Pelvic Floor - Science topic

Introduction: Pilates have been shown to lower the risk of falls. Also, the intensity of low back pain (LBP) may affect the postural control. Objective: To determine the impact of antenatal Pilates on postural control of the pregnant females and whether it is affected by the severity of LBP. Methodology: A randomized controlled trial. The participa...

Background Female sexual dysfunction is believed to be associated with pelvic floor dysfunction in most cases. However, correcting prolapse does not always necessarily correct sexual function. The reason for this might be secondary to disregarding anatomically relevant structures during surgical interventions. We aimed to demonstrate that posterior...

Objective To study value of one-on-one midwifery and music therapy combined program for natural childbirth. Methods This retrospective study analyzed the medical records of 82 women who gave birth spontaneously in our hospital between January 2020 and February 2022. They were grouped based on midwifery nursing programs. The control group received...

Pelvic pain of myofascial origin refers to pain originating in the perineal and pelvic floor muscles, abdominal muscles, pelvic and proximal thigh muscles, and associated connective tissues. This pain syndrome often arises from pre-existing urological, gynaecological or colorectal pathologies, or it may exist on its own, without concomitant patholo...

Objective To explore the effects of pelvic floor muscle (PFM) combined with pulmonary rehabilitation training on diaphragm function and lung function in elderly patients with intertrochanteric fracture. Methods This study was conducted by a randomized controlled single-blind method, 50 elderly patients with intertrochanteric fracture in Beijing Xi...

Sexual dysfunction following abdominal or pelvic surgery is a significant concern that impacts the quality of life (QoL) for both men and women. This paper explores the multifaceted challenges and re-educational strategies associated with post-surgical sexual dysfunction. It highlights the physical and psychological repercussions of surgeries such...

Perianal fistula is a complex condition where surgeons conduct surgeries based on the mentally mapped images they created from the information found in the radiology report. If not properly treated, a fistula could reoccur. To reduce the chances of reoccurrence, a patient-specific, visual, and accurate depiction of the internal tracts in relation t...

Background Aggressive angiomyxoma is a rare, locally invasive soft tissue tumor that predominantly affects women. It typically arises in the pelvic and perineal regions, with male cases being exceptionally rare. Despite its benign classification, its infiltrative nature and high recurrence risk make early diagnosis and management crucial. Aim of t...

Object : We tested the feasibility, data quality, and reliability of an upright magnetic resonance defaecating proctography (uMRDP) technique using an Open 0.5T ASG MRI scanner Materials and Methods: Eight healthy volunteers (2 males) performed seated defaecation on a purpose-built radio-frequency commode coil in an Open scanner. An optimised T2-we...

There is damage in the pelvic floor only visible in upright imaging. This damage have not been yet studied. The aim of this research is to assess the difference in levator ani muscle (LAM) damage in supine and upright position by means of MRI scans. Sixty-four patients with minimum stage 2 prolapse of the anterior vaginal wall or uterus, without pr...

Background Pelvic floor dysfunction (PFD) usually occurs due to issues with the pelvic floor muscle and fascia tissue. Although many studies have shown that vaginal childbirth is a risk factor, little is known about the effects of pregnancy. Stress urinary incontinence (SUI) is a common symptom of PFD, characterized by involuntary urine discharge w...

Introduction Researchers have increasingly focused on the efficacy of acupuncture therapy (AT) combine with rehabilitation therapy (RT) for post-stroke urinary incontinence (PSUI). This study aims to fully assess the efficacy of AT plus related RT in treating PSUI. Methods We systematically searched eight databases from their inception to March 20...

Urinary incontinence and other lower urinary tract symptoms (LUTS) are common postpartum complaints that can significantly affect the quality of life of new mothers. Previous researchers have reported the influence of selected sociodemographic factors on LUTS in a general female population and multiparous women. However, there is limited literature...

This study examines the repercussions of vaginal hysterectomy and apical suspension for prolapse, when used as a surgical remedy for pelvic organ prolapse (POP), with regard to sexual function, body image, and the overarching quality of life (QoL) in women living in low- to middle-income rural areas. We conducted a longitudinal assessment involving...

