International Urogynecology Journal最新文献_第2页

Comment on "Cause of Non‑specific Low Back Pain in Women: Pelvic Floor Muscle Weakness". 评论“女性非特异性腰痛的原因：盆底肌无力”。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-06-28 DOI: 10.1007/s00192-025-06220-z

Jie Hao

引用次数: 0

Incidence of Surgical Treatments After Obstetric Anal Sphincter Injury. 产科肛门括约肌损伤后手术治疗的发生率。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-06-25 DOI: 10.1007/s00192-025-06201-2

Sara Rahman, Shannon L Wallace

{"title":"Incidence of Surgical Treatments After Obstetric Anal Sphincter Injury.","authors":"Sara Rahman, Shannon L Wallace","doi":"10.1007/s00192-025-06201-2","DOIUrl":"https://doi.org/10.1007/s00192-025-06201-2","url":null,"abstract":"Importance: Patients with obstetric anal sphincter injury (OASI) are at increased risk for postpartum complications.Objective: To measure the incidence of surgical treatments within 1 year of delivery among patients with OASI. Secondary outcomes included identifying the indications for surgical retreatments of OASI complications and characterizing the procedures performed.Study design: This was a retrospective cohort study of patients with OASI seen at a tertiary referral center between October 2017 and February 2023.Results: A total of 623 patients sustained an OASI during the study period. The mean age was 30.9 years (SD 4.5). Most patients were White non-Hispanic (n = 454, 72.8%), with a mean body mass index (BMI) of 30.6 (SD 5.5). The mean gestational age at delivery was 39.1 weeks (SD 1.4). Nearly half underwent operative deliveries (n = 287, 46.1%), and the majority had a third degree OASI (n = 526, 84.4%). Thirteen patients (2.1%) underwent surgical treatment within 1 year of delivery. Fourteen total procedures were performed, as one patient required two surgeries. The most common indication for surgery was persistent pain or tenderness followed by dyspareunia, wound breakdown, rectovaginal fistula, and post-coital bleeding. The most frequently performed procedures included revision or excision of scar tissue, perineorrhaphy, excision of granulation tissue, revision of perineal wound disruption/breakdown, and transvaginal rectovaginal fistula repair. Urogynecologists performed 11 of the 14 procedures.Conclusions: In this cohort, surgical intervention within 1 year of an OASI was uncommon. Postpartum patients with OASI should be screened for persistent pain and tenderness, dyspareunia, wound breakdown, rectovaginal fistula, and post-coital bleeding, as these symptoms may warrant surgical evaluation and treatment.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144484343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Detrusor Underactivity and Acontractile Bladder Patients Performing Clean Intermittent Catheterization in a Single Tertiary Referral Center: What is Happening in Real Life? 逼尿肌活动不足和膀胱收缩患者在单一三级转诊中心进行清洁间歇导尿：现实生活中发生了什么？

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-06-21 DOI: 10.1007/s00192-025-06181-3

Karel Dewulf, Alicia Meurice, Thibault Duvillier, Fons Van Isveldt, Wouter Everaerts, Maarten Albersen, Frank Van der Aa, Dirk De Ridder

{"title":"Detrusor Underactivity and Acontractile Bladder Patients Performing Clean Intermittent Catheterization in a Single Tertiary Referral Center: What is Happening in Real Life?","authors":"Karel Dewulf, Alicia Meurice, Thibault Duvillier, Fons Van Isveldt, Wouter Everaerts, Maarten Albersen, Frank Van der Aa, Dirk De Ridder","doi":"10.1007/s00192-025-06181-3","DOIUrl":"10.1007/s00192-025-06181-3","url":null,"abstract":"Objectives: Bladder emptying disorders, caused by detrusor underactivity (DU) and acontractile detrusor (ACD) are frequent conditions, where the focus of treatment is often targeted on minimizing secondary complications by bladder catheterization. If feasible, the preferred method is clean intermittent catheterization (CIC). In this study, we investigate underlying diseases, clinical and urodynamic parameters of a real-life cohort of DU and ACD patients requiring CIC.Methods: We performed a retrospective chart review of 133 patients performing CIC due to DU or ACD from 2015 to 2020. Demographic, clinical and urodynamic data were extracted for further analyses.Results: Of 133 patients included, 74% had ACD. Neurogenic diseases were present in 47% of patients, followed by pelvic surgery (23%) and pharmacotherapy (14%). Persistent need for bladder drainage on the long term was observed in 75% of patients. Of patients who discontinued CIC, 44% had a successful treatment. Sacral neuromodulation was the most frequent successful treatment in 56% of patients. Urine tract infections (UTIs) were present in one third of patients.Conclusions: In this patient cohort needing CIC, ACD was more frequent than DU. Most patients who need CIC for DU or ACD require bladder drainage on the long term. Underlying neurogenic diseases are the most frequent.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of Perioperative and Postoperative Outcomes between Single-Port Robotic Sacrocolpopexy and Multi-Port Approaches. 单孔机器人骶髋固定术与多孔机器人骶髋固定术围术期及术后疗效比较。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-06-20 DOI: 10.1007/s00192-025-06204-z

