The vaginal pressure profile

Guaderrama, Noelani M.; Nager, Charles W.; Liu, Jianmin; Pretorius, Dolores H.; Mittal, Ravinder K.

doi:10.1002/nau.20112

Cited by 75 publications

(49 citation statements)

References 27 publications

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“…The middle of the balloon was placed 3.5 cm proximal to the vaginal introitus 38 in the vaginal high-pressure zone. 39 Muscle strength was calculated as the mean of three maximal voluntary contractions (Figure 1). The method has been found to be reliable and valid if used with the simultaneous observation of the inward movement of the catheter/perineum during PFM contraction.…”

Section: Pfm Functionmentioning

confidence: 99%

Pelvic floor function is independently associated with pelvic organ prolapse

Brækken

Majida

Engh

et al. 2009

BJOG

113

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Objective To investigate the risk factors for pelvic organ prolapse (POP), including physical activity, clinically measured joint mobility and pelvic floor muscle (PFM) function.Design One-to-one age-and parity-matched case-control study.Setting Akershus university hospital and one outpatient physiotherapy clinic in Norway.Population Forty-nine women with POP (POP quantification, stage ‡II) and 49 controls (stages 0 and I) were recruited from community gynaecologists and advertisements in newspapers.Methods Validated questionnaires, interview and clinical examination, including Beighton's scoring system (joint hypermobility) and vaginal pressure transducer measurements (PFM function), were used. Univariate and multivariate conditional logistic regression analyses for one-to-one matched case-control studies were used, and odds ratios with 95% CIs are reported.Main outcome measures Pelvic floor muscle function (strength, endurance and resting pressure), socioeconomic status, body mass index, heavy occupational work, physical activity, family history, obstetric factors and markers of connective tissue weakness (striae, varicose veins, bruising, diastasis recti abdominis, joint hypermobility).Results No significant differences were found between groups with regard to postmenopausal status, current smoking, current low-intensity exercise, type of birth (caesarean, forceps, vacuum), birth weight, presence of striae, diastasis recti abdominis and joint hypermobility. Body mass index (OR 5.0; 95% CI 1.1-23.0), socioeconomic status (OR 10.5; 95% CI 2.2-50.1), heavy occupational work (OR 9.6; 95% CI 1.3-70.3), anal sphincter lacerations (OR 4.5; 95% CI 1.0-20.0), PFM strength (OR 7.5; 95% CI 1.5-36.4) and endurance (OR 11.5; 95% CI 2.0-66.9) were independently related to POP.Conclusions Body mass index, socioeconomic status, heavy occupational work, anal sphincter lacerations and PFM function were independently associated with POP, whereas joint mobility and physical activity were not.Keywords Anal sphincter lacerations, body mass index, casecontrol, joint hypermobility, occupational work, pelvic floor muscle, pelvic organ prolapse, socioeconomic status, varicose veins.Please cite this paper as: Braekken I, Majida M, Ellström Engh M, Holme I, Bø K. Pelvic floor function is independently associated with pelvic organ prolapse.

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Section: Pfm Functionmentioning

confidence: 99%

Pelvic floor function is independently associated with pelvic organ prolapse

Brækken

Majida

Engh

et al. 2009

BJOG

113

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“…Il s'agissait d'une augmentation de pression liée à des efforts de toux donc de phénomènes équivalents à ceux que nous étudions ici. Nous n'avons pas choisi d'enregistrer les pressions dans le vagin pour estimer la pression intra-abdominale, car l' « enceinte vaginale » est en fait très hétérogène, comportant trois zones distinctes sur le plan manomé-trique que ce soit au repos ou à l'effort [20].…”