An enlarged urogenital hiatus is as important as apical support or fascial attachment failures in the development of prolapse and is strongly related to operative failure, yet we lack a conceptual model for factors responsible for hiatal failure. For a conceptual model to be valid, it cannot be proven false by empirical observation. We present six...

Bladder prolapse, also known as cystocoele, is the most common form of pelvic organ prolapse (POP), significantly affecting women's physical, sexual, and psychosocial health, particularly in low- and middle-income countries (LMICs). Despite its widespread prevalence and disabling consequences, bladder prolapse remains under-recognised and inadequat...

Pelvic‑floor physiotherapy (PFP) has emerged as a conservative, low‑risk treatment for several sexual dysfunctions. To map its contemporary evidence base, we performed a systematic scoping review of PubMed, Embase, Scopus and Web of Science (2015 – February 2025) for randomised, quasi‑experimental and cohort studies that centred on pelvic‑floor int...

In this small sample, the pelvic floor muscle contractile force with orgasm was statistically greater than the contractile force of both voluntary fast and slow twitch contractions of the pelvic floor muscles.

Background: Labor begins when uterine contractions occur or often called HIS and women release mucus mixed with blood, this happens because the cervix begins to open. Problems in the first stage in Indonesia are still widely found, including prolonged labor of 42.96% which is one of several causes of maternal and newborn death. The consequences tha...

Efficient treatment strategies for stress urinary incontinence (SUI) in elite female athletes (EFAs) are crucial for their timely return to sports. This study evaluates the effectiveness and potential drawbacks of non-ablative Er: YAG laser therapy combined with pelvic floor muscle training (PFMT) in treating SUI among EFAs. We employ a discrete ma...

Background Hemorrhage is the most important cause of death in pregnant mothers around the world. One of the causes of severe and fatal bleeding is placenta percreta, which is not easily controlled despite hysterectomy, due to placental invasion of the pelvic organs, and can cause coagulation disorders and maternal death. In placenta percreta cases,...

Purpose: Urinary incontinence (UI) significantly impacts the quality of life, necessitating a range of treatments, from behavioral changes to surgical interventions. Electromagnetic muscle stimulation (HIFEM™) therapy presents an innovative, non-invasive approach to strengthening pelvic floor muscles (PFMs). Subjects and Methods: This retrospective...

Background: Pelvic floor dysfunction (PFD) is a prevalent issue that significantly impacts women's health and overall quality of life, often resulting from factors such as childbirth, anatomical changes, and lifestyle choices. Despite its widespread occurrence, both awareness and effective treatment options remain insufficient. Objective: This stud...

Background: Obesity is associated with decreased sexual satisfaction, loss of sexual desire, impaired sexual performance, and reluctance to engage in sexual contact. These things will affect household harmony if not addressed. Overcoming sexual dissatisfaction can be done with pharmacological and non-pharmacological techniques. Performing pelvic fl...

Background: Investigating the role of physiotherapy in prenatal and postpartum care can have a significant impact on the well-being of expectant and new mothers. It's fascinating how different forms of physical therapy can support women during this transformative time in addressing and managing common issues like back pain, pelvic floor dysfunction...

Introduction: Urinary incontinence is a common issue among the elderly, often leading to reduced quality of life and psychosocial discomfort. Kegel exercise is a non-pharmacological intervention known to strengthen pelvic floor muscles and improve bladder control. Objective: This community service program aimed to empower elderly individuals to red...

Opinion Statement Sexual health concerns are extremely prevalent among breast cancer survivors. The treatments used to treat and cure breast cancer – surgical removal of part or the whole breast, chemotherapy, radiation, and endocrine therapy – can have devastating impact on sexual function. Unfortunately, most patients are not given adequate prepa...

Background: Urinary incontinence (UI) is a common issue following Transurethral Resection of the Prostate (TURP). Pelvic Floor Muscle Training (PFMT), including Kegel and Bridging exercises, is a promising non-pharmacological intervention for managing UI. Objective: This study aimed to evaluate the effectiveness of Pelvic Floor Muscle Training, com...

