scholarly journals Incidence and Risk Factors for Pelvic Pain After Mesh Implant Surgery for the Treatment of Pelvic Floor Disorders

2017 ◽  
Vol 24 (1) ◽  
pp. 67-73 ◽  
Author(s):  
Elizabeth J. Geller ◽  
Emma Babb ◽  
Andrea G. Nackley ◽  
Denniz Zolnoun
Keyword(s):  
Risk Factors ◽  
Pelvic Floor ◽  
Pelvic Pain ◽  
Pelvic Floor Disorders ◽  
Implant Surgery ◽  
Mesh Implant

Myofascial Pelvic Pain in Women with Pelvic Floor Disorders: A Case Control Study of Risk Factors

2018 ◽  
Vol 40 (6) ◽  
pp. 830
Author(s):  
Brianna Cameron ◽  
May Sanaee ◽  
Johanne Sabourin ◽  
Nicole Koenig ◽  
Hong Quian ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pelvic Floor ◽  
Pelvic Pain ◽  
Pelvic Floor Disorders ◽  
Case Control Study ◽  
Case Control ◽  
Control Study

scholarly journals Urogynecology in obstetrics: impact of pregnancy and delivery on pelvic floor disorders, a prospective longitudinal observational pilot study

2021 ◽  
Author(s):  
Russalina Stroeder ◽  
Julia Radosa ◽  
Lea Clemens ◽  
Christoph Gerlinger ◽  
Gilda Schmidt ◽  
...  
Keyword(s):  
Risk Factors ◽  
Connective Tissue ◽  
Pelvic Floor ◽  
Pelvic Floor Disorders ◽  
Fetal Weight ◽  
Vacuum Extraction ◽  
Translabial Ultrasound ◽  
Third Trimester ◽  
Tertiary Center ◽  
Prospective Longitudinal

Abstract Purpose To assess changes in the pelvic floor anatomy that cause pelvic floor disorders (PFDs) in primigravidae during and after pregnancy and to evaluate their impact on women’s quality of life (QoL). Methods POP-Q and translabial ultrasound examination was performed in the third trimester and 3 months after delivery in a cohort of primigravidae with singleton pregnancy delivering in a tertiary center. Results were analyzed regarding mode of delivery and other pre- and peripartal factors. Two individualized detailed questionnaires were distributed at 3 months and at 12 months after childbirth to determinate QoL. Results We recruited 45 women, of whom 17 delivered vaginally (VD), 11 received a vacuum extraction delivery (VE) and 17 a Cesarean section in labor (CS). When comparing third-trimester sonography to 3 months after delivery, bladder neck mobility increased significantly in each delivery group and hiatal area increased significantly in the VD group. A LAM avulsion was found in two women after VE. Connective tissue weakness (p = 0.0483) and fetal weight at birth (p = 0.0384) were identified as significant risk factors for the occurrence of PFDs in a multivariant regression analysis. Urinary incontinence was most common with 15% and 11% of cases at 3, respectively, 12 months after delivery. 42% of women reported discomfort during sexual intercourse, 3 months after delivery and 24% 12 months postpartum. Although 93% of women engage a midwife after delivery, only 56% participated in pelvic floor muscle training. Conclusion Connective tissue weakness and high fetal weight at birth are important risk factors for the occurrence of PFDs. Nevertheless, more parturients should participate in postpartal care services to prevent future PFDs.

Pelvic floor disorders: linking genetic risk factors to biochemical changes

2011 ◽  
Vol 108 (8) ◽  
pp. 1240-1247 ◽  
Author(s):  
Lysanne Campeau ◽  
Ilya Gorbachinsky ◽  
Gopal H. Badlani ◽  
Karl Erik Andersson
Keyword(s):  
Risk Factors ◽  
Pelvic Floor ◽  
Genetic Risk ◽  
Pelvic Floor Disorders ◽  
Genetic Risk Factors ◽  
Biochemical Changes

scholarly journals Prevalence and risk factors for pelvic floor disorders during early and late pregnancy in a cohort of Austrian women

2019 ◽  
Vol 300 (5) ◽  
pp. 1325-1330 ◽  
Author(s):  
Barbara Bodner-Adler ◽  
Oliver Kimberger ◽  
Thomas Laml ◽  
Ksenia Halpern ◽  
Clara Beitl ◽  
...  
Keyword(s):  
Risk Factors ◽  
Family History ◽  
Pelvic Floor ◽  
Significant Positive Correlation ◽  
Pelvic Floor Disorders ◽  
Positive Family History ◽  
Late Pregnancy ◽  
Multiple Pregnancies ◽  
Positive Correlation ◽  
High Bmi

Abstract Purpose To investigate the prevalence of pelvic floor disorders (PFDs) in a cohort of Austrian women either during their early or late pregnancy and to search for clinical risk factors which correlate with pelvic floor symptoms during pregnancy. Methods A prospective study was conducted and 200 pregnant women answered the validated German pelvic floor questionnaire during their first or third trimenon of gestation. Furthermore, a multivariate logistic regression model was used to determine independent risk factors for PFDs after adjusting for confounders. Results 96/200 (48%) women reported psychological strain in at least 1 of the 4 pelvic floor domains while the remaining 104 women (52%) were asymptomatic. Affected women showed a significant higher BMI, a more frequent positive family history and a higher rate of multiple pregnancies was noted compared to asymptomatic women (p < 0.05). Furthermore, a statistically significant positive correlation could be observed between BMI, smoking and mean bladder score as well as mean prolapse score, signifying more symptom bother from bladder and prolapse in smokers with high BMI. A significant positive correlation was also detected between mean bowel score and parity. In the multivariate model, high BMI (CI 1.013–1.143), positive family history (CI 0.044–0.260) and multiple pregnancies (CI 0.011–0.244) remained independently associated with pelvic floor symptoms (p < 0.05). Conclusion Our results demonstrate that pelvic floor-related quality of life during pregnancy is a prevalent condition which is strongly affected by the expectant mother’s weight as well as her family history. In addition, women with multiple pregnancies seem to be at increased risk.

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