Section: Discussionunclassified

Corrélation entre l’activité électromyographique du plancher pelvien à la toux et les symptômes d’incontinence urinaire à l’effort

et al. 2007

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Objectif : L'objectif de cette étude est d'étudier s'il existe une corrélation entre la modulation de la réponse musculaire périnéale lors de la toux et différents questionnaires de symptômes et de qualité de vie relatifs à l'incontinence urinaire à l'effort.Matériel et méthode : La population d'étude était constituée de 20 femmes présentant une incontinence urinaire à l'effort et de six femmes continentes. Après avoir été informées et avoir signé un consentement écrit, elles ont rempli les questionnaires de symptômes et de qualité de vie suivants : une version traduite du bristol female LUTS questionnaire (BFLUTS), incontinence impact questionnaire (IIQ) et urogenital distress inventory (UDI), l'échelle de mesure du handicap urinaire (MHU), et le ICIQ-SF (international consultation on incontinence questionnaire short form). Nous avons enregistré de façon concomitante la pression intravésicale et l'activité électromyographique du sphincter anal externe lors d'efforts de toux d'intensité croissante.Résultat : Il ne semblait pas exister de corrélation entre la valeur de la PCUM (p = 0,91) et la modulation de la réponse réflexe périnéale. II existait une corrélation dans le même sens entre la modulation de la réponse réflexe périnéale et la fréquence des fuites à l'effort (ICIQ-SF q#1 et score total, BFLUTS q#6 et q#7 ; p = 0,015, 0,048, 0,033 et 0,013 respectivement). Plus la réponse traduisait une sévérité ou une fréquence importante des fuites, plus la modulation s'altérait (affaissement de la sigmoïde). En revanche, on n'a pas observé de corrélation entre les questions portant sur l'impact général des symptômes sur la qualité de vie et la modulation de la réponse réflexe périnéale (BFLUTS q#31 et q#33, p = 0,39 et 0,72 respectivement).Conclusion : Cette étude montre qu'il existe une bonne corrélation entre l'existence d'une anomalie de la modulation de la réponse réflexe périnéale et les symptômes d'incontinence urinaire à l'effort évalués par des questionnaires spécifiques. Mots clés : Incontinence urinaire à l'effort -Plancher pelvien -Muscle -Sphincter anal externe -TouxCorrelation between pelvic floor muscle activity during coughing and symptoms of stress urinary incontinence Abstract: Objectives: To assess the association between the modulations of pelvic contraction during increased coughing and the responses to questionnaires related to stress urinary incontinence (SUI).Methods: Informed consent was obtained from 20 women presenting with SUI and 6 healthy women. They all completed the following questionnaires: the BFLUTS (Bristol Female Lower Urinary Tract Symptoms) questionnaire, the 6-item, short-form Urogenital Distress Inventory (UDI), the ICIQ-SF (International Consultation on Incontinence Questionnaire Short Form), the Incontinence Impact Questionnaire (IIQ) and the urinary handicap scale (MHU). Bladder pressure (BP) and external anal sphincter electromyographic activity (EAS EMGi) were recorded simultaneously during increased coughing.Results: There was no correlation between maximum urethral closu...

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“…25 Vaginal digital palpation, perineometry (measuring intravaginal pressure), and measuring intravaginal forces with dynamometers are some of the clinical approaches used to assess PFM strength. 7,12,14,17,24,26 Vaginal digital palpation is the most common method for evaluating PFM strength. It is simple and does not require a specific device; on the other hand, it is a subjective assessment.…”

Section: Introductionmentioning

confidence: 99%

Multidirectional Pelvic Floor Muscle Strength Measurement

et al. 2009

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Pelvic floor muscle (PFM) strength measurement provides useful information for the study of pelvic floor dysfunctions. Vaginal digital palpation, intravaginal pressure measurements, and the use of a dynamometric speculum represent currently available clinical methods for evaluating PFM strength. However, none of these methods provide a dynamic measurement of pelvic floor strength in multiple directions simultaneously. The aim of the present paper is to report the development and first measurement trial of a device that follows the vaginal canal morphology and is able to measure pelvic floor strength multidirectionally.

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The vaginal pressure profile

Abstract: The vaginal pressure profile is more complex than previously described. Understanding of the vaginal pressure profile is crucial when employing vaginal manometry to assess pelvic floor muscle strength or as a surrogate for intra-abdominal pressure.

Cited by 75 publications

References 27 publications

Pelvic floor function is independently associated with pelvic organ prolapse

Pelvic floor function is independently associated with pelvic organ prolapse

Corrélation entre l’activité électromyographique du plancher pelvien à la toux et les symptômes d’incontinence urinaire à l’effort

Multidirectional Pelvic Floor Muscle Strength Measurement

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