Functional constipation is a prevalent pediatric condition and affects the physical and psychological well-being of children. Pelvic floor physical therapy is an emerging approach to manage pelvic floor dysfunction and constipation. This review aimed to evaluate current evidence regarding the effects of pelvic floor physical therapy in children wit...

Background Benign prostatic hyperplasia (BPH) commonly affects men over 50, often requiring interventions like TURP. Postoperative pelvic floor muscle training (PFMT), guided by the Health BeliefModel (HBM), may enhance recovery, particularly in urinary and erectile function. Methods Outcomes assessed included Health Promotion Lifestyle Profile II...

Background Pelvic floor dysfunction significantly impacts patients’ quality of life, and its incidence is steadily increasing over time. However, there remains a lack of sufficient awareness regarding this condition. This study aims to enhance public awareness through relevant surveys. Methods A total of 368 married women were randomly recruited f...

Objective This study examines the prevalence of abnormal palpatory findings (APFs) in the different pelvic areas among individuals with chronic pelvic pain syndrome (CPP-CPPS) and assesses correlations between APFs and clinical and psychosocial symptoms. Methods In this cross-sectional study, 326 participants (162 CPP-CPPS patients, 164 controls)...

Pendahuluan : Constipation (Sembelit) sering didefinisikan secara klinis yaitu buang air besar tiga kali atau kurang dalam seminggu. Orang-orang pada umumnya merasa bahwa buang air besar setiap hari adalah kondisi yang tidak sehat. Namun, bagi sebagian orang buang air besar tiga kali seminggu adalah hal yang normal, terutama bagi mereka yang sudah...

Rectal prolapse (RP) is rare, of unclear pathophysiology with great impact on quality of life. The aim of the paper is to present the case of patient with evolution suggestive of malignant rectal tumor in the setting of complete rectal prolapse. Case presentation: A 39-year-old female patient with one year of transanal bleeding, requiring blood tra...

Rectal prolapse is a condition that can significantly impair the patient’s quality of life. It is more common in older women due to chronic constipation and weak pelvic floor muscles. Surgical techniques for correcting rectal prolapse are abdominal or perineal procedures. Among the perineal techniques, Altemeier’s procedure, or perineal procto-sigm...

Background Diffusion tensor imaging (DTI) techniques in magnetic resonance imaging (MRI) were found to provide quantitative insights into microstructural abnormalities in biological tissues. This study aimed to determine the significance of DTI-derived numerical values in quantifying pelvic floor muscle dysfunctions (PFD) by comparing fractional an...

A vesicoperineal fistula is an uncommon entity, described as an aberrant tract between the bladder lumen and the cutaneous surface of the perineum. We present the case of a 78-year-old male who underwent abdominoperineal resection and chemoradiotherapy for the treatment of non-metastatic, locally advanced rectal cancer. Five years later, he develop...

Introduction Magnetic Stimulation (MS) works on neuromuscular tissue by creating a specific electromagnetic field capable of inducing an intense muscular contraction thereby deeply stimulating pelvic floor muscles and restoring neuromuscular function in a non-invasive manner. Flat MS (FMS) has a more homogeneous electromagnetic field which permits...

Aim Urinary incontinence (UI) is a common condition for adult women impacting over 60% of women with 9.8% experiencing daily symptoms and 32.4% experiencing monthly symptoms. It is associated with significant negative impacts on patients’ quality of life, well-being, and social functioning, resulting in substantial healthcare costs to payers. The g...

Background: The improvement of surgical methods on locally advanced cervical cancer with invasion into the bladder is changing criteria of «unresectablity» and «unoper-ablity» for the condition generally. Methods: We performed an analysis of 28 patients with locally advanced cervical cancer simultaneously plastic of pelvis with invasion into bladde...

Background: The improvement of surgical methods on locally advanced cervical cancer with invasion into the bladder is changing criteria of «unresectablity» and «unoper-ablity» for the condition generally. Methods: We performed an analysis of 28 patients with locally advanced cervical cancer simultaneously plastic of pelvis with invasion into bladde...

Pelvic organ prolapse (POP) is a common and distressing condition affecting women, particularly those with a history of vaginal delivery. The impact of extracellular vesicles derived from adipose‐derived mesenchymal stem cells (ADSC‐EVs) on pelvic floor tissue injury remains unclear. Due to their short half‐life and rapid clearance in vivo, ADSC‐EV...

