No abstract available.
Pelvic Floor*

No abstract available.
Electric Stimulation* ; Pelvic Floor*

Urogynecology and Reconstructive Pelvic Surgery has long been recognized specialty in the field of obstetrics and gynecology and it is not new to any of us. In 1979, the American College of Obstetrics and Gynecology officially recognized this field as a subspecialty. In the Philippines, however, urogynecology is still in its infancy stage. Urogynecology concerns problems of the female genital tract and lower urinary and lower intestinal tract disorders. More commonly, we provide care to women with various pelvic floor disorders such as pelvic organ prolapse, fecal incontinence, and bladder control problems, specifically urinary incontinence. They are, at present, aspects of women’s health that are frequently neglected or ignored. With the recent emphasis on women’s health and quality of life, caring for women with various pelvic floor disorders would become an increasingly important aspect of women’s healthcare. Moreover, for a rapidly growing and aging population, the demand for such care will inevitably escalate.
Pelvic Floor Disorders

No abstract available.
Female* ; Humans ; Pelvic Floor* ; Rehabilitation*

We report two cases of pelvic floor myoclonic jerk syndrome, which are rarely reported and associated with various etiological conditions. These cases are different from previously reported cases in terms of spontaneous improvement, no pain, and causal event. One patient suffered from this symptom after a suspected mild head and back trauma, and the other patient had no suspected etiological event or medical illness.
Head ; Humans ; Myoclonus* ; Pelvic Floor*

In 1948, Kegel first described biofeedback therapy with perineometer for the treatment of genuine stress incontinence and reported a 90% improvement in 455 patients treated. After then, most urologists and gynecologist favored the anti-incontinence surgery in spite of the effectiveness of pelvic floor exercise. However, pelvic floor muscle exercise is regarded as ""something good to do"" before considering surgery, nowadays. This study evaluated the efficacy of the pelvic floor muscle exercise for the treatment of genuine stress incontinence patients with mild symptoms and pelvic relaxation. We treated 31 patients with pelvic floor muscle exercise with perineometer and followed up all of the patients for 3 months. Twenty seven out of thirty one cases improved incontinence symptom. Sixty five percent of cases showed less than 2 gm urine leak after one hour pad test and 48% of cases showed the increase of vaginal tone (mean 13.2mmHg) with perineometer. This study shows the improvement of genuine stress incontinence symptom is mainly due to perineal blockage just before the increase of intraabdominal pressure.
Biofeedback, Psychology ; Humans ; Pelvic Floor* ; Relaxation

OBJECTIVES: Pelvic floor dysfunction (PFD) seriously affects women's physical and mental health. Pregnancy and childbirth are recognized as high-risk factors for PFD, and studies have shown that vaginal microenvironmental disorders can promote the development of pelvic organ prolapse. In this study, we intend to investigate whether the changes in vaginal microecology during pregnancy affect the pelvic floor function and participate in the development of postpartum PFD, and provide a basis for the prevention and treatment of PFD. METHODS: A total of 358 full-term mothers who delivered in Third Xiangya Hospital, Central South University from November 2019 to April 2020 were selected and underwent review 6 to 8 weeks after delivery. The pelvic floor structures were examined using pelvic floor ultrasound, and ultrasound values were measured at rest and at maximum Valsalva maneuver. One hundred and seventy women with PFD were assigned in a PFD group, and 188 women without PFD were assigned in a control group. The clinical data of all mothers were collected, and the clinical data and the results of microecological testing for vaginal secretions after 36 weeks of gestation and before delivery were compared between the 2 groups. The correlation of PFD with leucorrhoea cleanliness, lactobacillus level, bacterial vaginosis (BV), and vulvovaginal candidiasis (VVC) was analyzed, and logistic regression analysis was used to screen for independent risk factors for PFD. RESULTS: The incidences of VVC, BV, Lactobacillus vaginalis deficiency, and leucorrhoea cleanliness ≥III° were all higher in the PFD group than those in the control group (P<0.05). Among them, leukocyte cleanliness ≥III°and lack of Lactobacilli in the vagina were independent risk factors for the development of PFD, while VVC and BV were not independent risk factors for the development of PFD. CONCLUSIONS Postpartum PFD is related to vaginal microecological imbalance in late pregnancy, among which Lactobacillus vaginalis deficiency and leucorrhoea cleanliness ≥III° are independent risk factors for the occurrence of PFD. Therefore, pregnant women with Lactobacillus vaginalis deficiency and leucorrhoea cleanliness ≥III° in late pregnancy should pay attention to the occurrence of postpartum PFD, and early diagnosis and effective intervention of postpartum PFD should be enhanced.
Pregnancy ; Female ; Humans ; Pelvic Floor ; Mothers

