Transperineal ultrasound imaging of the pelvic floor muscles in women with pelvic floor dysfunction symptoms: A cross-sectional study

Abstract Objective To examine women with pelvic floor dysfunction (PFDs) and identify factors associated with sexual activity (SA) status that impacts quality of life (QoL). Methods We conducted a cross-sectional study that included women > 18 years old who presented with at least one PFD symptom (urinary incontinence [UI] and/or pelvic organ prolapse [POP]), in outpatient clinics specializing in urogynecology and PFD in Fortaleza, state of Ceará, Brazil, using a service evaluation form and QoL questionnaires. Results The analysis of 659 women with PFD included 286 SA (43.4%) women and 373 non-sexually active (NSA) (56.6%) women, with a mean age of 54.7 (±12) years old. The results revealed that age (odds ratio [OR] = 1.07, 95% confidence interval [CI] 1.03–1.12) and post-menopausal status (OR = 2.28, 95% CI 1.08–4.8) were negatively associated with SA. Being married (OR = 0.43, 95% CI 0.21–0.88) was associated with SA. Pelvic organ prolapse (OR = 1.16, 95% CI 0.81–1.68) and UI (OR = 0.17, 95% CI 0.08–0.36) did not prevent SA. SF-36 Health Survey results indicated that only the domain functional capacity was significantly worse in NSA women (p = 0.012). Two King's Health Questionnaire domains in NSA women, impact of UI (p = 0.005) and personal relationships (p < 0.001), were significantly associated factors. Data from the Prolapse Quality-of-life Questionnaire indicated that NSA women exhibited compromised QoL. Conclusion Postmenopausal status and age negatively affected SA. Being married facilitated SA. Presence of POP and UI did not affect SA. However, NSA women with POP exhibited compromised QoL.

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Four‐dimensional translabial ultrasound concordance with digital palpation and surface electromyography during dynamic pelvic floor muscles assessment: A cross‐sectional study

Neurourology and Urodynamics ◽

10.1002/nau.24220 ◽

2019 ◽

Vol 39 (1) ◽

pp. 403-411 ◽

Cited By ~ 1

Author(s):

Natalia Martinho ◽

Simone Botelho ◽

Anita Nagib ◽

Rodrigo Menezes Jales ◽

Friyan Turel ◽

...

Keyword(s):

Pelvic Floor ◽

Surface Electromyography ◽

Cross Sectional Study ◽

Pelvic Floor Muscles ◽

Translabial Ultrasound ◽

Sectional Study ◽

Cross Sectional ◽

Digital Palpation

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Assessment of pelvic floor muscle contraction with palpation, perineometry and transperineal ultrasound: a cross-sectional study

Ultrasound in Obstetrics and Gynecology ◽

10.1002/uog.15731 ◽

2016 ◽

Vol 47 (6) ◽

pp. 768-773 ◽

Cited By ~ 27

Author(s):

I. Volløyhaug ◽

S. Mørkved ◽

Ø. Salvesen ◽

K. Å. Salvesen

Keyword(s):

Pelvic Floor ◽

Muscle Contraction ◽

Pelvic Floor Muscle ◽

Cross Sectional Study ◽

Transperineal Ultrasound ◽

Sectional Study ◽

Cross Sectional ◽

Pelvic Floor Muscle Contraction

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Is Pelvic Floor Dysfunction an Independent Threat to Sexual Function? A Cross-Sectional Study in Women With Pelvic Floor Dysfunction

Journal of Sexual Medicine ◽

10.1016/j.jsxm.2016.11.323 ◽

2017 ◽

Vol 14 (2) ◽

pp. 226-237 ◽

Cited By ~ 9

Author(s):

Ryan J. Li-Yun-Fong ◽

Maryse Larouche ◽

Momoe Hyakutake ◽

Nicole Koenig ◽

Catherine Lovatt ◽

...

Keyword(s):

Sexual Function ◽

Pelvic Floor ◽

Pelvic Floor Dysfunction ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Activation of pelvic floor, lumbar and abdominal musculature during a simulated manual material handling task: a cross-sectional study

Fisioterapia e Pesquisa ◽

10.1590/1809-2950/20005727032020 ◽

2020 ◽

Vol 27 (3) ◽

pp. 335-344

Author(s):

Fernanda Cabegi de Barros ◽

Patricia Driusso ◽

Fernanda Roberto ◽

Mariana Vieira Batistão ◽

Mikaela Corrêa ◽

...

Keyword(s):

Pelvic Floor ◽

Material Handling ◽

Muscle Activation ◽

Cross Sectional Study ◽

Pelvic Floor Muscles ◽

Abdominal Muscles ◽

Sectional Study ◽

Cross Sectional ◽

Abdominal Musculature ◽

Manual Material Handling

ABSTRACT Pelvic floor muscles act synergistically with the abdominal and lumbar muscles contributing to spine and pelvic control. These muscles are activated during activities that increase intra-abdominal pressure, such as manual material handling. The aim of our study was to assess the electrical activity of the lumbar, abdominal and pelvic floor muscles during manual material handling with different loads. This is a cross-sectional study with sixteen nulliparous continent women aged between 18 and 35 years. An electromyographic system was used to evaluate the activation of the multifidus, erector spinal (iliocostal) and abdominal rectus muscles bilaterally (Trigno Wireless®, DelSys®, Boston, USA) and another for the pelvic floor muscles (Thought Technology Ltd, Canadá). Electromyographic data were collected during manual handling of three loads: light (1.5 kg), medium (4.5 kg) and heavy (11.3 kg). Repeated measures ANOVA was applied to compare the activation among loads at a 5% level of significance (α = 0.05). There was a significant increase in the activation of the lumbar and abdominal musculature as the load increases. No difference among loads was found for the pelvic floor muscle activation. Pelvic floor muscles did not increase their activation in function of the load, as occur for the lumbar and abdominal muscles in nulliparous continent women. These findings need to be confirmed for incontinent woman, since it could have clinical implications for designing both occupational tasks and pelvic floor rehabilitation.

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