Effects of wearing supportive underwear versus pelvic floor muscle training or no treatment in women with symptoms of stress urinary incontinence: an assessor-blinded randomized control trial

Okayama, Hisayo; Ninomiya, Sanae; Naito, Kiyoko; Endo, Yuichi; Morikawa, Shigehiro

doi:10.1007/s00192-018-03855-z

Cited by 5 publications

(7 citation statements)

References 12 publications

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“…We suppose patients would keep wearing the supportive underwear to maintain the higher bladder neck position. Though symptoms of SUI did not recur after 1 week even if the wearing was stopped, 16 a follow up study of the bladder neck position and SUI symptom after stopping wearing the underwear would be informative. Nevertheless, our FEA could be a first-step design strategy in the development of supportive underwear for the treatment of SUI.…”

Section: Discussionmentioning

confidence: 99%

“…The effectiveness of wearing supportive underwear to elevate the descended bladder neck to reduce SUI symptoms has been reported. 13,16 We reported that wearing supportive underwear was effective to reduce SUI symptoms and to elevate the descended bladder neck 13 and demonstrated that wearing supportive underwear is an easy and effective way to improve SUI compatible with the widely accepted pelvic floor muscle training. 16 Wearing ready-made supportive underwear has been proved to elevate the bladder neck not only at rest but also under added abdominal pressure by magnetic resonance (MR) images, and to improve SUI in 73.3%–85.4% of women aged 20–64 years with SUI.…”

Section: Introductionmentioning

confidence: 95%

“…13,16 We reported that wearing supportive underwear was effective to reduce SUI symptoms and to elevate the descended bladder neck 13 and demonstrated that wearing supportive underwear is an easy and effective way to improve SUI compatible with the widely accepted pelvic floor muscle training. 16 Wearing ready-made supportive underwear has been proved to elevate the bladder neck not only at rest but also under added abdominal pressure by magnetic resonance (MR) images, and to improve SUI in 73.3%–85.4% of women aged 20–64 years with SUI. The improvement was found while wearing the underwear and symptoms of SUI did not recur immediately even when the participants stopped wearing the underwear.…”

Section: Introductionmentioning

confidence: 95%

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Development of primary design guidelines for supportive underwear to elevate the bladder neck in women based on finite element analysis of the pelvis

Tawara

Nishiki²,

Ninomiya

et al. 2021

Proc Inst Mech Eng H

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The use of supportive underwear has been applied for preventing stress urinary incontinence (SUI) which is caused by descent of the bladder neck due to weakness in the pelvic floor muscles, because it is known that SUI can be improved by elevating the descended bladder neck. However, appropriate approaches to the underwear design are still being explored. In order to establish an appropriate first-order design strategy for supportive underwear, clarifying the relationship between the pressure from the underwear and the amount of elevation of the bladder neck is necessary. We constructed a finite element model of the pelvis based on magnetic resonance images of a subject in an upright position, experimentally explored Young’s modulus of the soft tissue and analyzed the amount of elevation of the bladder neck when changing the combination of applied pressures from the underwear. The position of the bladder neck relatively elevated when the pressure in the region from the abdomen to the pubis decreased and when the pressure in the region from the perineum to the coccyx increased, suggesting an appropriate design for the supportive underwear.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 95%

See 1 more Smart Citation

Development of primary design guidelines for supportive underwear to elevate the bladder neck in women based on finite element analysis of the pelvis

Tawara

Nishiki²,

Ninomiya

et al. 2021

Proc Inst Mech Eng H

Self Cite

View full text Add to dashboard Cite

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“…Pessaries offer support to the tissues supporting the internal pelvic organs, which may be lax and predispose the athlete to symptoms, while urethral support devices specifically target support to the urethra (96)(97)(98). Compression garments targeting the lumbopelvic region are a relatively new concept but may be able to optimize PFM function (99)(100)(101)(102). Women report perceived reductions in symptoms when using compression garments for lumbopelvic pain (103), stress urinary and/or fecal incontinence (101,102), and symptoms of pelvic organ prolapse (100).…”

Section: Adjuncts and Next Step Intervention For Pfdmentioning

confidence: 99%

Sports Medicine and the Pelvic Floor

Donnelly

Moore

2023

Curr Sports Med Rep

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The female athlete is seen as a specialist population meaning female considerations, such as pelvic floor dysfunction, are not widely taught within sports medicine. Females have unique anatomical characteristics compared with males including a wider pelvic diameter and an additional orifice in the form of the vagina. Furthermore, symptoms of pelvic floor dysfunction are prevalent among female athletes and transitional periods in their lifespan. They also are a barrier to training and performance. Therefore, it is essential that sports medicine practitioners understand how to identify and manage pelvic floor dysfunction. This report aims to describe the anatomy and function of the pelvic floor, outline the types and rates of pelvic floor dysfunction, discuss evidence-based management, and raise awareness of perinatal bodily changes. Practical recommendations are made to aid sports organizations and sports medicine practitioners in supporting the female athlete and in using a proactive approach to manage the perinatal athlete.

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“…In 15% of patients with severe urinary incontinence, surgical treatment is resorted to, which improves the quality of life to varying degrees. However, according to the literature in the field of functional disorders of the urinary system [ 3 , 4 ], it is argued that the rehabilitation of the muscles responsible for the efficient emptying of the urinary tract should be performed both before and after a surgical procedure. Nowadays, the treatment of bladder dysfunction based on biofeedback and EMG therapy is a universal standard.…”

Section: Introductionmentioning

confidence: 99%

Application of Machine Learning Algorithms to the Discretization Problem in Wearable Electrical Tomography Imaging for Bladder Tracking

Baran¹,

Kozłowski

Majerek

et al. 2023

Sensors

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The article presents the implementation of artificial intelligence algorithms for the problem of discretization in Electrical Impedance Tomography (EIT) adapted for urinary tract monitoring. The primary objective of discretization is to create a finite element mesh (FEM) classifier that will separate the inclusion elements from the background. In general, the classifier is designed to detect the area of elements belonging to an inclusion revealing the shape of that object. We show the adaptation of supervised learning methods such as logistic regression, decision trees, linear and quadratic discriminant analysis to the problem of tracking the urinary bladder using EIT. Our study focuses on developing and comparing various algorithms for discretization, which perfectly supplement methods for an inverse problem. The innovation of the presented solutions lies in the originally adapted algorithms for EIT allowing for the tracking of the bladder. We claim that a robust measurement solution with sensors and statistical methods can track the placement and shape change of the bladder, leading to effective information about the studied object. This article also shows the developed device, its functions and working principle. The development of such a device and accompanying information technology came about in response to particularly strong market demand for modern technical solutions for urinary tract rehabilitation.

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Effects of wearing supportive underwear versus pelvic floor muscle training or no treatment in women with symptoms of stress urinary incontinence: an assessor-blinded randomized control trial

Cited by 5 publications

References 12 publications

Development of primary design guidelines for supportive underwear to elevate the bladder neck in women based on finite element analysis of the pelvis

Development of primary design guidelines for supportive underwear to elevate the bladder neck in women based on finite element analysis of the pelvis

Sports Medicine and the Pelvic Floor

Application of Machine Learning Algorithms to the Discretization Problem in Wearable Electrical Tomography Imaging for Bladder Tracking

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