Assessment of pelvic floor muscles in women with deep endometriosis

Abstract

Women with deep endometriosis have increased prevalence of pelvic floor muscle spasms when compared to the control group.

Pelvic floor muscle dysfunction on 3D/4D transperineal ultrasound in patients with deep infiltrating endometriosis: a pilot study

“…In a recent study, Dos Bispo et al . showed that women with DIE have increased prevalence of PFM spasms, as assessed by clinical examination.…”

“…A recent case–control study showed that women with DIE have an increased prevalence of PFM spasms when compared with women without endometriosis. However, assessment of the PFM using digital palpation or electromyography may elicit pain that may provoke a muscle contraction and result in significant bias in the findings obtained.…”

Pelvic floor muscle assessment on three‐ and four‐dimensional transperineal ultrasound in women with ovarian endometriosis with or without retroperitoneal infiltration: a step towards complete functional assessment

“…This is the first study to evaluate objectively the functional status of PFM in women with different patterns of the disease to assess the impact of retroperitoneal infiltration on PFM hypertonic disorder. Dos Bispo et al . showed that women with DIE had an increased prevalence of pelvic floor muscle spasms on clinical examination than did asymptomatic women without endometriosis.…”

“…In addition to the classical pain syndrome of DIE (characterized by dysmenorrhea, dyspareunia, chronic pelvic pain, dysuria and dyschezia), deep lesions are associated with dysfunction of the pelvic organs and pelvic floor muscle (PFM). A series of events or combination of factors may contribute to the development of non‐relaxing PFM disorder in women with chronic pelvic pain, including direct or indirect (neuropathic) injury to the pelvic floor muscle, pelvic pain symptoms and inflammation.…”

Neuromodulation for the Treatment of Endometriosis-Related Symptoms

“…Among these dysfunctions, pelvic floor muscle hypertonicity is among the most important, as the prevalence of muscles spasms and hypertonicity is three times higher in women with endometriosis than in controls (26). This is probably an inherent reaction to pain that can become chronic, especially in pain that has become symptomatic for longer periods of time, together with the hyperalgesic priming (27), both of which consist of good indications for neuromodulation (28).…”