Pelviperineology最新文献_第10页

Long-term effects of a placebo-controlled trial of enoxaparin for treatment of severe provoked vulvodynia 依诺肝素治疗严重诱发性外阴痛的安慰剂对照试验的长期效果

Pelviperineology Pub Date : 2021-01-01 DOI: 10.34057/ppj.2021.40.02.005

Elad Ofir, E. Palzur, J. Bornstein

引用次数: 0

Efficacy of pelvic floor magnetic stimulation combined with electrical stimulation on postpartum pelvic organ prolapse: a retrospective study 盆底磁刺激联合电刺激治疗产后盆腔器官脱垂的回顾性研究

Pelviperineology Pub Date : 2021-01-01 DOI: 10.34057/ppj.2020.39.01.004

Lin Zhang, Xiaofei Lv, Jiasong Tang

{"title":"Efficacy of pelvic floor magnetic stimulation combined with electrical stimulation on postpartum pelvic organ prolapse: a retrospective study","authors":"Lin Zhang, Xiaofei Lv, Jiasong Tang","doi":"10.34057/ppj.2020.39.01.004","DOIUrl":"https://doi.org/10.34057/ppj.2020.39.01.004","url":null,"abstract":"Pelvic organ prolapse (POP) is a condition in which organs fall down or slip out of place and present as a bulge or herniation of a pelvic organ. POP is classified as a cystocele, rectocele, uterine prolapse, enterocele or vault prolapse. The prevalence of POP, based on a clinical evaluation, in general population of females was considered to be more than 30%, while prevalence based on vaginal bulge symptoms ranged between 5 and 10%. Symptomatic POP may cause substantial discomfort, lower quality of life and restrict daily activities. An estimated lifetime cumulative risk of 7-11% POP surgery has been reported and reoperation is common. Prevention and diagnosis of early symptoms is important. The incidence rate of POP stage ≥II is estimated to be between 18-56% 3 to 6 months’ postpartum. Pregnancy, childbirth, and heavy lifting can weaken the structure of the vagina and cause POP. Treatment options vary depending on the severity of symptoms and the degree of prolapse. Conservative management includes lifestyle advice, pessary, pelvic floor muscle (PFM) training (PFMT), biofeedback, electrical stimulation, to mention some of the common interventions, and these are usually adopted for mild to moderate degrees of POP. Evidence suggests pessary and PFMT are also effective first-line treatments for women ABSTRACT","PeriodicalId":92832,"journal":{"name":"Pelviperineology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70001004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Urinary incontinence during sexual intercourse 性交时尿失禁

Pelviperineology Pub Date : 2021-01-01 DOI: 10.34057/ppj.2021.40.02.001

B. Ileana, Renata Ciobanu, T. Enache

{"title":"Urinary incontinence during sexual intercourse","authors":"B. Ileana, Renata Ciobanu, T. Enache","doi":"10.34057/ppj.2021.40.02.001","DOIUrl":"https://doi.org/10.34057/ppj.2021.40.02.001","url":null,"abstract":"©Copyright 2021 by the International Society for Pelviperineology / Pelviperineology published by Galenos Publishing House. 67 Pelviperineology 2021;40(2):67-75 Objective: Pelvic Floor Muscle Group Therapy (PFMGT) is an effective treatment option in the general population. However, the effect of therapy during pregnancy and shortly thereafter is unclear. Therefore, this study investigates the effect of PFMGT in peri-partum women with UI compared to care-as-usual. Materials and Methods: Two randomized controlled trials: study 1: pregnant women and study 2: 6 weeks post-partum women, were performed. The primary outcome was UI severity based on the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short form (ICIQ-UI SF). Secondary outcomes were the Global Impression of Severity (GPE) measuring patient’s self-reported improvement and the Incontinence Impact Questionnaire-7 (IIQ-7), measuring UI impact. Descriptive and univariate analysis were reported and the non-parametric Mann-Whitney U test was used to compare differences between groups. Results: Inclusion numbers could not be met, and therefore all women received individual Pelvic floor muscles training (PFMT). Study 1 showed no significant results regarding the prevalence of UI (ICIQ-UI SF), GPE and IIQ-7 at any measurement moment. As compared to baseline, study 2 showed a significant improvement for prevalence of UI and impact of UI at 4 months post-partum, however there was no significant difference between groups at other measurement moments. Significant subjective improvement was seen at 4 and 9 months post-partum, in favor of the PFMT group (p=0.02). Conclusion: PFMT, started after childbirth, demonstrated improved UI and quality of life with a lower number of complaints at the 4 months post-partum assessment. However, the full potential of effectiveness of PFMT could not be established due to insufficient inclusions.","PeriodicalId":92832,"journal":{"name":"Pelviperineology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70001241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Minimal invasive and effective therapy of faecal incontinence with a preanal tape 肛前胶带治疗大便失禁的微创有效方法

