Lies, damned lies, and pelvic floor illustration: Confused about pelvic floor anatomy? You are not alone

DeLancey, John O.L.

doi:10.1007/s00192-022-05087-8

Cited by 8 publications

(13 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…18 This compartmentalization of support is helpful for conceptualization; however, the reality is more complex, with no individual level of support acting alone. 19 Pelvic organ support is influenced by several factors briefly mentioned here; a full description of risk factors is beyond the scope of this document. Although risk factors for prolapse have been identified, the observation that some women develop prolapse whereas others remain asymptomatic continues to challenge our understanding of the pathophysiology of prolapse.…”

Section: Pathophysiology and Risk Factorsmentioning

confidence: 99%

Nonoperative Management of Pelvic Organ Prolapse

Sung

Jeppson

Madsen

2023

Obstetrics &Amp; Gynecology

View full text Add to dashboard Cite

Pelvic organ prolapse (POP) is defined as the descent of one or more of the anterior, posterior, or apical vagina. It is a common condition, with up to 50% of women having prolapse on examination in their lifetimes. This article provides an overview of the evaluation and discussion of nonoperative management of POP for the obstetrician-gynecologist (ob-gyn), with consideration of recommendations from the American College of Obstetricians and Gynecologists, the American Urogynecologic Society, and the International Urogynecological Association. The initial evaluation of POP requires a history documenting whether the patient is experiencing symptoms and what they are, and discovery of which symptoms they believe are attributable to prolapse. Examination determines the vaginal compartment(s) and to what degree prolapse exists. In general, only patients who have symptomatic prolapse or medical indication should be offered treatment. Although surgical options exist, all patients who are symptomatic and desire treatment should be offered nonsurgical treatment first, including pelvic floor physical therapy or a pessary trial. Appropriateness, expectations, complications, and counseling points are reviewed. Educational opportunities between the patient and the ob-gyn include disentangling common beliefs that the bladder is dropping or that concomitant urinary or bowel symptoms are necessarily caused by prolapse. Improving patient education can lead to a better understanding of their condition and better alignment of treatment goals and expectations.

show abstract

Section: Pathophysiology and Risk Factorsmentioning

confidence: 99%

Nonoperative Management of Pelvic Organ Prolapse

Sung

Jeppson

Madsen

2023

Obstetrics &Amp; Gynecology

View full text Add to dashboard Cite

show abstract

“…Probably, those who started using the terminology of fascia for manual medicine did not know how to use manual techniques for such tissues and, now, it is too late to go back [ 51 - 53 ]. "The difficulty lies not so much in developing new ideas as in escaping from old ones" [ 4 ].…”

Section: Reviewmentioning

confidence: 99%

“…The value of the fascia changes according to the health professional. For the surgeon, the endopelvic fascia is a structure that plays an important role in the function and support of the viscera, while for the anatomist it is a weak layer consisting of areolar tissue with the function of covering the pelvic viscera [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Fascial Nomenclature: Update 2022

Bordoni¹,

Escher²,

Tobbi³

et al. 2022

Cureus

View full text Add to dashboard Cite

The connective tissue or fascia plays key roles in maintaining bodily function and health. The fascia is made up of solid and fluid portions, which interpenetrate and interact with each other, forming a polymorphic three-dimensional network. In the vast panorama of literature there is no univocal thought on the nomenclature and terminology that best represents the concept of fascia. The Foundation of Osteopathic Research and Clinical Endorsement (FORCE) organization brings together various scientific figures in a multidisciplinary perspective. FORCE tries to find a common nomenclature that can be shared, starting from the scientific notions currently available. Knowledge of the fascial continuum should always be at the service of the clinician and never become an exclusive for the presence of copyright, or commodified for the gain of a few. FORCE is a non-profit organization serving all professionals who deal with patient health. The article reviews the concepts of fascia, including some science subjects rarely considered, to gain an understanding of the broader fascial topic, and proposing new concepts, such as the holographic fascia.

show abstract

“…Fourth, as the pelvis is characterized by a complicated morphology, its anatomy is controversial. 6 , 7 , 8 , 9 Understanding the MA requires abstract thinking. Confirming and establishing the MA system is thus challenging.…”

mentioning

confidence: 99%