Erin Ferrigni, Sumin Oh, Kristina Butler, Jeffrey L Cornella, Aqsa Khan, Christopher E Wolter, Johnny Yi

{"title":"Comparison of Perioperative and Postoperative Outcomes between Single-Port Robotic Sacrocolpopexy and Multi-Port Approaches.","authors":"Erin Ferrigni, Sumin Oh, Kristina Butler, Jeffrey L Cornella, Aqsa Khan, Christopher E Wolter, Johnny Yi","doi":"10.1007/s00192-025-06204-z","DOIUrl":"10.1007/s00192-025-06204-z","url":null,"abstract":"Introduction and hypothesis: To evaluate the feasibility and perioperative outcomes of single-port robotic (RSP) sacrocolpopexy (SCP) in comparison to the multi-port approach (RMP).Methods: This was a retrospective cohort study set at an academic, tertiary care center. The primary outcome was operative time (incision to closure) and the secondary outcomes included number and severity of complications. Medical charts were reviewed of patients who had undergone a robotic SCP between March 2018 and December 2024. Differences were tested using Mann-Whitney U tests, Fisher's exact tests, and multivariable regression models.Results: One hundred and eighty-one eligible cases were included. Among them, 109 patients underwent RMP, and 72 patients underwent the RSP approach. For operative time, RSP SCP was statistically significantly shorter than RMP SCP by 40 min (216 versus 176 min, p < .001). The hospital length of stay was shorter for the RSP group (11.0 versus 17.0 h, p < .001), while EBL showed no difference between groups (p = 0.18). No conversion to laparoscopy or laparotomy was found in both groups. Number and severity of adverse events assessed by Clavien-Dindo classification were similar and overall complication rates and complications requiring surgical correction under anesthesia did not show a difference (Clavien-Dindo Grade III, RMP 11.0% vs RSP 5.6%, p = 0.58). Median follow-up was 15.2 weeks postoperatively, and there were no significant differences in reoperation within 30 days, mesh erosion, prolapse recurrence and subsequent reoperations due to the recurrence.Conclusions: Single-port robotic sacrocolpopexy is a safe and feasible minimally invasive technique to address apical pelvic floor prolapse.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fecal Incontinence Drives the Psychosocial Burden in Patients with Dual Incontinence. 大便失禁驱动双重失禁患者的心理社会负担。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-06-20 DOI: 10.1007/s00192-025-06192-0

Karla Rebullar, Delaney J Orcutt, Melissa R Kaufman, Roger R Dmochowski, Elisabeth M Sebesta

