Academic literature on the topic 'Pelvic floor'

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Journal articles on the topic "Pelvic floor"

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Mittal, Rajni, Gayatri Rath, R. N. Sahai, and Mahima Aggarwal. "Understanding pelvic floor in women." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, no. 10 (September 25, 2020): 4329. http://dx.doi.org/10.18203/2320-1770.ijrcog20204337.

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Change from quadruped to erect posture has resulted in changes in the human pelvis. This has resulted in pelvis supporting the abdominal viscera. The bony pelvis is deficient on inferior aspect. Muscles covered by fascia on superior and inferior aspect. A good knowledge of pelvic floor is very basic and mandatory for any gynecologist as pelvic floor is crucial to support the pelvic organs and is required to maintain urinary and fecal continence.
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Ablove, Tova, Alexandra DeRosa, Steven Lewis, Katelyn Benson, Frank Mendel, and Scott Doyle. "Pelvic Floor Pressures Differ Based on Location in the Pelvis and Body Position: A Cadaver Mode." Bioengineering 10, no. 3 (March 6, 2023): 329. http://dx.doi.org/10.3390/bioengineering10030329.

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Background: The pelvic floor is a bowl-shaped complex of multiple muscles and fascia, which functions to support the pelvic organs, and it aids in controlling continence. In pelvic floor disease, this complex becomes weakened or damaged leading to urinary, fecal incontinence, and pelvic organ prolapse. It is unclear whether the position of the body impacts the forces on the pelvic floor. Purpose: The primary objective of this work is to measure force applied to the pelvic floor of a cadaver in sitting, standing, supine, and control positions. The secondary objective is to map the forces across the pelvic floor. Methods: An un-embalmed female cadaver without pelvic floor dysfunction was prepared for pelvic floor pressure measurement using a pressure sensory array placed on top of the pelvic floor, and urodynamic catheters were placed in the hollow of the sacrum, the retropubic space, and at the vaginal apex. Pressure measurements were recorded with the cadaver in the supine position, sitting cushioned without external pelvic floor support, and standing. Pressure array data were analyzed along with imaging of the cadaver. Together, these data were mapped into a three-dimensional reconstruction of the pressure points in pelvic floor and corresponding pelvic organs. Results: pressures were higher at the symphysis than in the hollow of the sacrum in the standing position. Pressure array measurements were lowest in the standing position and highest in the sitting position. Three-dimensional reconstruction confirmed the location and accuracy of our measurements. Conclusions: The findings of increased pressures behind the symphysis are in line with the higher incidence of anterior compartment prolapse. Our findings support our hypothesis that the natural shape and orientation of the pelvis in the standing position shields the pelvic floor from downward forces of the viscera.
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Mehta, Sarina Lily, and Kristen Strawhacker Bonzer. "Pelvic Floor." ACSM'S Health & Fitness Journal 26, no. 5 (September 2022): 5–11. http://dx.doi.org/10.1249/fit.0000000000000797.

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Goncharova, E. P., and I. V. Zarodnyuk. "MRI DEFECOGRAPHY IN PELVIC FLOOR DESCENT SYNDROME (review)." Koloproktologia 19, no. 1 (March 16, 2020): 117–30. http://dx.doi.org/10.33878/2073-7556-2020-19-1-117-130.

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Pelvic floor descent syndrome (PFDS) affects multiparous and postmenopausal women. According to epidemiological studies in postmenopausal women, more than 50% suffer from severe symptoms of PFDS, which significantly reduce the quality of life. The high prevalence of pelvic floor pathology increases the need for multimodal diagnosis and treatment. The pelvic floor is a unique anatomical and functional structure and malfunction of this system may lead to many different static and functional disorders. There are a lot of methods of medical imaging modalities for PFDS (X-ray defecography, perineal ultrasound, MR defecography). MRI defecography allows to visualize in detail all three parts of the pelvis, including soft tissues and supporting structures; to evaluate structural and functional pelvic abnormalities in a single study. The range of normal mobility of the pelvic floor and pelvic organs on MRI defecography is still required.
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Hainsworth, A. J., T. Gala, L. Johnston, D. Solanki, L. Ferrari, A. M. P. Schizas, and G. Santoro. "Integrated total pelvic floor ultrasound in pelvic floor dysfunction." Continence 8 (December 2023): 101045. http://dx.doi.org/10.1016/j.cont.2023.101045.

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En'kova, Е. V., К. I. Obernikhin, Е. V. Belov, Е. S. Dukhanina, N. N. Patlataya, and D. V. Sudakov. "Ultrasound Morphometry of the Pelvic Floor Muscles in Women of Reproductive Age." Journal of Anatomy and Histopathology 13, no. 1 (April 7, 2024): 66–70. http://dx.doi.org/10.18499/2225-7357-2024-13-1-66-70.