Constipation is a common gastrointestinal disorder affecting approximately 15% of the population, with a higher prevalence in women and older adults. It can be classified as primary, including functional constipation, pelvic floor dysfunction, and slow transit, or secondary, resulting from neurological, endocrine, metabolic disorders, cancer, or me...

Objective: To analyse the effect of pelvic position on ultrasonic measurement parameters of pelvic floor in postpartum women. Methods: This study included 132 postpartum participants who visited Fujian Maternity and Child Health Hospital from May 2020 to May 2024. All participants were assessed by medical professionals for general information an...

Extra-pelvic varicose veins (VVs), originating from incompetent pelvic veins, present a significant clinical challenge, due to their complex anatomy, etiology, and symptomatology. This review aims at providing a comprehensive overview of the diagnostic and therapeutic strategies for these cases and emphasizes the importance of a tailored, evidence-...

Purpose The bulbocavernosus muscle (BCM) is a vital component of the pelvic floor muscles, significantly contributing to women’s sexual function. Shear wave elastography (SWE) is an innovative, non-invasive imaging technique offering quantitative insights into tissue stiffness, yet its application in evaluating BCM stiffness remains unexplored. Thi...

Introduction: This study investigated the relationship between primary dysmenorrhea and pelvic floor function. Methods: A total of 145 women aged 18 to 35 participated in this study. Participants provided demographic information via questionnaire. Pain intensity was measured using the Visual Analogue Scale. Pelvic floor function was assessed using...

The primary objective of this study was to determine the prevalence of urinary incontinence (UI) in women with severe obesity. Other objectives included assessing the quality of life among women with obesity with UI and comparing levels of pelvic floor muscle strength and lumbar disability between women with and without UI. A cross-sectional observ...

Objective This research seeks to assess the prevalence of sarcopenia in patients diagnosed with localized prostate cancer and to investigate the influence of sarcopenia on the incidence of urinary incontinence following laparoscopic radical prostatectomy. Methods A cohort of 350 patients, diagnosed with prostate cancer and having undergone laparos...

The primary objective of this study was to determine the prevalence of urinary incontinence (UI) in women with severe obesity. Other objectives included assessing the quality of life among women with obesity with UI and comparing levels of pelvic floor muscle strength and lumbar disability between women with and without UI. A cross-sectional observ...

Introduction and aim: Erectile dysfunction has a significant impact on quality of life, substantially reducing both the mental and physical well-being of the affected men. This study examines the role of physical activity in the prevention and treatment of erectile dysfunction. Methods and materials: A comprehensive literature review was undertaken...

Dysfunctional voiding (DV) is a multifactorial functional problem that refers to dysfunction during voiding. DV is clinically important because it increases the risk of urinary tract infections, mostly due to incomplete bladder emptying, and unfavorably affects renal function. Additionally, a child with DV may experience storage symptoms such as fr...

Background Pelvic organ prolapse (POP) is a condition where pelvic organs descend into the vaginal canal due to weakened pelvic floor muscles. Nearly 50% of women will develop some degree of POP, with incidence peaking at ages 50–54 and 65–69. This study aims to identify early symptoms of POP and assess their progression, improvement, or regression...

Background: Spinal cord injury (SCI) is a life-altering event that is usually associated with loss of motor and sensory function, as well as sexual impairment. Materials and Methodology: The study was conducted in Multi-disciplinary hospitals and tertiary care centers in and around Pune. The authors administered questionnaires via Google Forms to 1...

Background: This prospective comparative study investigates urinary incontinence (UI), often associated with grade 2 cystocele, a condition that poses significant physical, emotional, and social challenges for affected women. While anterior colporrhaphy remains the gold standard for anatomical correction, non-invasive alternatives such as EMSella t...

Since midlife women experience pelvic organ prolapse (POP) and voiding dysfunction (VD) which highly affects their quality of life. POP affects nearly fifty percent of women older than fifty and these patients often concurrently experience urinary retention together with incomplete bladder emptying. The necessity of surgical reconstruction steps in...

