Pelvic floor spasm as a cause of voiding dysfunction

Kuo, Tricia Li Chuen; Ng, Lay Guat; Chapple, Christopher R.

doi:10.1097/mou.0000000000000174

Cited by 26 publications

(20 citation statements)

References 37 publications

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“…The assessing clinician must therefore be aware of FUS as a cause of LUTS in females, to minimize the potential for misdiagnosis. Voiding dysfunction due to neuromuscular dysfunction of the pelvic floor and external urethral sphincter would appear to be relatively common (9), though accurate characterization of the cause of voiding dysfunction in women is lacking.…”

Section: Female Urethral Stricture (Fus)mentioning

confidence: 99%

Surgical management of female urethral strictures

Hoag¹,

Chee²

2017

Transl. Androl. Urol.

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Female urethral stricture (FUS) represents a rare condition, yet one that can cause significant, bothersome lower urinary tract symptoms (LUTS). Historically, urethral dilation has been a preferred treatment choice for these patients. A variety of reconstructive surgical techniques have been described in recent years to provide more definitive management in this challenging group of patients. We present an overview of FUS and a summary of surgical management options.

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Section: Female Urethral Stricture (Fus)mentioning

confidence: 99%

Surgical management of female urethral strictures

Hoag¹,

Chee²

2017

Transl. Androl. Urol.

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“…In a recent review, Kuo et al. addressed the importance of pelvic floor spasm in the origin of voiding dysfunction in females (Kuo et al, 2015). Moreover, in normal conditions there is an important bladder-to-urethra reflex mediated by sympathetic efferent pathways.…”

Section: Evaluation Of the Hypothesismentioning

confidence: 99%

Primary bladder neck obstruction may be determined by postural imbalances

et al. 2016

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“…Our results confirm prior published literature reporting a possible association between PFMP and lower urinary tract symptoms . We found that patients who report symptoms typically attributed to a UTI do not have evidence of a UTI on a catheterized urine specimen.…”

Section: Discussionmentioning

confidence: 99%

Pelvic floor myofascial pain in patients with symptoms of urinary tract infection

Wolff

Joyce

Brincat

et al. 2019

Intl J Gynecology & Obste

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Objective To correlate lower urinary tract symptoms typically associated with a urinary tract infection (UTI) with physical examination findings of pelvic floor myofascial pain (PFMP). Methods This retrospective review included all new patients presenting to a urogynecology clinic between August 2 and December 19, 2016. Patients completed validated questionnaires, had a catheterized urine specimen, and underwent pelvic examination. Associations between demographics, symptoms, urine culture, and PFMP were analyzed. Results We included 250 patients with urinary frequency (n=160, 64.0%), urgency (n=155, 62.0%), urgency incontinence (n=140, 56.0%), pelvic pain (n=43, 17.2%), and dysuria (n=25, 10.0%). PFMP was detected in 125 (50.0%) patients and culture‐proven UTI in 15 (6.0%) patients. Demographics associated with PFMP were lower prolapse stage (P<0.001), age younger than 50 years (P<0.001), lower parity (P=0.028), and non‐white ethnicity (P=0.003). Symptoms associated with PFMP were dysuria (adjusted odds ratio 4.13, 95% confidence interval 1.08–15.78), urgency/frequency (2.72, 1.47–5.04), and patient‐reported pelvic pain (2.57, 1.08–6.12). These symptoms were independent predictors in multivariable logistic regression analysis. Conclusions Most patients had symptoms associated with UTI; however, culture‐confirmed diagnosis was infrequent and PFMT was diagnosed in half of participants. Clinicians treating women with these symptoms are advised to examine the pelvic floor muscles.

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Pelvic floor spasm as a cause of voiding dysfunction

Cited by 26 publications

References 37 publications

Surgical management of female urethral strictures

Surgical management of female urethral strictures

Primary bladder neck obstruction may be determined by postural imbalances

Pelvic floor myofascial pain in patients with symptoms of urinary tract infection

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