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Biometric studies in nulliparous women conducted to date are limited by small sample sizes. The pelvic floor muscles perform an important function throughout a woman’s life. They provide fixation and maintenance of the pelvic organs, stretches during childbirth, ensuring the formation of the birth canal, and are a potential site for the formation of a hernia in the female body. Impaired function of this muscle group can lead to either excessive muscle contraction (chronic pelvic pain syndrome) or excessive stretching (pelvic organ prolapse). The purpose of the study is to assess the morphometric properties of the pelvic floor muscles in nulliparous women using 3D ultrasound scanning (sonography). Material and methods. The observation group consisted of 60 women of middle reproductive age who applied for an appointment with an obstetriciangynecologist with complaints of pain of various types localized in the perineum and pelvis, decreased desire and quality of sexual life, clinically confirmed by a diagnosis of incompetence of the pelvic floor muscles. The control group consisted of 30 women without dysfunction of the pelvic floor muscles according to clinical examination. The main criterion for inclusion of patients in the study was reproductive age - 18–45 years and natural childbirth in obstetric and gynecological history. Results. We found that the absence of visible sonographic markers of changes in the myofascial structures of the pelvis is not a prognostically significant criterion for muscle dysfunction, since predominantly changes in morphometric parameters are a reliable sign of the formation of pelvic floor muscle failure. Conclusion. The ultrasound morphometry method, which allows one to assess dynamic changes in the size of muscle and fascial structures, can be used in the clinical practice of an obstetrician-gynecologist. Early diagnosis of a violation of the structure of pelvis myofascial complex will allow early implementation of measures aimed at prevention and timely treatment.
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Rocca Rossetti, Salvatore. "Functional anatomy of pelvic floor." Archivio Italiano di Urologia e Andrologia 88, no. 1 (March 31, 2016): 28. http://dx.doi.org/10.4081/aiua.2016.1.28.

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Generally, descriptions of the pelvic floor are discordant, since its complex structures and the complexity of pathological disorders of such structures; commonly the descriptions are sectorial, concerning muscles, fascial developments, ligaments and so on. On the contrary to understand completely nature and function of the pelvic floor it is necessary to study it in the most unitary view and in the most global aspect, considering embriology, philogenesy, anthropologic development and its multiple activities others than urological, gynaecological and intestinal ones. Recent acquirements succeeded in clarifying many aspects of pelvic floor activity, whose musculature has been investigated through electromyography, sonography, magnetic resonance, histology, histochemistry, molecular research. Utilizing recent research concerning not only urinary and gynecologic aspects but also those regarding statics and dynamics of pelvis and its floor, it is now possible to study this important body part as a unit; that means to consider it in the whole body economy to which maintaining upright position, walking and behavior or physical conduct do not share less than urinary, genital, and intestinal functions. It is today possible to consider the pelvic floor as a musclefascial unit with synergic and antagonistic activity of muscular bundles, among them more or less interlaced, with multiple functions and not only the function of pelvic cup closure.
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Gilyadova, Aida, Anton Ishchenko, Elena Puchkova, Elena Mershina, Viktor Petrovichev, and Igor Reshetov. "Diagnostic Value of Dynamic Magnetic Resonance Imaging (dMRI) of the Pelvic Floor in Genital Prolapses." Biomedicines 11, no. 10 (October 20, 2023): 2849. http://dx.doi.org/10.3390/biomedicines11102849.

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Pelvic organ prolapse is a chronic disease resulting from a weakening of the musculoskeletal apparatus of the pelvic organs. For the diagnosis of this pathology, it is insufficient to conduct only a clinical examination. An effective diagnostic tool is the method of dynamic magnetic resonance imaging (MRI) of the pelvic floor, which allows a comprehensive assessment of the anatomical and functional characteristics of the walls of the pelvis and pelvic organs. The aim of the study was to analyze the literature data on the possibilities and limitations of using dynamic MRI in pelvic organ prolapse. The widespread use of the dynamic MRI method is due to the high quality of the resulting image, good reproducibility, and the maximum ability to display the characteristics of the pelvic floor. Dynamic MRI of the small pelvis allows a comprehensive assessment of the anatomical and functional features of the pelvis, excluding the effect of ionizing radiation on the body. The method is characterized by good visualization with high resolution and excellent soft tissue contrast. The method allows for assessing the state of the evacuation function of visualized structures in dynamics. Simultaneous imaging of all three parts of the pelvic floor using dynamic MRI makes it possible to assess multicompartment disorders. The anatomical characteristics of the state of the pelvic organs in the norm and in the event of prolapse are considered. The technique for performing the method and the procedure for analyzing the resulting images are described. The possibilities of diagnosing a multicomponent lesion are considered, while it is noted that dynamic MRI of the pelvic organs provides visualization and functional analysis of all three parts of the pelvis and often allows the choice and correction of tactics for the surgical treatment of pelvic organ prolapse. It is noted that dynamic MRI is characterized by a high resolution of the obtained images, and the advantage of the method is the ability to detect functional changes accompanying the pathology of the pelvic floor.
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Neumann, PA, AS Mehdorn, G. Puehse, N. Senninger, and E. Rijcken. "Perineal herniation of an ileal neobladder following radical cystectomy and consecutive rectal resection for recurrent bladder carcinoma." Annals of The Royal College of Surgeons of England 98, no. 04 (April 1, 2016): e62-e64. http://dx.doi.org/10.1308/rcsann.2016.0102.

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Secondary perineal herniation of intraperitoneal contents represents a rare complication following procedures such as abdominoperineal rectal resection or cystectomy. We present a case of a perineal hernia formation with prolapse of an ileum neobladder following radical cystectomy and rectal resection for recurrent bladder cancer. Following consecutive resections in the anterior and posterior compartment of the lesser pelvis, the patient developed problems emptying his neobladder. Clinical examination and computed tomography revealed perineal herniation of his neobladder through the pelvic floor. Through a perineal approach, the hernial sac could be repositioned, and via a combination of absorbable and non-absorbable synthetic mesh grafts, the pelvic floor was stabilised. Follow-up review at one year after hernia fixation showed no signs of recurrence and no symptoms.In cases of extensive surgery in the lesser pelvis with associated weakness of the pelvic compartments, meshes should be considered for closure of the pelvic floor. Development of biological meshes with reduced risk of infection might be an interesting treatment option in these cases.
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Jorge, José Marcio N., and Leonardo A. Bustamante-Lopez. "Pelvic floor anatomy." Annals of Laparoscopic and Endoscopic Surgery 7 (April 2022): 20. http://dx.doi.org/10.21037/ales-2022-06.