{"title":"Fecal Incontinence Drives the Psychosocial Burden in Patients with Dual Incontinence.","authors":"Karla Rebullar, Delaney J Orcutt, Melissa R Kaufman, Roger R Dmochowski, Elisabeth M Sebesta","doi":"10.1007/s00192-025-06192-0","DOIUrl":"10.1007/s00192-025-06192-0","url":null,"abstract":"Introduction and hypothesis: Urinary incontinence (UI) and fecal incontinence (FI) are debilitating conditions affecting patients' quality of life (QOL). Dual incontinence (DI) of both urine and stool represents an additional burden. We compare the physical and mental health of patients with UI, FI, and DI. We hypothesize that DI might be associated with increased psychosocial burden.Methods: Patients completed online questionnaires on sociodemographics, urinary and bowel symptoms, and psychosocial comorbidity. The Patient-Reported Outcomes Measurement Information System (PROMIS) measures physical and mental health, anxiety, depression, stress, and instrumental support was used to assess psychosocial burden. Responses including PROMIS measures were compared between those with no incontinence (NI), those with UI, those with FI, and those with DI.Results: A total of 3620 respondents completed the study, the majority of whom were female (78%), and white (84%). Age and BMI were different among groups, with the DI group having the oldest mean age (54 years) and highest mean BMI (29 kg/m2). PROMIS scores were significantly different across groups, with DI having the lowest physical and mental health scores (i.e. poorest health), and highest stress and depression scores (i.e. greatest burden). This remains true when DI is compared only with NI or UI; however, results were similar for most measures between DI and FI, suggesting that the burden might largely be driven by FI.Conclusions: Dual incontinence results in worse patient-reported physical and mental health, and higher psychosocial burden. In our cohort, it appears that the psychosocial burden may be largely driven by the FI component of DI. Thus, addressing FI in our patients with DI may help improve QOL.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Risk Factors and Prediction Model for Preoperative Lower-Extremity Venous Thrombosis in Elderly Women Undergoing Colpocleisis. 老年女性阴道炎患者下肢静脉血栓形成的危险因素及预测模型。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-06-19 DOI: 10.1007/s00192-025-06196-w

Xiaoxiang Jiang, Stefano Manodoro, Chaoqin Lin, Qi Wang

{"title":"Risk Factors and Prediction Model for Preoperative Lower-Extremity Venous Thrombosis in Elderly Women Undergoing Colpocleisis.","authors":"Xiaoxiang Jiang, Stefano Manodoro, Chaoqin Lin, Qi Wang","doi":"10.1007/s00192-025-06196-w","DOIUrl":"https://doi.org/10.1007/s00192-025-06196-w","url":null,"abstract":"Introduction and hypothesis: Preoperative lower-extremity venous thrombosis (LEVT) is a potential concern in elderly women undergoing colpocleisis for advanced pelvic organ prolapse (POP), given their increased risk owing to age, limited mobility, and comorbidities. This study is aimed at determining the prevalence of LEVT, identifying independent risk factors, and developing a predictive model to assist in risk stratification.Methods: A retrospective study was conducted on elderly women scheduled for colpocleisis owing to advanced POP between August 2019 and September 2024. Doppler ultrasonography was used to diagnose LEVT. Independent risk factors were identified using univariate and multivariate logistic regression. A nomogram-based predictive model was developed and validated using five-fold cross-validation.Results: Among 340 patients, 52 (15.3%) had preoperative LEVT. Advanced age, history of venous thromboembolism, current or past malignancies, elevated cholesterol levels, and high D-dimer levels were independently associated with LEVT. The predictive model showed good discrimination, with an area under the curve for the receiver operating characteristic of 0.824 in the training set and 0.806 in the validation set. At the optimal cutoff (Youden index = 0.121), the sensitivity was 80.8%, specificity was 69.1%, positive predictive value was 32.1%, and negative predictive value was 95.2%. Decision curve analysis confirmed the model's clinical utility.Conclusions: A substantial proportion of elderly women undergoing colpocleisis have preoperative LEVT. The developed predictive model provides a practical tool for early risk assessment, potentially improving perioperative management and patient outcomes.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144325631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Addressing Commonly Asked Questions in Urogynecology: Accuracy and Limitations of ChatGPT. 解决泌尿妇科常见问题：ChatGPT的准确性和局限性。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-06-18 DOI: 10.1007/s00192-025-06184-0

Gregory Vurture, Nicole Jenkins, James Ross, Stephanie Sansone, Ellen Conner, Nina Jacobson, Scott Smilen, Jonathan Baum