Pelviperineology Pub Date : 2021-01-01 DOI: 10.34057/ppj.2020.39.04.004

S. Muctar, Andrei I MÜLLER-FUNOGEA, M. Kowallik, N. Fischer

{"title":"Minimal invasive and effective therapy of faecal incontinence with a preanal tape","authors":"S. Muctar, Andrei I MÜLLER-FUNOGEA, M. Kowallik, N. Fischer","doi":"10.34057/ppj.2020.39.04.004","DOIUrl":"https://doi.org/10.34057/ppj.2020.39.04.004","url":null,"abstract":"Faecal incontinence is defined by involuntary, uncontrolled faecal loss. The prevalence of faecal incontinence is high. In the literature the prevalence is: 7-15% in the general population, in hospitals up to 30% and in nursing homes up to 70%. The number of unreported cases is probably higher, as patients do not report it spontaneously and most doctors do not specifically ask about faecal incontinence routinely during the medical history survey. The causes that lead to faecal incontinence are manifold. Local anatomical changes affecting the sphincter ani, pelvic floor muscles, ligaments, fascia and their visceral and somatic innervations can be causes of faecal incontinence. Diseases of the peripheral and central nervous system can also cause defecation problems and faecal incontinence. Accurate anamnesis, examinations such as perineal sonography, anorectal manometry, rectoscopy, digital rectal examination, as well as the dynamic pelvic floor magnetic resonance imaging (MRI), are important assessment tools for the anatomy and function of the anal canal.2 Therapy modalities vary from conservative to surgical. Bharucha et al. list for the therapy of faecal incontinence “15 best practice advice”, of which 13 practices are classified as surgical interventions.3 This list shows that there is no best surgical solution for the treatment of faecal incontinence. It is therefore of uttermost importance to develop a reliable therapy for faecal incontinence.","PeriodicalId":92832,"journal":{"name":"Pelviperineology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70001201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Provoked vulvodynia: A peripheral neurological pain syndrome 诱发性外阴痛:一种周围神经疼痛综合征

Pelviperineology Pub Date : 2021-01-01 DOI: 10.34057/ppj.2020.39.03.001

J. Bornstein, E. Palzur

引用次数: 0

Removal time of postoperative vesical catheter in utero-vaginal prolapse surgery: a comparative study 子宫阴道脱垂术后膀胱导尿管拔出时间的比较研究

Pelviperineology Pub Date : 2021-01-01 DOI: 10.34057/ppj.2021.40.02.007

Edgardo CASTILLO-PINO, Natalia Benavides, V. Acevedo, Valeria Alonso

引用次数: 1

Chronic pelvic pain associated with Nutcraker Phenomenon and pelvic congestion: a case report 慢性盆腔疼痛伴胡桃钳现象及盆腔充血1例

Pelviperineology Pub Date : 2021-01-01 DOI: 10.34057/ppj.2021.40.02.008

I. Sänger, Oscar Romero Gural, C. Sarsotti, Martina Santillán Iturres

引用次数: 0

Pelvic floor muscle group therapy for the treatment of urinary incontinence during pregnancy and post-partum: a randomized controlled trial 盆底肌群疗法治疗妊娠和产后尿失禁:一项随机对照试验

Pelviperineology Pub Date : 2021-01-01 DOI: 10.34057/ppj.2021.40.02.002

Heidi F. A. Moossdorff-Steinhauser, B. Berghmans, M. Spaanderman, E. Bols

{"title":"Pelvic floor muscle group therapy for the treatment of urinary incontinence during pregnancy and post-partum: a randomized controlled trial","authors":"Heidi F. A. Moossdorff-Steinhauser, B. Berghmans, M. Spaanderman, E. Bols","doi":"10.34057/ppj.2021.40.02.002","DOIUrl":"https://doi.org/10.34057/ppj.2021.40.02.002","url":null,"abstract":"©Copyright 2021 by the International Society for Pelviperineology / Pelviperineology published by Galenos Publishing House. 67 Pelviperineology 2021;40(2):67-75 Objective: Pelvic Floor Muscle Group Therapy (PFMGT) is an effective treatment option in the general population. However, the effect of therapy during pregnancy and shortly thereafter is unclear. Therefore, this study investigates the effect of PFMGT in peri-partum women with UI compared to care-as-usual. Materials and Methods: Two randomized controlled trials: study 1: pregnant women and study 2: 6 weeks post-partum women, were performed. The primary outcome was UI severity based on the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short form (ICIQ-UI SF). Secondary outcomes were the Global Impression of Severity (GPE) measuring patient’s self-reported improvement and the Incontinence Impact Questionnaire-7 (IIQ-7), measuring UI impact. Descriptive and univariate analysis were reported and the non-parametric Mann-Whitney U test was used to compare differences between groups. Results: Inclusion numbers could not be met, and therefore all women received individual Pelvic floor muscles training (PFMT). Study 1 showed no significant results regarding the prevalence of UI (ICIQ-UI SF), GPE and IIQ-7 at any measurement moment. As compared to baseline, study 2 showed a significant improvement for prevalence of UI and impact of UI at 4 months post-partum, however there was no significant difference between groups at other measurement moments. Significant subjective improvement was seen at 4 and 9 months post-partum, in favor of the PFMT group (p=0.02). Conclusion: PFMT, started after childbirth, demonstrated improved UI and quality of life with a lower number of complaints at the 4 months post-partum assessment. However, the full potential of effectiveness of PFMT could not be established due to insufficient inclusions.","PeriodicalId":92832,"journal":{"name":"Pelviperineology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70000782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pain mapping: A mechanisms-oriented protocol for the assessment of chronic pelvic pain and urogenital pain syndromes 疼痛制图:慢性盆腔疼痛和泌尿生殖系统疼痛综合征评估的机制导向方案

Pelviperineology Pub Date : 2021-01-01 DOI: 10.34057/ppj.2020.39.01.002

M. Jantos

引用次数: 0

Bilateral Sacrospineous Colposupension in the treatment of female genital prolapse: Risk-Benefit Considerations and Six Months Follow-up 双侧骶棘阴道悬吊治疗女性生殖器脱垂:风险-收益考虑和6个月随访

Pelviperineology Pub Date : 2021-01-01 DOI: 10.34057/ppj.2020.39.03.003

F. Hemptenmacher, S. Ollig, A. Wagner, A. DE VRIES, D. Kieback

引用次数: 2