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Dissertations / Theses on the topic "Pelvic floor"

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Ali-Ross, Nadia S. "Pelvic floor symptoms and signs in women with and without pelvic floor dysfunction." Thesis, University of Manchester, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.489533.

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The pelvic floor supports the pelvic viscera and plays a role in normal urinary, gastrointestinal and reproductive function including parturition. Weakness of the pelvic floor can result in prolapse of the pelvic viscera and symptoms related to the anatomical and physiological changes. To date, prolapse and its treatment have focussed on restoration of the anatomy although symptom resolution may be more important to the patient. The symptoms attributable to prolapse have not been well defined, which makes the evaluation of treatments impossible. Neither have the factors that may influence symptoms and anatomical signs of pelvic organ prolapse been explored.
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Caudwell-Hall, Jessica. "Pelvic Floor Trauma in Childbirth." Thesis, The University of Sydney, 2019. http://hdl.handle.net/2123/20873.

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Between 4 and 40% of women will suffer permanent pelvic floor trauma in childbirth. Irreversible damage to the pelvic floor at the time of vaginal birth may take the form of trauma to the levator ani complex or obstetric anal sphincter injury (OASI). Long-term sequelae include pelvic organ prolapse, its recurrence after surgical repair, urinary and fecal incontinence, sexual dysfunction and chronic pelvic pain. Detection rates are poor, especially for levator ani trauma, which is often clinically undetectable at the time of vaginal birth. Translabial ultrasound is an objective method for the diagnosis of irreversible pelvic floor trauma and was used in observational studies for this thesis. Original studies undertaken for this thesis showed antenatal risk factors for levator avulsion include increasing maternal age (OR 1.05, p=0.019), lower body mass index (BMI; OR 0.94, p=0.018), and increasing bladder neck descent (BND; OR 0.97, p=0.026). Intrapartum risk factors identified include longer second stage (OR 1.02, p=0.01), OASI (OR 3.2, p= 0.002), and the use of forceps (OR 2.9, p=0.001). The latter is by far the strongest modifiable risk factor and should be avoided. Predictors of atraumatic normal vaginal delivery were younger maternal age (OR 0.93, p<0.001) and earlier gestation at delivery (OR 0.78, p=0.001), which is relevant to family planning. Overall, rates of atraumatic normal vaginal delivery in our population were much lower than generally assumed at 33-40%. An in vitro study showed that the predicted effect of forceps on avulsion risk is not explained by an increase in space requirement alone. It is likely that the main factor determining the traumatic potential of forceps is increased force over time, i.e., the characteristics of the pull exerted by the operator. Finally, it was found that conversion of a primary vacuum to a forceps delivery would result in an overall increase in major pelvic floor trauma from 31% to 39% of primiparas (p=0.018). Current trends towards the use of forceps to reduce Caesarean section rates are likely to result in an inadvertent increase in rates of levator avulsion and OASI. As current methods of anal sphincter repair and surgery for pelvic organ prolapse have high rates of failure, good obstetric care should emphasize the prevention of pelvic floor trauma at the time of a woman’s first birth.
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Mkhombe, Welile. "Pelvic floor dysfunction in female triathletes." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/27827.