{"title":"Addressing Commonly Asked Questions in Urogynecology: Accuracy and Limitations of ChatGPT.","authors":"Gregory Vurture, Nicole Jenkins, James Ross, Stephanie Sansone, Ellen Conner, Nina Jacobson, Scott Smilen, Jonathan Baum","doi":"10.1007/s00192-025-06184-0","DOIUrl":"https://doi.org/10.1007/s00192-025-06184-0","url":null,"abstract":"Introduction and hypothesis: Existing literature suggests that large language models such as Chat Generative Pre-training Transformer (ChatGPT) might provide inaccurate and unreliable health care information. The literature regarding its performance in urogynecology is scarce. The aim of the present study is to assess ChatGPT's ability to accurately answer commonly asked urogynecology patient questions.Methods: An expert panel of five board certified urogynecologists and two fellows developed ten commonly asked patient questions in a urogynecology office. Questions were phrased using diction and verbiage that a patient may use when asking a question over the internet. ChatGPT responses were evaluated using the Brief DISCERN (BD) tool, a validated scoring system for online health care information. Scores ≥ 16 are consistent with good-quality content. Responses were graded based on their accuracy and consistency with expert opinion and published guidelines.Results: The average score across all ten questions was 18.9 ± 2.7. Nine out of ten (90%) questions had a response that was determined to be of good quality (BD ≥ 16). The lowest scoring topic was \"Pelvic Organ Prolapse\" (mean BD = 14.0 ± 2.0). The highest scoring topic was \"Interstitial Cystitis\" (mean BD = 22.0 ± 0). ChatGPT provided no references for its responses.Conclusions: ChatGPT provided high-quality responses to 90% of the questions based on an expert panel's review with the BD tool. Nonetheless, given the evolving nature of this technology, continued analysis is crucial before ChatGPT can be accepted as accurate and reliable.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144325630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Postoperative Management of Bladder Perforation During Mid-Urethral Sling Procedures. 中尿道吊带术膀胱穿孔的术后处理。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-06-17 DOI: 10.1007/s00192-025-06185-z

Emir Gurbuz, E Cansu Cevik, Savci Bekir Telek, Oz Harmanli

{"title":"Postoperative Management of Bladder Perforation During Mid-Urethral Sling Procedures.","authors":"Emir Gurbuz, E Cansu Cevik, Savci Bekir Telek, Oz Harmanli","doi":"10.1007/s00192-025-06185-z","DOIUrl":"https://doi.org/10.1007/s00192-025-06185-z","url":null,"abstract":"Introduction and hypothesis: There is no clear consensus on managing bladder perforation after mid-urethral sling placement. Traditional use of an indwelling catheter can be frustrating. This study evaluates the difference in fistula rates between patients managed with and without continuous bladder drainage.Methods: A retrospective chart review of women who underwent mid-urethral sling procedures in an academic center between the years 2017 and 2023 was completed. All cases of bladder perforation detected upon intraoperative cystoscopy were included in this cohort. Patient information, including demographics, clinical data, and perioperative factors, including operation type and postoperative catheter use, were extracted from electronic medical records. Descriptive statistics were performed.Results: Out of a total of 1702 women who underwent mid-urethral sling procedures, 97 had bladder perforations confirmed by cystoscopy. Of these, 96 had retropubic slings, and 1 had a transobturator sling. There were 67 patients who also had concomitant pelvic organ prolapse repair, whereas 30 patients did not have any concomitant procedures. Of the cohort, 61 patients were discharged on the same day as the surgery without a catheter, whereas 36 had continuous bladder drainage with an indwelling catheter postoperatively. None of the patients developed fistulas in our study cohort. Postoperative adverse outcomes, including recurrent urinary tract infection, mesh exposure, and urinary retention were similar in the two groups (p > 0.05).Conclusions: Immediate postoperative catheter removal does not appear to be an unsafe practice compared with continuous postoperative urinary catheterization following bladder perforation as a result of sling trocar placement.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144316894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Knowledge and Prevalence of Urinary Incontinence Among Third-Trimester Pregnant Women. 妊娠晚期妇女尿失禁的知识和患病率。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-06-17 DOI: 10.1007/s00192-025-06197-9