Background Accurate positioning and programming of sacral neuromodulation (SNM) relies upon the use of several intraoperative and postoperative stimulation measurements. While the clinical utility of these acute measurements including pelvic floor motor thresholds (PFMT), toe/leg motor thresholds (TMT), and sensory thresholds (ST), are widely accep...

Bikers frequently experience lower back pain (LBP) as a result of repetitive motion. The stretched, contracted stance adopted by bike riders during pedaling can lead to the development of lumbar back pain due to the increased mechanical strain exerted on the lumbar spine. One possible method of preventing and treating bike rider's low back discomfo...

Pregnancy and childbirth can have far-reaching effects on women’s pelvic floor health. It is important to educate pregnant women about pelvic floor health and potential birth-related pelvic floor (PF) changes as part of continuous midwifery care. This scoping review aims to identify the current state of research on knowledge and knowledge gaps in p...

Pelvic floor dysfunctions (PFD) consists of disorders that involve urinary incontinence (UI), anorectal dysfunction, pelvic organ prolapse (POP), sexual dysfunction and pelvic pain. While physical activity benefits overall health, high-impact and strenuous exercise may contribute to PFD due to increased intra-abdominal pressure. This study examined...

Background: The impact of muscle-training treatment on quality of life and functional outcomes in people with pelvic floor dysfunction may be related to adherence rates. Methods: Nine electronic databases were searched for studies published up to 15 October 2024. A qualitative synthesis was used to describe the relationship between adherence or com...

The aim of this systematic review is to summarise the available evidence for radiological changes associated with postoperative low anterior resection syndrome (LARS). A literature search was undertaken for all studies focusing on preoperative radiological predictors of postoperative LARS. Articles were selected from MEDLINE, EMBASE and the Cochran...

Niles Newton, a prolific reproductive biologist, described physical, psychological, and hormonal similarities between female sexual response and childbirth. Such phenotypic overlap indicates shared mechanisms, which led Newton to suggest that dysfunction in one process could interfere with the other process. There currently exists very little resea...

Background Between 25% and 45% of women experience urinary incontinence. The Tät® app is intended to treat stress urinary incontinence in women, and has been evaluated for efficacy and effectiveness. The level of usage of digital healthcare differs depending on demographics, and this might lead to unequal access to healthcare. This study aims to an...

Introduction and Hypothesis Mesh implants were used in Australia until 2018 for managing pelvic organ prolapse. Owing to complications such as dyspareunia, mesh exposure, erosion and vaginal discharge, transvaginal mesh was removed from the market. Regenerative treatments such as transvaginal platelet-rich plasma (PRP) and fractional CO 2 laser the...

Vulvodynia is a debilitating sexual disorder with a high prevalence of 7–11%. In the study reported here, we analyzed long-term results from a prospective, non-controlled observational study to enhance our understanding of the success of therapeutic local anesthesia (TLA) and to investigate factors that predict a response or failure of therapy, wit...

Purpose This study aims to identify independent risk factors for mixed urinary incontinence (MUI) in parous women using a multicenter epidemiological study and to establish and validate a predictive nomogram. Methods A large-scale survey was conducted from June 2022 to September 2023, including parous women aged over 20 selected through stratified...

Chronic pelvic pain (CPP) affects about a quarter of women, imposing a significant financial burden on the US healthcare system. Myofascial pelvic pain (MFPP), often overlooked in CPP cases, involves tight pelvic floor muscles and trigger points, leading to symptoms like pain, urinary issues, and sexual discomfort. Despite its prevalence (23–78% in...

Background: Normal vaginal delivery is associated with a significant risk of perineal trauma and associated complications. This can be avoided by engaging in prenatal pelvic floor exercises, yoga, and perineal massage. Exercise and perineal massage significantly improve maternal and neonatal outcomes and reduce postpartum complications. Aims and Ob...

Stress urinary incontinence (SUI) results from complex anatomical and functional interactions, including urethral mobility, muscle activity, and pelvic floor support. Despite advancements in imaging and electrophysiology, a comprehensive model remains elusive. This study employed shear wave elastography (SWE), incorporating sound touch elastography...