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Background: In the past few decades, an increasing number of women have been participating in high-impact sports which involves jumping, landing and/ or running activities. Recent data have shown, however, that this kind of activity might be associated with adverse effects, including pelvic floor disorders. Nevertheless, there is very little in the literature about pelvic floor effects associated with endurance sports where high-impact exercise is performed at submaximal intensity for prolonged periods of time. Objective: The primary objective of the present paper is to describe the prevalence of pelvic floor dysfunction (PFD) in a female triathlete population. Methods: An anonymous on-line survey was administered from September 2015 to March 2016 to women who self-identified as triathletes. We used two validated questionnaires: the Pelvic Floor Distress Inventory Questionnaire short form (PFDI) and the Pelvic Floor Impact Questionnaire short form (PFIQ). In addition, respondents were asked for demographics (age, height, weight, occupation), general health status (medical history, pelvic/abdominal surgical history, pregnancy and birth history) as well as sport practice characteristics (duration of training, level of competition, number of hours spent per week swimming, cycling, and running), so as to characterise these female triathletes. The survey remained active online for seven months, during which time the majority of responses were obtained from having our survey on the IRONMAN December 2015 newsletter. The balance of responses came from various triathlon clubs which we had approached within Western Cape Province. Results: Sixty-seven female triathletes responded to the online survey which we designed on SurveyMonkey. The respondents were between the ages of 22 and 56 years, the mean being 37 years. They had a mean BMI of 22.6 kg/m2. None of them had any medical conditions known to increase the risk of PFD. Of the known surgical history risk factors, 74.6% had had no previous pelvic or abdominal surgery. In the cohort, 69.2% were nulliparous and 30.8% parous. Most of the respondents competed in the recreational age group (70.4%), compared with 29.6% who described themselves as being in the competitive age group. Over 94.4% of the participants had been involved in triathlon training for a period of more than 6 months. At the peak of their training, athletes described their weekly training regime as comprising a mean of 5.4 hours running, 3.9 hours swimming and 9.1 hours cycling. Of those who performed any form of 'core exercises', 29.6% performed pelvic floor exercises, 16.7% yoga, and 25.9% Pilates as part of their routine training. Eighty-two per cent of the triathletes had competed in the half IRONMAN and 37.8% in at least one full IRONMAN competition. The PFDI revealed a number of commonly occurring pelvic floor symptoms. The most reported urinary symptoms were urinary frequency, stress urinary incontinence (SUI) and urge urinary incontinence (UUI) (45.8%, 33.3% and 37.5%, respectively). The most reported colorectal symptoms were incomplete bowel emptying (41.7%), faecal urgency (43.8%), and flatal incontinence (41.7%). Pelvic organ prolapse symptoms were least reported, but those who had symptoms mostly experienced heaviness or dullness in the pelvic area (33.3%), pressure in the lower abdomen (31.3%) and a need for vaginal/rectal digitation in order to have or complete a bowel movement (25%). It was noteworthy to find that the nulliparous triathletes had more pelvic floor symptoms than the parous group. A higher prevalence of colorectal/rectal symptoms were reported by those who had had forceps deliveries. Colorectal symptoms were found to be slightly more prevalent in those who performed any pelvic floor exercises (PFE), yoga or Pilates than amongst those who did not. Even with the myriad symptoms reported, these women were not significantly bothered by their symptoms. Conclusion: It is apparent that PFDs are prevalent in the population reviewed, although the majority of individuals did not seem to be bothered by the symptoms that also did not appear to interrupt training or quality of life. For those who are concerned or troubled by the symptoms, it would be beneficial for them to be identified early so that management options can be offered to relieve the symptoms.
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Kamisan, Atan Ixora. "Pelvic floor trauma following vaginal childbirth." Thesis, The University of Sydney, 2018. http://hdl.handle.net/2123/18813.

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Maternal birth trauma in particular pelvic floor trauma (PFT) is of increasing concern in recent years, mainly due to its association with long term morbidities affecting women’s quality of life. Prediction is difficult and likely to raise ethical, moral and health economic questions, and attempts at primary and interval reconstruction have had only limited success. This work was designed to explore multiple aspects of PFT with a particular focus on prevention and its effect on pelvic organ support through one prospective multicentre randomised controlled trial, two cross-sectional and four retrospective studies, involving 3D/4D Translabial Ultrasound as the principal study tool. The incidence and prevalence of levator ani muscle (LAM) avulsion, microtrauma and sonographic external anal sphincter defects was found to be 13.1%-24%, 13.8%-62% and 12.4% respectively, showing that somatic maternal birth trauma is very common. In a randomised controlled trial, antepartum use of Epi-No® birth trainer was found to be unlikely of clinical benefit in the prevention of pelvic floor trauma. Two observational studies showed that there was no difference in the prevalence of levator avulsion and sonographic EAS defects between women who were vaginally primiparous or multiparous, and that the effect of vaginal birth on hiatal dimensions was largely limited to the first birth. These two observational studies suggest that it is the first vaginal birth that is by far the most traumatic. Another observational study showed that LAM avulsion can be diagnosed clinically by digital palpation, but may require a longer learning curve than imaging. Confirmation by imaging is necessary in high risk cases as part of surgical planning. LAM avulsion was also shown to be associated with increased levator urethra gap (LUG) on ultrasound. LUG and LAM avulsion are associated with signs and symptoms of female pelvic organ prolapse. Variations in obstetric practice such as tolerance of longer second stages and increased Forceps rates are likely to lead to higher rates of pelvic floor trauma. In conclusion, prevention of PFT should focus on the first vaginal birth. Antepartum use of the Epi-No® device is unlikely to be beneficial. LAM avulsion can be diagnosed clinically but involves a longer learning curve, making confirmation by imaging essential. LAM trauma is associated with POP in both symptomatic and asymptomatic cohorts.
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Uustal, Fornell Eva. "Pelvic floor dysfunction : a clinical and epidemiological study /." Linköping : Univ, 2003. http://www.bibl.liu.se/liupubl/disp/disp2003/med822s.pdf.

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Tegerstedt, Gunilla. "Clinical and epidemiological aspects of pelvic floor dysfunction /." Stockholm, 2004. http://diss.kib.ki.se/2004/91-7140-065-6/.

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Laycock, Josephine. "Assessment and treatment of pelvic floor dysfunction : physiotherapy in the management of pelvic floor dysfunction in relation to female urinary incontinence." Thesis, University of Bradford, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.316501.

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Dolan, Lucia Margaret. "The prevalence and obstetric antecedents of pelvic floor dysfunction." Thesis, University of Newcastle upon Tyne, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.485799.

