The hidden epidemic of pelvic floor dysfunction: Achievable goals for improved prevention and treatment

DeLancey, John O.L.

doi:10.1016/j.ajog.2005.02.028

Cited by 333 publications

(212 citation statements)

References 8 publications

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“…Stress Urinary Incontinence (SUI), affects 6-33% of the female population and while not life threatening, can severely compromise quality of life as well as imposing a financial burden on the health care system (Delancey 2005). With the advent of Magnetic Resonance Imaging (Christensen et al 1995;Miller et al 2004) and Dynamic Ultrasound Imaging technologies Dietz et al 2003;Miller et al 2001;Peschers et al 2001;Sartore et al 2003) there have been recent advances in the understanding of the anatomical changes occuring in the Pelvic Floor Muscles (PFM) as a consequence of contraction.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound Evaluation of Dynamic Responses of Female Pelvic Floor Muscles

Peng¹,

Jones²,

Shishido³

et al. 2007

Ultrasound in Medicine & Biology

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Ultrasound imaging of the pelvic floor carrys diagnostically important information about the dynamic response of the Pelvic Floor Muscles (PFM) to potentially incontinence-producing stress, which can not be readily captured and assimilated by the observer during the scanning process. We presented an approach based on motion tracking to quantatively analyze the dynamic parameters of PFM on the Ano-Rectal Angle (ARA). Perineal ultrasonography was performed on 22 asymptomatic females and 9 Stress Urinary Incontinent (SUI) patients with a broad age distribution and parity. The ventraldorsal and cephalad-caudad movements of the ARA were resolved and kinematic parameters, in terms of displacement, trajectory, velocity and acceleration were analyzed. The results revealed the possible mechanisms of PFM responses to prevent the urine from incontinence in fast and stress events. The statistical analyses showed the PFM responses of the healthy subjects and the SUI patients are significantly different in both the supine and standing experiments.

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Section: Introductionmentioning

confidence: 99%

Ultrasound Evaluation of Dynamic Responses of Female Pelvic Floor Muscles

Peng¹,

Jones²,

Shishido³

et al. 2007

Ultrasound in Medicine & Biology

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show abstract

“…or poorly symptomatic (pelvic pain, sense of weight, feeling of incomplete evacuation) for years, especially in the early stages of pelvic organ prolapse [1,2,8]. Moreover, physical examination is often diffi cult and inadequate for a complete anatomical and functional assessment of the pelvis [9].…”

Section: Gli Studi Fi Nora Pubblicati In Letteratura Per La Valutaziomentioning

confidence: 99%

Dynamic MR defecography with an open-configuration, low-field, tilting MR system in patients with pelvic floor disorders

et al. 2011

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Purpose. This study was undertaken to explore the capabilities of an open-confi guration, low-fi eld, tilting, magnetic resonance (MR) system for investigating pelvic fl oor disorders and to compare the results obtained with the patient in the semiorthostatic and supine positions. Materials and methods. Eighteen female patients with a diagnosis of pelvic fl oor disorder (physical examination and conventional defecography) underwent dynamic MR defecography (MRD) with a 0.25-T tilting MR system (G-scan, Esaote). Images were obtained after administration of contrast agent into the rectum, bladder and vagina in both the orthostatic and supine positions. Three-dimensional T2-weighted hybrid contrast-enhanced (HYCE) sequences and dynamic T1-weighted gradient echo (GE) sequences were acquired at rest, during maximal contraction of the anal sphincter, straining and defecation. Results. Good image quality was obtained in 15/18 patients; three presented severe artefacts due to motion, and three had incontinence, which hampered the functional studies. Better anatomical detail was obtained with MRD compared with conventional defecography. Three prolapses were observed in the semiorthostatic position only, and seven were found to be more severe in the orthostatic than in the supine position. Conclusions. Dynamic MRD with an open-confi guration, low-fi eld, tilting MR system is a feasible and promising tool for studying the pelvic fl oor. Larger series are necessary to assess its real diagnostic value. Riassunto

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“…Известно, что 10-15 % больных с ПТО, как правило страдающих различными нарушениями функции тазовых орга нов, обращаются за медицинской помо-щью [1,2]. Хирургическое лечение является…”

Section: Introductionunclassified

Pelvic organ prolapse in women: what are the patient expectations of the prospective treatment?

Korshunov

Юрьевич²

2017

Z.akus.zen.bolezn

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Background. Personalized approach to the issue of pelvic organ prolapse in women assumes a detailed analysis of the patient’s expectations from the surgical treatment ahead. Aim: detailing the treatment goals for patients with POP. Materials and methods: Four hundred eighty six patients (mean age 54.3 ± 9.5 years) participated in a survey designed based on content from verbal reports of women with POP seeking medical help. Results: Out of 9 presented options patients indicated 2–7 treatment goals. The most frequently specified main goals of the treatment were: cure of urinary incontinence (48.6%), correction of vaginal wall prolapse (27.1%), and improvement of quality of sexual life (10.3%). Conclusion. Patients with POP indicate numerous objectives of surgical treatment. Treatment of urinary incontinence is the most frequently sought out main goal.

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The hidden epidemic of pelvic floor dysfunction: Achievable goals for improved prevention and treatment

Cited by 333 publications

References 8 publications

Ultrasound Evaluation of Dynamic Responses of Female Pelvic Floor Muscles

Ultrasound Evaluation of Dynamic Responses of Female Pelvic Floor Muscles

Dynamic MR defecography with an open-configuration, low-field, tilting MR system in patients with pelvic floor disorders

Pelvic organ prolapse in women: what are the patient expectations of the prospective treatment?

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