Pelvic floor dysfunction at transperineal ultrasound and voiding alteration in women with posterior deep endometriosis

2019 ◽  
Vol 30 (9) ◽  
pp. 1527-1532 ◽  
Author(s):  
Mohamed Mabrouk ◽  
Diego Raimondo ◽  
Matteo Parisotto ◽  
Simona Del Forno ◽  
Alessandro Arena ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Dysfunction ◽  
Transperineal Ultrasound ◽  
Deep Endometriosis

Electromyostimulation in the treatment of early forms of postpartum pelvic floor dysfunction

2021 ◽  
Vol 20 (3) ◽  
pp. 63-68
Author(s):  
O.L. Glazkova ◽  
◽  
D.Yu. Makeev ◽  
S.V. Shmeleva ◽  
R.E. Kuznetsov ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Dysfunction ◽  
Rehabilitation Program ◽  
Transperineal Ultrasound ◽  
Trauma Patients ◽  
Urethral Hypermobility ◽  
Electrical Device ◽  
First Child ◽  
Number Of Patients ◽  
Q System

Objective. To study the results of electromyostimulation using an electrical device Tonis in patients with minimal signs of postpartum pelvic floor trauma. Patients and methods. The study included 24 women aged 20–32 years (27.4 (24.4; 29.1)) who were observed 6–12 months after delivery of their first child through vaginal childbirth in a cephalic presentation and whose examination revealed minimal signs of pelvic floor trauma or dysfunction. The electromyostimulation trainer Tonis was used 20 minutes daily (postpartum rehabilitation program) for 3 months. Results. After 3 months of training, in all patients, previously minimal complaints ceased. The POP-Q measurements significantly improved almost in all patients: the uterus was in a higher position, the topography of both the anterior and posterior vaginal walls improved, and the genital hiatus narrowed. Conclusion. Transperineal ultrasound showed a statistically significant improvement in the height of the central tendon of the perineum and in the muscle mass, the number of patients with muscle diastasis decreased, urethral hypermobility also decreased. Key words: postpartum rehabilitation, POP-Q system, transperineal ultrasound, electromyostimulation

scholarly journals Dynamics of male pelvic floor muscle contraction observed with transperineal ultrasound imaging differ between voluntary and evoked coughs

2014 ◽  
Vol 116 (8) ◽  
pp. 953-960 ◽  
Author(s):  
Ryan E. Stafford ◽  
Stuart Mazzone ◽  
James A. Ashton-Miller ◽  
Christos Constantinou ◽  
Paul W. Hodges
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Pelvic Floor Dysfunction ◽  
Levator Ani ◽  
Transperineal Ultrasound ◽  
Intraabdominal Pressure ◽  
Voluntary Cough ◽  
Bladder Base ◽  
History Of ◽  
Urological Disorders

Coughing provokes stress urinary incontinence, and voluntary coughs are employed clinically to assess pelvic floor dysfunction. Understanding urethral dynamics during coughing in men is limited, and it is unclear whether voluntary coughs are an appropriate surrogate for spontaneous coughs. We aimed to investigate the dynamics of urethral motion in continent men during voluntary and evoked coughs. Thirteen men (28–42 years) with no history of urological disorders volunteered to participate. Transperineal ultrasound (US) images were recorded and synchronized with measures of intraabdominal pressure (IAP), airflow, and abdominal/chest wall electromyography during voluntary coughs and coughs evoked by inhalation of nebulized capsaicin. Temporal and spatial aspects of urethral movement induced by contraction of the striated urethral sphincter (SUS), levator ani (LA), and bulbocavernosus (BC) muscles and mechanical aspects of cough generation were investigated. Results showed coughing involved complex urethral dynamics. Urethral motion implied SUS and BC shortening and LA lengthening during preparatory and expulsion phases. Evoked coughs resulted in greater IAP, greater bladder base descent (LA lengthening), and greater midurethral displacement (SUS shortening). The preparatory inspiration cough phase was shorter during evoked coughs, as was the latency between onset of midurethral displacement and expulsion. Maximum midurethral displacement coincided with maximal bladder base descent during voluntary cough, but followed it during evoked cough. The data revealed complex interaction between muscles involved in continence in men. Spatial and temporal differences in urethral dynamics and cough mechanics between cough types suggest that voluntary coughing may not adequately assess capacity of the continence mechanism.

scholarly journals Pelvic floor dysfunction at transperineal ultrasound and chronic constipation in women with endometriosis

2022 ◽  
Author(s):  
Diego Raimondo ◽  
Laura Cocchi ◽  
Antonio Raffone ◽  
Simona Del Forno ◽  
Raffaella Iodice ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Chronic Constipation ◽  
Pelvic Floor Dysfunction ◽  
Transperineal Ultrasound

290: The Prevalence of Abuse in Women with Interstitial Cystitis and Pelvic Floor Dysfunction

2006 ◽  
Vol 175 (4S) ◽  
pp. 96-97
Author(s):  
Donna J. Carrico ◽  
Ananias C. Diokno ◽  
Kenneth M. Peters
Keyword(s):  
Pelvic Floor ◽  
Interstitial Cystitis ◽  
Pelvic Floor Dysfunction

Possibilities of using neodymium laser (Nd:YAG) in patients with concomitant diseases which are accompanied by pathological discharge from the genital tract

GYNECOLOGY ◽  
2020 ◽  
Vol 22 (4) ◽  
pp. 75-81
Author(s):  
Olga A. Pauzina ◽  
Inna A. Apolikhina ◽  
Darya A. Malyshkina
Keyword(s):  
Drug Therapy ◽  
Pelvic Floor ◽  
Genital Tract ◽  
Vaginal Discharge ◽  
Muscle Tone ◽  
Pelvic Floor Muscle ◽  
Pelvic Floor Dysfunction ◽  
Vaginal Wall ◽  
Neodymium Laser ◽  
Frequent Relapses

Background. Pathological vaginal discharge is the most common disorder in women after giving birth who have vaginal relaxation syndrome and vaginal wall prolapse, as well as in women during menopause. To date, there are no clear treatment regimens for mixed vulvovaginal infections, and the use of only drug therapy in patients with pelvic organ prolapse and genitourinary syndrome of menopause in combination with diseases which are accompanied by pathological vaginal discharge does not give a long lasting result and is characterized by frequent relapses. In this regard, the use of laser methods in combination with drug therapy may lead to the recovery of vaginal microbiocenosis and a decrease in the number of relapses of diseases which are accompanied by pathological discharge from the genital tract. Results. Description. This article presents a clinical case and description of the experience of using a neodymium laser for the treatment of a patient with recurrent mixed vulvovaginitis, 2nd- degree vaginal wall prolapse, loss of pelvic floor muscle tone, vaginal relaxation syndrome and sexual dysfunction using neodymium laser. The woman received 3 procedures of exposure to a neodymium laser with an interval of 2830 days. After 3 procedures of exposure to a neodymium laser, the patient has a good clinical efficacy in the recovery of vaginal microbiocenosis. Conclusions. An innovative technique of exposure to Nd:YAG neodymium laser in the practice of a gynecologist has shown high clinical efficiency in the treatment of not only pelvic floor dysfunction, but also mixed vulvovaginitis. And, despite this aspect of the use of laser technologies requires further study, we can use a neodymium laser in combination with traditional drug therapy to treat diseases which are accompanied by pathological discharge from the genital tract in cases of ineffective drug monotherapy and frequent relapses.

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