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It has long been considered that aspects of pregnancy and child birth play a role in the aetiology of pelvic floor dysfunction (PFD). Most women have their first pregnancy in their 20's, yet the peak time for presentation with symptoms is 2 or 3 decades later. The studies embodied in this thesis are designed to examine the prevalence and antecedent risk factors ofPFD in women 20 years after their first delivery. Unique aspects ofthe studies described here are: identification of a consecutive group of women having their first pregnancies over a short time period in a single hospital; the est~blishmentofcurrent contact information for these women 20 years later using the NHS Strategic Tracing System (NSTS); the use ofa robust obstetric database, the Standard Maternity Information System (SMIS) effective at the time of the index pregnancies; and the use of the validated Sheffield Pelvic Floor Assessment Questionnaire (Sheffield-PAQ© v3) to determine current symptoms and their impact on quality of life. Mothers of index cases were also contacted to assess familial risk. PFD was confirmed to be extremely common, with symptoms affecting half of women 20 years after their first pregnancy; 4:10 women reported urinary incontinence (UI), 2:10 had anal incontinence (AI), and 1:8 had prolapse. Symptoms were troublesome in over 50% (prolapse) and over 70% CUI & AI). Logistic regression analyses indicated that caesarean section was protective against UI, faecal incontinence (FI) and mild prolapse. Instrumental delivery was a risk factor for flatal and FI; obesity was a risk factor for all three symptoms. A familial risk for UI and AI was identified. Vaginal birth is a significant risk factor for long term symptoms ofPFD. However, some women may have a predisposition, possibly genetic, to develop symptoms which is independent of obstetric history.
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Abdool, Zeelha. "Evaluation of pelvic floor morphology in South African females." Diss., University of Pretoria, 2017. http://hdl.handle.net/2263/63877.

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Pelvic floor dysfunction in the form of pelvic organ prolapse (POP) is a common gynaecological condition, especially in the elderly. Although the aetiology is poorly understood, several risk factors such as vaginal childbirth, chronically raised intra-abdominal pressure (such as asthma and chronic constipation), ageing, previous hysterectomy and connective tissue disorders are thought to play a role in the pathophysiology of POP. Studies have shown that vaginal childbirth can result in both gross and micro-architectural distortion/alteration of the pelvic floor musculature and is thus considered to play a major role in the development of POP. Although ethnicity has been proposed as a risk factor, there are limited studies on this subject. Recently, transperineal ultrasound (TPUS) has been used to study the structural integrity and the dynamic interaction between the pelvic organs and pelvic floor musculature. Using a specified methodology we intended to determine and compare pelvic floor morphology, namely pelvic organ descent and levator hiatal distensibility in a multi-ethnic South African population (Asian, Caucasian and Black) in both asymptomatic nulliparous and symptomatic multiparous women. Secondly we also intended to study the association between prolapse symptoms and functional anatomy of the pelvic floor, and finally to determine the impact of vaginal childbirth on the pelvic floor morphology 3-6 month postpartum. For all the studies women were recruited from the local nursing school, general gynaecology and tertiary urogynaecology clinic. Pregnant women were recruited from the district antenatal clinic. This cohort included only Black pregnant women. After informed consent all ultrasound volumes were acquired at rest, maximal pelvic floor contraction and Valsalva maneuver. Volumes were deindentified and analysed 6-8 weeks later using GE Kretz 4D View (GE Kretztechnik Gmbh, Zipf, Austria). In the nulliparous cohort, we found that Black South African women had greater pelvic organ descent on ultrasound and clinically and greater distensibility compared to South Asian and Caucasian women. Multivariate modelling revealed that Black 2 ethnicity remained a significant factor for pelvic organ mobility on clinical examination, (P=0.024). In women with symptomatic POP, there was significant variation in clinical prolapse stage, levator distensibility and pelvic organ descent in this racially diverse population presenting with pelvic organ prolapse, with South Asians having a lower avulsion rate than the other two ethnic groups (P= 0.014). As regards the association between prolapse symptoms and functional anatomy of the pelvic floor we found a significant association between awareness, visualization and/or feeling of a vaginal lump and abnormal pelvic floor functional anatomy, that is, hiatal ballooning and levator avulsion (all P< 0.05). The fourth part of the study included eighty four women who returned at a mean of 4.8 months postpartum. We found significant alteration in pelvic organ support and levator hiatal distensibility after vaginal delivery i.e. a significant increase in mean values from ante to postpartum measurements, more so for the vaginal delivery group. 15% of Black primiparous women sustained levator trauma after their first vaginal delivery. In conclusion, to the author‘s knowledge this is the first study on pelvic floor morphology in South African women. Contrary to previous publications inferring that Black women rarely develop PFD, we have shown that this particular ethnic group had significantly different pelvic floor dynamics than Caucasian and South Asian women for both nulliparous and multiparous symptomatic women. Levator trauma occurs in 15% of Black women after vaginal childbirth.
Thesis (PhD)--University of Pretoria, 2017.
Obstetrics and Gynaecology
PhD
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Onal, Sinan. "Automated Localization and Segmentation of Pelvic Floor Structures on MRI to Predict Pelvic Organ Prolapse." Scholar Commons, 2014. https://scholarcommons.usf.edu/etd/5288.

