Kari Bø Gunvor Hilde Jette Stær Jensen Franziska Siafarikas Marie Ellstrøm Engh 《International urogynecology journal》2013,24(12):2065-2070