Prospective Study to Assess Risk Factors for Pelvic Floor Dysfunction After Delivery

Background/aim: Several epidemiological studies have found a high prevalence of Pelvic Floor Dysfunction (PFD) among female athletes. However, according to several authors, these data could even be underestimated, both in research and clinical practice. Screening for potential PFD is often delayed and risk factors are not often evaluated. As a consequence, withdrawal from sport, negative influence on performance, worsening symptoms and unrecognized diagnosis may occur. The aim of our research is to develop a screening tool for pelvic floor dysfunction in female athletes useful for clinicians (musculoskeletal/sport physiotherapists, sports medicine physicians, team physicians) to guide referral to a PFD expert (e.g. pelvic floor/women's health physiotherapist, gynecologist, uro-gynecologist, urologist). Methods: A 2-round modified Delphi study will be conducted to ascertain expert opinion on which combination of variables and risk factors should be included in the screening tool. Conclusion: The implementation of the present screening tool into clinical practice may facilitate the referral to a PFD expert for further assessment of the pelvic floor and therefore, to identify potential dysfunction and, eventually, the related treatment pathway.

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Pelvic floor dysfunction after vaginal delivery: MOODS—a prospective study

International Urogynecology Journal ◽

10.1007/s00192-021-04982-w ◽

2021 ◽

Author(s):

Ana Catarina Borges ◽

Natacha Sousa ◽

Rita Sarabando ◽

Catarina Vieira ◽

Bárbara Ribeiro ◽

...

Keyword(s):

Prospective Study ◽

Pelvic Floor ◽

Vaginal Delivery ◽

Pelvic Floor Dysfunction ◽

A Prospective Study

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Effects of pregnancy on pelvic floor dysfunction and body image; a prospective study

International Urogynecology Journal ◽

10.1007/s00192-008-0670-3 ◽

2008 ◽

Vol 19 (11) ◽

pp. 1495-1501 ◽

Cited By ~ 19

Author(s):

Rachel N. Pauls ◽

John A. Occhino ◽

Vicki Dryfhout ◽

Mickey M. Karram

Keyword(s):

Body Image ◽

Prospective Study ◽

Pelvic Floor ◽

Pelvic Floor Dysfunction ◽

A Prospective Study

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Prevalence of Pelvic Floor Dysfunction, Bother and Risk Factors and Knowledge of the Pelvic Floor Muscles in Norwegian Male and Female Powerlifters and Olympic Weightlifters

The Journal of Strength and Conditioning Research ◽

10.1519/jsc.0000000000003919 ◽

2020 ◽

Vol Publish Ahead of Print ◽

Author(s):

Kristina Lindquist Skaug ◽

Marie Ellström Engh ◽

Helena Frawley ◽

Kari Bø

Keyword(s):

Risk Factors ◽

Pelvic Floor ◽

Pelvic Floor Dysfunction ◽

Pelvic Floor Muscles ◽

Male And Female

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Obstetric risk factors and pelvic floor dysfunction 20 years after first delivery

International Urogynecology Journal ◽

10.1007/s00192-009-1074-8 ◽

2010 ◽

Vol 21 (5) ◽

pp. 535-544 ◽

Cited By ~ 44

Author(s):

Lucia M. Dolan ◽

Paul Hilton

Keyword(s):

Risk Factors ◽

Pelvic Floor ◽

Pelvic Floor Dysfunction

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Pelvic organ prolapse quantification system: to valsalva or not to valsalva while measuring genital hiatus (GH) and perineal body (PB)

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20171534 ◽

2017 ◽

Vol 6 (5) ◽

pp. 1843

Author(s):

Tapaswini Hota ◽

Sujata Misra

Keyword(s):

Risk Factors ◽

Pelvic Floor ◽

Case Control Study ◽

Pelvic Floor Dysfunction ◽

Pelvic Organ ◽

Case Control ◽

Perineal Body ◽

Pelvic Organ Prolapse Quantification ◽

Control Study ◽

Urinary Problems

Background: It is a study to determine whether or not, the widening of GH and PB with valsalva is evidence of pelvic floor dysfunction, and by the logic should the values in POPQ staging, be taken at valsalva or at rest.Methods: Prospective 2 arm cohort study. However, the analysis of various risk factors for prolapse was done in a case control study manner.Results: As compared to women without prolapse, in patients with POP, the dimensions of GH and PB are higher. Also, the increase in their dimensions with valsalva is more in prolapse cases. So valsalving while measurement of GH and PB would give a better idea of pelvic floor dysfunction.Conclusions: The study shows association between the severity of urinary problems and degree of prolapse. Measurements of POPQ when taken during valsalva, tend to give a better picture of levator dysfunction in prolapse patients.

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