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Pelvic organ prolapse (POP) is a major health problem that affects women. POP is a herniation of the female pelvic floor organs (bladder, uterus, small bowel, and rectum) into the vagina. This condition can cause significant problems such as urinary and fecal incontinence, bothersome vaginal bulge, incomplete bowel and bladder emptying, and pain/discomfort. POP is normally diagnosed through clinical examination since there are few associated symptoms. However, clinical examination has been found to be inadequate and in disagreement with surgical findings. This makes POP a common but poorly understood condition. Dynamic magnetic resonance imaging (MRI) of the pelvic floor has become an increasingly popular tool to assess POP cases that may not be evident on clinical examination. Anatomical landmarks are manually identified on MRI along the midsagittal plane to determine reference lines and measurements for grading POP. However, the manual identification of these points, lines and measurements on MRI is a time-consuming and subjective procedure. This has restricted the correlation analysis of MRI measurements with clinical outcomes to improve the diagnosis of POP and predict the risk of development of this disorder. The main goal of this research is to improve the diagnosis of pelvic organ prolapse through a model that automatically extracts image-based features from patient specific MRI and fuses them with clinical outcomes. To extract image-based features, anatomical landmarks need to be identified on MRI through the localization and segmentation of pelvic bone structures. This is the main challenge of current algorithms, which tend to fail during bone localization and segmentation on MRI. The proposed research consists of three major objectives: (1) to automatically identify pelvic floor structures on MRI using a multivariate linear regression model with global information, (2) to identify image-based features using a hybrid technique based on texture-based block classification and K-means clustering analysis to improve the segmentation of bone structures on images with low contrast and image in homogeneity, (3) to design, test and validate a prediction model using support vector machines with correlation analysis based feature selection to improve disease diagnosis. The proposed model will enable faster and more consistent automated extraction of features from images with low contrast and high inhomogeneity. This is expected to allow studies on large databases to improve the correlation analysis between MRI features and clinical outcomes. The proposed research focuses on the pelvic region but the techniques are applicable to other anatomical regions that require automated localization and segmentation of multiple structures from images with high inhomogeneity, low contrast, and noise. This research can also be applicable to the automated extraction and analysis of image-based features for the diagnosis of other diseases where clinical examination is not adequate. The proposed model will set the foundation towards a computer-aided decision support system that will enable the fusion of image, clinical, and patient data to improve the diagnosis of POP through personalized assessment. Automating the process of pelvic floor measurements on radiologic studies will allow the use of imaging to predict the development of POP in predisposed patients, and possibly lead to preventive strategies.
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Books on the topic "Pelvic floor"

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Davila, G. Willy, Gamal M. Ghoniem, and Steven D. Wexner, eds. Pelvic Floor Dysfunction. London: Springer London, 2009. http://dx.doi.org/10.1007/978-1-84800-348-4.

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Santoro, Giulio A., Andrzej P. Wieczorek, and Abdul H. Sultan, eds. Pelvic Floor Disorders. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-40862-6.

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Chan, Lewis, Vincent Tse, Stephanie The, and Peter Stewart, eds. Pelvic Floor Ultrasound. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-04310-4.

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Davila, G. Willy, Gamal M. Ghoniem, and Steven D. Wexner, eds. Pelvic Floor Dysfunction. London: Springer-Verlag, 2006. http://dx.doi.org/10.1007/b136174.

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Santoro, Giulio Aniello, Andrzej Paweł Wieczorek, and Clive I. Bartram, eds. Pelvic Floor Disorders. Milano: Springer Milan, 2010. http://dx.doi.org/10.1007/978-88-470-1542-5.

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A, Bourcier, McGuire Edward J, and Abrams Paul 1947-, eds. Pelvic floor disorders. Philadelphia: W.B. Sauders, 2004.

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Shobeiri, S. Abbas, ed. Practical Pelvic Floor Ultrasonography. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-52929-5.

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Schüssler, Bernard, Jo Laycock, Peggy A. Norton, and Stuart L. Stanton. Pelvic Floor Re-education. London: Springer London, 1994. http://dx.doi.org/10.1007/978-1-4471-3569-2.

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Shobeiri, S. Abbas, ed. Practical Pelvic Floor Ultrasonography. New York, NY: Springer New York, 2014. http://dx.doi.org/10.1007/978-1-4614-8426-4.

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Petros, Peter. The Female Pelvic Floor. Berlin, Heidelberg: Springer Berlin Heidelberg, 2004. http://dx.doi.org/10.1007/978-3-662-05445-1.

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Book chapters on the topic "Pelvic floor"

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De Ritis, Rosaria, Francesco Di Pietto, and Ciro Anatrella. "Muscular Pelvis and Pelvic Floor." In MDCT Anatomy — Body, 187–89. Milano: Springer Milan, 2010. http://dx.doi.org/10.1007/978-88-470-1878-5_30.

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Shobeiri, S. Abbas, and John O. L. DeLancey. "Pelvic Floor Anatomy." In Pelvic Floor Disorders, 3–24. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-40862-6_1.

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Shobeiri, S. Abbas. "Pelvic Floor Anatomy." In Practical Pelvic Floor Ultrasonography, 1–17. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-8426-4_1.

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Lee, Patrick Y. H., and Guillaume Meurette. "Pelvic Floor Disorders." In The ASCRS Manual of Colon and Rectal Surgery, 355–69. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-8450-9_19.

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Petros, Peter. "Pelvic Floor Rehabilitation." In The Female Pelvic Floor, 138–42. Berlin, Heidelberg: Springer Berlin Heidelberg, 2004. http://dx.doi.org/10.1007/978-3-662-05445-1_5.

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Chan, Lewis, Vincent Tse, and Tom Jarvis. "Pelvic Floor Ultrasound." In Practical Urological Ultrasound, 171–84. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-52309-1_9.

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Baxter, Chad, and Farzeen Firoozi. "Pelvic Floor Ultrasound." In Practical Urological Ultrasound, 143–53. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-59745-351-6_9.

