Síndrome de dolor miofascial del suelo pélvico: una patología urológica muy frecuente

Itza, F.; Zarza, Daniel; Serra, L.; Sancha, Fernando Gómez; Salinas, J.; Allona-Almagro, A.

doi:10.1016/j.acuro.2009.12.013

Cited by 28 publications

(4 citation statements)

References 41 publications

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“…It was hypothesized that the inflammatory reaction of the sling material may lead to tissue retraction and hypertonia of the obturator muscle, which may simulate a pinched pudendal nerve, inducing groin and perineal pain ( 87 , 88 ).…”

Section: Resultsmentioning

confidence: 99%

Update on complications of synthetic suburethral slings

et al. 2017

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Synthetic suburethral slings have become the most widely used technique for the surgical treatment of stress urinary incontinence. Despite its high success rates, significant complications have been reported including bleeding, urethral or bladder injury, urethral or bladder mesh erosion, intestinal perforation, vaginal extrusion of mesh, urinary tract infection, pain, urinary urgency and bladder outlet obstruction. Recent warnings from important regulatory agencies worldwide concerning safety issues of the use of mesh for urogynecological reconstruction have had a strong impact on patients as well as surgeons and manufacturers. In this paper, we reviewed the literature regarding surgical morbidity associated with synthetic suburethral slings.

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Section: Resultsmentioning

confidence: 99%

Update on complications of synthetic suburethral slings

et al. 2017

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“…At any session, if a woman achieved a score < 3 [19] on levator ani testing (LAT), intravaginal electrical stimulation (using biphasic pulses with frequency = 85 Hz, pulse width = 500 µs and a train: rest period = 4:8, then using biphasic pulses with frequency = 30 Hz, pulse width = 500 µs and a train: rest period of 15:10) was used for 15 min during the session to enhance PFM awareness and contraction. When pain was reported on palpation of the PFMs, local compression was applied to painful points, and local stretching and eccentric PFM exercises were performed [20].…”

Section: Pelvic Floor Muscle Training Group (Pfmt-g)mentioning

confidence: 99%

Effectiveness of Hypopressive Exercises in Women with Pelvic Floor Dysfunction: A Randomised Controlled Trial

Navarro-Brazález

Prieto-Gómez

Prieto‐Merino

et al. 2020

JCM

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Hypopressive exercises have emerged as a conservative treatment option for pelvic floor dysfunction (PFD). The aim of this study was to compare the effects of an eight-week hypopressive exercise program to those of an individualized pelvic floor muscle (PFM) training (PFMT) program, and to a combination of both immediately after treatment and at follow-up assessments at 3, 6 and 12 months later. The study was a prospective, single-centre, assessor-blinded, randomised controlled trial. Ninety-four women with PFD were assigned to PFMT (n = 32), hypopressive exercises (n = 31) or both (n = 31). All programs included the same educational component, and instruction about lifestyle interventions and the knack manoeuvre. Primary outcomes were the Pelvic Floor Distress Inventory Short Form (PFDI-20); the Pelvic Floor Impact Questionnaire Short Form (PFIQ-7); PFM strength (manometry and dynamometry) and pelvic floor basal tone (dynamometry). There were no statistically significant differences between groups at baseline, nor after the intervention. Overall, women reduced their symptoms (24.41–30.5 on the PFDI-20); improved their quality of life (14.78–21.49 on the PFIQ-7), improved their PFM strength (8.61–9.32 cmH2O on manometry; 106.2–247.7 g on dynamometry), and increased their pelvic floor basal tone (1.8–22.9 g on dynamometry). These data suggest that individual PFMT, hypopressive exercises and a combination of both interventions significantly reduce PFD symptoms, enhance quality of life, and improve PFM strength and basal tone in women with PFD, both in the short and longer term.

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“…Trigger points are usually between 2 -5 mm and can be unblocked with therapeutic exercises that release persistent spasms. Physical therapy to release trigger points usually consists of such techniques as: massage, stretching, unblocking trigger points by pressing and massaging them, the use of dry needling and improving poor mobility in fascias (myofascial induction) [14].…”

Section: Myofascial Therapymentioning

confidence: 99%

Physiotherapy in Treating Sexual Pain Disorders in Women: A Systematic Review

Rochera¹

2016

ASM

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Importance: A lot of women suffer from sexual disfunctions, which most of the times cause pain and discomfort. Many genito-pelvic pain disorders appear in the form of contractions or pelvic floor muscle tension, which makes any type of penetration (sexual, tampons, gynaecological examination tools) impossible. In this condition, a woman cannot control these muscle contractions and experiences moderate to intense pain. Objectives: To summarise published evidence on efficacy of physiotherapy for treating female sexual pain disorders, ways to evaluate the condition of a patient and to find the correct treatment. Evidence review: A literature search of Cochrane, PubMed, Journal of Sexual Medicine and Urogynecology Journal databases, SciELO, Google Scholar, Wiley Online Library and University of Barcelona Library was conducted. Findings: Physiotherapy techniques are used to strengthen pelvic floor muscles and relieve pain. Kegel exercises improve the symptoms of sexual pain disorders as they deal with weakened muscles. Vaginal cones exercises are used to strengthen the muscles by means of introduction of gradually increasing weights in the vagina. Biofeedback helps to increase muscle awareness and auto-evaluation of performed exercises. Thermotherapy relaxes muscles and increases elasticity of tissues which helps to reduce pain. Electro-stimulation improves the functionality of muscles. Myofascial therapy consists mainly in manual therapy and in liberating painful trigger points. Conclusions: The role of pelvic physiotherapy is to solve the problems related to sexual pain, recovering the pelvic floor by increasing muscle awareness and proprioception, improving muscle relaxation, toning the muscles and increasing the elasticity of the tissues in order to eliminate or reduce pain. Different exercise techniques, biofeedback, manual therapy and insertion techniques, as well as electro-stimulation and thermotherapy are used to achieve positive results.

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Síndrome de dolor miofascial del suelo pélvico: una patología urológica muy frecuente

Abstract: It is the most common cause of pain in the pelvic floor and greatly affects quality of life of patients. Nowadays, we have diagnostic and therapeutic tools that allow us to treat this disabling syndrome with good results.

Cited by 28 publications

References 41 publications

Update on complications of synthetic suburethral slings

Update on complications of synthetic suburethral slings

Effectiveness of Hypopressive Exercises in Women with Pelvic Floor Dysfunction: A Randomised Controlled Trial

Physiotherapy in Treating Sexual Pain Disorders in Women: A Systematic Review

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