Pelvic organ prolapse(POP) is a major health care problem. Up to 50% of parous women have some degree of pelvic organ prolapse although only 10?20% are symptomatic. The first line of treatment is surgical repair. Many surgical procedures have been described to correct pelvic organ prolapse. The majority of these procedures are performed either vaginally or abdominally, or with a combined abdominovaginal approach. With recent advancements of laparoscopic instruments and surgical techniques, interest in laparoscopic treatment of pelvic organ prolepse has surged. Beyond the well-known advantages of laparoscopy - less postoperative discomfort, shorter hospital stay, the laparoscopic approach offers the superior visualization of the pelvis, thereby allowing better exposure of the pelvic floor anatomy and more exact identification of the defect. Moreover, laparoscopic surgery provides a magnified view of the operative field and enables to perform an easier and more precise dissection. This enhances the identification of pelvic floor defects and allows more precise suture placement and improved correction of specific site defects. Laparoscopic pelvic floor repair is an effective procedure and enables to combine the advantages of laparotomy with the low morbidity of the vaginal route. This article reviews pelvic support anatomy and various laparoscopic surgical techniques currently available for reconstructive pelvic surgery.
Delivery of Health Care ; Female ; Humans ; Laparoscopy ; Laparotomy ; Length of Stay ; Pelvic Floor ; Pelvic Floor Disorders ; Pelvic Organ Prolapse ; Pelvis ; Sutures

The short forms of pelvic floor distress inventory (PFDI) and pelvic floor impact questionnaire (PFIQ) are useful disease specific questionnaires evaluating symptoms, quality of life for pelvic floor disorders. The purpose is to develop linguistic validation of the PFDI-20 and PFIQ-7 questionnaires. Three types of Korean version of questionnaires have been used in four locations of University Hospitals in Korea. Each version of questionnaires was developed by forward translation and back-translation by bilingual translators and was verified by the patients with pelvic floor disorder and healthy persons. For harmonization of 3 types of questionnaires, four authors reviewed, discussed all discrepancies, incorporated and produced a new version. The multi-step processes of translation and linguistic validation of the Korean version of PFDI-20 and PFIQ-7 questionnaire were completed. Further process of validation of Korean version of these questionnaires is required.
Hospitals, University ; Humans ; Korea ; Linguistics ; Pelvic Floor ; Pelvic Floor Disorders ; Pelvic Organ Prolapse ; Quality of Life ; Surveys and Questionnaires ; Translations ; Urinary Incontinence

Since Dr. Kegel first reported good outcomes for pelvic floor muscle training in women with urinary incontinence this therapy has become used for women with various pelvic floor disorders. The incidence of pelvic floor disorders such as urinary incontinence and pelvic organ prolapse has been steadily increasing. Although surgery or medications are commonly used, behavioral modification and pelvic floor rehabilitation are gaining in popularity both as primary treatment and as alternatives to surgery. The goal of this article is to review the pelvic floor rehabilitation with emphasis on biofeedback and electrical stimulation and examine the evidence of effectiveness and application of pelvic floor rehabilitation.
Biofeedback, Psychology ; Electric Stimulation ; Female ; Humans ; Incidence ; Pelvic Floor Disorders ; Pelvic Floor* ; Pelvic Organ Prolapse ; Rehabilitation* ; Urinary Incontinence