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Dugan, Sheila A., and Sol M. Abreu-Sosa. "Pelvic Floor Dysfunction." In Hip Arthroscopy and Hip Joint Preservation Surgery, 783–93. New York, NY: Springer New York, 2014. http://dx.doi.org/10.1007/978-1-4614-6965-0_63.

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Beck, David E., Patricia L. Roberts, John L. Rombeau, Michael J. Stamos, and Steven D. Wexner. "Pelvic Floor Disorders." In The ASCRS Manual of Colon and Rectal Surgery, 911–16. New York, NY: Springer New York, 2009. http://dx.doi.org/10.1007/b12857_49.

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Harford, Frank J., and Linda Brubaker. "Pelvic Floor Disorders." In The ASCRS Textbook of Colon and Rectal Surgery, 687–92. New York, NY: Springer New York, 2007. http://dx.doi.org/10.1007/978-0-387-36374-5_49.

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Conference papers on the topic "Pelvic floor"

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Oliveira, Dulce, Marco Parente, Renato Natal Jorge, Begona Calvo, and Teresa Mascarenhas. "A structural damage model for pelvic floor muscles." In 2015 IEEE 4th Portuguese Meeting on Bioengineering (ENBENG). IEEE, 2015. http://dx.doi.org/10.1109/enbeng.2015.7088865.

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B. Prudencio, Caroline, Fabiane A. Pinheiro, Carlos I. Sartorão Filho, Cristiane Rodrigues, Pedroni Pedroni, Angélica M. P. Barbosa, and Marilza V. C. Rudge. "Gestational Diabetes Mellitus and Pelvic Floor Contraction: Cohort Study." In Congresso Brasileiro de Eletromiografia e Cinesiologia (COBEC) e o Simpósio de Engenharia Biomédica (SEB) - COBECSEB. Uberlândia, Minas Gerais: Even3, 2018. http://dx.doi.org/10.29327/cobecseb.79090.

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El-Sayegh, Batoul, Chantal Dumoulin, Mohamed Ali, Hussein Assaf, and Mohamad Sawan. "A Dynamometer-based Wireless Pelvic Floor Muscle Force Monitoring." In 2020 42nd Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) in conjunction with the 43rd Annual Conference of the Canadian Medical and Biological Engineering Society. IEEE, 2020. http://dx.doi.org/10.1109/embc44109.2020.9176660.

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Li, Xinshan, Jennifer A. Kruger, Jae-Hoon Chung, Martyn P. Nash, and Poul M. F. Nielsen. "Modelling the pelvic floor for investigating difficulties during childbirth." In Medical Imaging, edited by Xiaoping P. Hu and Anne V. Clough. SPIE, 2008. http://dx.doi.org/10.1117/12.769898.

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Alberghetti, B., C. Fratus, A. Orlandini, A. Cominotti, E. Fogazzi, E. Sartori, and D. Gatti. "110 PEComa of the pelvic floor: an unusual localization." In ESGO 2021 Congress. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/ijgc-2021-esgo.614.

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Davis, Frances M., Ting Tan, Suzanne Nicewonder, and Raffaella De Vita. "Tensile Properties of the Swine Cardinal Ligament." In ASME 2013 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/sbc2013-14294.

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Pelvic floor disorders such as urinary incontinence, fecal incontinence, and pelvic organ prolapse represent a major public health concern in the United States affecting one third of adult women [1]. These disorders are determined by structural and mechanical alterations of the pelvic organs, their supporting muscles and connective tissues that occur mainly during pregnancy, vaginal delivery, and aging [1].
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Yang, Miyang, Chujie Chen, Chenxiao Wang, Haolan Du, Yongting Kong, and Wan Qi. "Finite Element Analysis of the Normal Female Pelvic Floor Structure." In 2023 2nd International Conference on Health Big Data and Intelligent Healthcare (ICHIH). IEEE, 2023. http://dx.doi.org/10.1109/ichih60370.2023.10396524.

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Ginting, Luci Riani Br, Kuat Sitepu, Isidorus Jehaman, Miftahul Zannah, and Arfia Ningsih. "Awarding Pelvic Floor Exercise in Elderly Patients with Urinary Incontinence." In International Conference on Health Informatics and Medical Application Technology. SCITEPRESS - Science and Technology Publications, 2019. http://dx.doi.org/10.5220/0009471802390246.

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Feola, Andrew J., Keisha Jones, Marianna Alperin, Robbie Duerr, Pam A. Moalli, and Steven Abramowitch. "Establishing an Animal Model for the Evaluation of Vaginal Meshes." In ASME 2009 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2009. http://dx.doi.org/10.1115/sbc2009-206762.

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Roughly three million women in the United States give birth vaginally each year [1]. Clinically, the vagina undergoes pronounced adaptations up to the time of delivery, presumably to afford passage of the fetus [2]. Our group has suggested that if these adaptations are not sufficient or if fetus size is too large, an injury to the vagina or its supportive tissues will likely result. Vaginal injury at the time of delivery occurs quite frequently and research examining the levator ani muscle, the major muscular component of the pelvic floor, revealed injury in up to 20% of women who have given birth vaginally [3]. Therefore, vaginal birth is considered one of the greatest risk factors for pelvic floor disorders (i.e. urinary dysfunction and pelvic organ prolapse) later in life.
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Johnson, Paul J., Evan M. Rosenbluth, Ingrid E. Nygaard, Monir K. Parikh, and Robert W. Hitchcock. "Novel Vaginal Transducer for Monitoring Intra-Abdominal Pressure During Physical Activity." In ASME 2009 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2009. http://dx.doi.org/10.1115/sbc2009-206473.

