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PHARMACOLOGIC MANAGEMENT OF PELVIC FLOOR DYSFUNCTION [PDF]
Pharmacologic therapy is an important part of the treatment armamentarium for urogynecologic disorders. Current and future research will determine the utility of such therapy as medications with fewer side effects and more targeted efficacy are developed.
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The epidemiology of female pelvic floor dysfunction
Current Opinion in Obstetrics and Gynecology, 1994Pelvic floor dysfunction, specifically urinary and fecal incontinence, is thought to be widespread. Prevalence figures for these disorders vary greatly. This review highlights the accepted prevalence and incidence figures for pelvic floor dysfunction and their relative age distribution in women.
Richard C. Bump, Veronica T. Mallett
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Diagnostic imaging of pelvic floor dysfunction
Current Opinion in Urology, 2001Pelvic floor dysfunction encompasses a variety of fascial and anatomic defects that can include a combination of cystocele, rectocele, uterine prolapse, enterocele and vault prolapse. Accurate diagnosis of the coexisting abnormalities is essential in planning reconstructive procedures so that the risks of recurrence and reoperation can be minimized. At
Shlomo Raz, Larissa V. Rodriguez
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NONSURGICAL MANAGEMENT OF PELVIC FLOOR DYSFUNCTION
Obstetrics and Gynecology Clinics of North America, 1998In the 50 years since pelvic muscle exercises were introduced for the nonsurgical management of pelvic floor dysfunction related to parturition, a variety of approaches have been introduced and the scope of indications has grown. This article describes the evaluation of patients with pelvic floor complaints, discusses additional techniques for ...
Anthony G. Visco, Carol Figuers
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The burden of pelvic floor dysfunction
Journal of Science and Medicine in Sport, 2022Natalia Aleksandra Dułak+1 more
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Integrated total pelvic floor ultrasound in pelvic floor defaecatory dysfunction
Colorectal Disease, 2017AbstractAimImaging for pelvic floor defaecatory dysfunction includes defaecation proctography. Integrated total pelvic floor ultrasound (transvaginal, transperineal, endoanal) may be an alternative. This study assesses ultrasound accuracy for the detection of rectocele, intussusception, enterocele and dyssynergy compared with defaecation proctography ...
Alexis Schizas+5 more
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Pelvic floor physical therapy in the treatment of pelvic floor dysfunction in women
Current Opinion in Obstetrics & Gynecology, 2019Purpose of review To describe the principles of pelvic floor physical therapy (PFPT), review the evidence for PFPT as a treatment for pelvic floor dysfunction, and summarize the current recommendations for PFPT as a first-line conservative treatment option for pelvic floor disorders.
Kavita Mishra+2 more
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Mindfulness in Pelvic Floor Dysfunction
Biofeedback, 2018Biofeedback is recommended as the first line of treatment for patients with stress or urge urinary incontinence (Fantl et al., 1996). Research supports the use of biofeedback for bowel dysfunction (Bartlett, Sloots, Nowak, & Ho, 2011). There is mounting evidence for the use of Mindfulness-Based Stress Reduction for the use of bladder and bowel ...
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BOTOX for pelvic floor dysfunction
Toxicon, 2008Spasm of the pelvic floor muscles can lead to dyspareunia, dyschesia and non-menstrual pelvic pain in women. A pilot study published in 2004 demonstrated decreased pain and pelvic pressures when Botox was injected transvaginally into the levators. A double-blind RCT from 2006 confirmed these findings, but also demonstrated the value of physiotherapy as
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Pelvic floor dysfunction in midlife women
Climacteric, 2019Pelvic floor dysfunction in women includes urinary incontinence and pelvic organ prolapse. In midlife, genitourinary atrophy is commonly associated with these conditions and can practically be considered part of the overall condition. The pelvic floor tissues share a common hormone responsiveness and as such respond collectively to midlife estrogen ...
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