Chanyut Khamkayan, Apisith Saraluck, Wanchat Komon

{"title":"Knowledge and Prevalence of Urinary Incontinence Among Third-Trimester Pregnant Women.","authors":"Chanyut Khamkayan, Apisith Saraluck, Wanchat Komon","doi":"10.1007/s00192-025-06197-9","DOIUrl":"https://doi.org/10.1007/s00192-025-06197-9","url":null,"abstract":"Introduction and hypothesis: To evaluate the knowledge regarding urinary incontinence (UI) among third-trimester pregnant women, identify associated factors, and determine the prevalence of UI.Material and methods: A cross-sectional study was performed on pregnant women in their third trimester, aged 20 years and older, at a tertiary care hospital from October 2023 to July 2024. The Prolapse and Incontinence Knowledge Questionnaire-Urinary Incontinence subscale (PIKQ-UI) was utilized as the principal instrument for evaluating knowledge. Participants achieving a score of 80% or higher on the PIKQ-UI questionnaire were considered proficient in UI knowledge. The associations between patient characteristics variables and proficient level of UI knowledge were investigated to identify associated factors. International Consultation on Incontinence Questionnaire-Female Lower Urinary Tract Symptoms (ICIQ-FLUTS) was used to determine the prevalence of UI.Results: A total of 692 participants completed the questionnaire, with a mean age of 29.49 ± 5.92 years, and 13.58% (94/692) of third-trimester pregnant women exhibited proficiency in UI knowledge. The mean UI knowledge, as indicated by the PIKQ-UI score, was 6.27 ± 2.66. Multivariate analysis of variables correlated with proficiency in UI knowledge indicated that employment as a health system worker was only one factor exhibiting a statistically significant correlation with proficiency in UI knowledge (OR 7.38, 95%CI 3.47-15.67, p value 0.03). The prevalence of UI was 66.33%, with mixed UI being the most common type.Conclusion: Despite the high prevalence of UI, third-trimester pregnant women were still perceived as having incomplete knowledge of the condition. Educating on UI may enhance understanding of the condition, improve healthcare accessibility, and improve the quality of life for affected women.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144316893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bone-Targeted High-Intensity Training Does Not Reduce Quality of Life Related to Pelvic Floor Dysfunction: The MEDEX-OP Randomized Controlled Trial. 针对骨骼的高强度训练不会降低与盆底功能障碍相关的生活质量：MEDEX-OP随机对照试验

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-06-16 DOI: 10.1007/s00192-025-06187-x

Melanie Kistler-Fischbacher, Benjamin K Weeks, Belinda R Beck

{"title":"Bone-Targeted High-Intensity Training Does Not Reduce Quality of Life Related to Pelvic Floor Dysfunction: The MEDEX-OP Randomized Controlled Trial.","authors":"Melanie Kistler-Fischbacher, Benjamin K Weeks, Belinda R Beck","doi":"10.1007/s00192-025-06187-x","DOIUrl":"https://doi.org/10.1007/s00192-025-06187-x","url":null,"abstract":"Introduction and hypothesis: High-intensity resistance and impact training (HiRIT) is the most effective exercise for improving bone strength, but it is traditionally discouraged for individuals with pelvic floor dysfunction, a condition that often coexists with osteoporosis. We therefore aimed to compare the effect of HiRIT with low-intensity Pilates-based exercise (LiPBE) on quality of life related to pelvic floor dysfunction in postmenopausal women.Methods: Healthy postmenopausal women with low bone mass were recruited and randomized to 8-month, twice-weekly supervised HiRIT or LiPBE. Pelvic floor-related quality of life was assessed using the Pelvic Floor Disability Index (PFDI-20) and Pelvic Floor Impact Questionnaire (PFIQ-7). Subgroup analysis was conducted to explore the overall effect of exercise (HiRIT or LiPBE) on PFDI-20 and PFIQ-7 total scores in individuals with and without a history of pelvic organ prolapse (POP).Results: A total of 115 women were included (mean age 64.4 years). There were no significant between-group differences in 8-month change in the PFDI-20 or its subscales, or the PFIQ-7. There was a significant within-group improvement in the Pelvic Organ Prolapse Distress Inventory subscale of the PFDI-20 (-2.3 [95% CI -4.4, 0.2]) in the LiPBE group. Exploratory subgroup analyses of the combined exercise groups showed an improvement in the PFDI-20 among participants with a history of POP over the 8-month training period (-11.9 [95% CI -22.8, -1.1]).Conclusion: Our findings suggest no negative effects of bone-targeted HiRIT on pelvic floor-related quality of life in postmenopausal women. On the contrary, our data provide preliminary evidence that exercise may have beneficial effects on pelvic floor health. However, further studies are needed.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0