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Pelvic floor disorders among women have become increasingly prevalent [1]. In an attempt to minimize incidence, progression and recurrence of pelvic floor disorders, doctors commonly advise women at risk to refrain from physical exertion based on the supposition that certain physical activities significantly raise intra-abdominal pressure (IAP). These activity restrictions are life altering and can vary from doctor to doctor because there is much uncertainty as to which activities truly increase IAP to a harmful level. Previous studies attempting to correlate physical activity with IAP have been limited to conventional urodynamics transducers which are not ideal for IAP measurement during physical activity.
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Reports on the topic "Pelvic floor"

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XU, Fangyuan, Qiqi Yang, Wenchao ZHANG, and Wei HUANG. Effects of acupuncture and moxibustion in reducing urine leakage for female stress urinary incontinence: A protocol for an overview of systematic reviews and meta-analyses. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, March 2022. http://dx.doi.org/10.37766/inplasy2022.3.0100.

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Review question / Objective: Participants: Female patients who are diagnosed with SUI according to any widely recognized and accepted criteria, regardless of their age, ethnicity, education, or social status. Interventions: The treatment used in the experimental group mainly includes acupuncture, electroacupuncture, warm needle acupuncture, stick-moxibustion, direct-moxibustion, partition moxibustion, or one of the above therapies combined with traditional Chinese medicine or pelvic floor muscle exercise. Comparator/control: The control groups were treated with conventional western medicine, pelvic floor muscle exercise, electrical stimulation, or placebo. Outcome indicators: (1) Primary outcomes: effective rate, urine leakage in 1-hour pad test; (2) Secondary outcomes: International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) score, pelvic floor muscle strength, frequency of 24-hour urinary incontinence, and adverse reactions. Types of studies: Peer-reviewed SRs and MAs based on randomized controlled trials (RCTs) will be included in this overview.
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Roch, Melanie, Nathaly Gaudreault, Marie-Pierre Cyr, Gabriel Venne, and Melanie Morin. The female pelvic floor fascia anatomy: A systematic research and review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, May 2021. http://dx.doi.org/10.37766/inplasy2021.5.0067.

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Sears, Christine L. Pelvic Floor Disorders in Female Veterans: What a Difference an X Makes. Fort Belvoir, VA: Defense Technical Information Center, July 2011. http://dx.doi.org/10.21236/ada550375.

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Edwards, Chris Margaret, Marie-Élisabeth Bouchard, Matt Fossey, Kelly Debouter, Megan Donovan, Lauren Godier-McBard, Layoma Gray, et al. Pelvic floor dysfunctions in women military personnel and veterans: A scoping review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, June 2024. http://dx.doi.org/10.37766/inplasy2024.6.0078.

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Leonardo, Kevin, Doddy Hami Seno, Hendy Mirza, and Andika Afriansyah. Biofeedback Pelvic Floor Muscle Training and Pelvic Electrical Stimulation in Women with Overactive Bladder : A Systematic Review and Meta-analysis of Randomized Controlled Trials. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, February 2022. http://dx.doi.org/10.37766/inplasy2022.2.0024.

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Review question / Objective: Population : Overactive Bladder, Women; Intervention : Biofeedback assisted PFMT and/or pelvic Electrical Stimulation with non-implanted electrodes (on the skin surface around perianal, intra vaginal or rectal); Comparison : PFMT only / Bladder Training / Life style modification-recommendation; Outcome : Changes in Quality of life, Incontinence Episodes, Number of participant cured/improved. Condition being studied: Overactive Bladder syndrome which has been defined as urinary urgency. It is not life threatening disease, therefore, often ignored by patients, but the effect in daily life can be very bothersome.
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BHATNAGAR, SOMIYA, JYOTI SHARMA, Aksh Chahal, and Mohammad Sidiq. Role of Pelvic Floor Exercises and Diet Supplementation in Primary Dysmenorrhea Among Adolescents - A Systematic Review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, April 2024. http://dx.doi.org/10.37766/inplasy2024.4.0098.

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ZHANG, Shiwen, Meiling HUANG, Jincao ZHI, Fei PEI, and Yan WANG. Meta-analysis of the effects of pelvic floor muscle training during pregnancy to prevent or treat incontinence. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, November 2021. http://dx.doi.org/10.37766/inplasy2021.11.0039.

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zhou, linlin, ling Dai, shuang Hu, yao Li, yali Fu, juan Yang, and chengying Su. Risk factors for patients with urinary retention after pelvic floor reconstruction: A systematic review and Meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, January 2023. http://dx.doi.org/10.37766/inplasy2023.1.0088.

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Liu, Zejun, Kai Yu, Rui Hu, Tengteng Jian, Sunmeng Chen, Fan Bu, and Ji Lu. Meta-analysis of the influence of perioperative pelvic floor muscle training on postoperative urinary control during radical prostatectomy. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, May 2022. http://dx.doi.org/10.37766/inplasy2022.5.0092.

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Shen, Yu, Tinghan Yang, Yaru Li, Wenjian Meng, and Ziqiang Wang. Pelvic floor reconstruction after abdominoperineal resection: a network meta-analysis comparing primary closure, biological mesh reconstruction, omentoplasty, and myocutaneous flap closure. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, July 2021. http://dx.doi.org/10.37766/inplasy2021.7.0009.

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