Background Vaginal dilators use inflatable balloons that can be gently increased in size to dilate the vagina at a controlled rate before or during delivery. Objective The primary objective of this study was to assess if antenatal use of vaginal dilator devices reduces the incidence of the following outcomes: episiotomy, perineal lacerations, anal...

Polycystic Ovary Syndrome (PCOS) is a common endocrine disorder in women, often linked to reproductive challenges and pelvic floor dysfunction. Objective: To find out the association of pelvic floor dysfunction and with conception challenges among females with Poly Cystic Ovary Syndrome. Methods: A cross sectional descriptive study was conducted; d...

Pelvic floor health is a crucial yet often overlooked aspect of women's well-being. Pelvic floor specialists play a significant role in diagnosing, managing, and rehabilitating pelvic floor dysfunctions that impact urinary, bowel, and sexual health. Through evidence- based interventions, these specialists enhance the quality of life for individual...

Background Pelvic organ prolapse (POP) is a common condition that can significantly impact a woman’s quality of life. Pelvic floor muscle training (PFMT) is recommended as a first-line conservative treatment for prolapse, but evidence on its effectiveness from low-resource settings is limited. This study aimed to assess the effect of midwife-led PF...

Diabetes mellitus, particularly type 2 diabetes, is a growing global health issue, often exacerbated by insulin resistance, metabolic disturbances, and inflammatory responses. Background: Pelvic Floor Dysfunction (PFD) is a relatively common health complication after giving birth, but is usually neglected. It largely impacts the woman’s physical, m...

Background: This study aimed to explore the relationship between acetabular dysplasia (AD), a known risk factor for pelvic floor dysfunction (PFD), and its effects on sexual function and psychological well-being in women. Methods: A cross-sectional study was conducted with 125 female patients experiencing genitopelvic pain and penetrative disorders...

Introduction Levator ani muscle avulsion is a risk factor for inferior outcomes after native tissue pelvic organ prolapse repair. In a previously published study, we found no such association 1 year after the Manchester procedure (anterior repair combined with cardinal and uterosacral ligament suspension and perineal repair). The aim of the present...

Objective To explore the impact of integrated care model on urinary retention after extensive hysterectomy for cervical cancer. Methods This was a retrospective study. Sixty eight patients with cervical cancer who underwent extensive hysterectomy in Tangshan People’s Hospital from March 2021 to March 2023 were divided into experimental group and c...

Background Constipation, a common defecatory disorder, exhibits various symptoms and individual variability. Abnormalities in rectal sensation and/or motility are prevalent among patients. However, the mechanisms linking rectal sensation and motility, and their impact on rectal evacuation function, remain poorly understood. Methods Our study gathe...

Значима кількість публікацій демонструє вплив вагітності та пологів на структуру та функцію тазового дна, констатуючи факт діагностики стресового нетримання сечі та інших проявів. Метою даної роботи стала оцінка ефективності запропонованих реабілітаційних технік щодо відновлення стану тазового дна у першонароджуючих жінок з мінімальними симптомами...

Introduction Recent guidelines suggest behavioural weight loss (BWL) and pelvic floor muscle training (PFMT) as first-line treatment approaches for women with both obesity and stress urinary incontinence (SUI). However, the optimal therapeutic and management strategies for these populations remain uncertain. Methods and analysis This assessor-blin...

The article reviews the modern scientific literature on the fascial structures of the perineal area. Particular attention is paid to the anatomical, morphological and functional features of the fascia, which play a key role in supporting the pelvic organs, transferring the load and possible ways of spreading pathological processes. The fascial stru...

Gastrointestinal stromal tumor (GIST) is a rare condition that originates in the cells of Cajal and constitutes the most frequent type of malignant mesenchymal tumors in the gastrointestinal tract. Although their incidence is low, GISTs are most common in the stomach and small intestine, although they can occur in other areas, such as the rectum. A...

Background Dynamic pelvic floor assessment is essential for diagnosing functional disorders. MR defecography has emerged as a superior imaging technique due to its detailed visualization capabilities during defecation. This prospective observational study over six months evaluated pelvic floor disorders using dynamic MR defecography and correlated...