Assessment of the Prevalence of Pelvic Floor Disorders in Both Vaginal and Cesarean Deliveries and Their Impact on the Quality of Life

Background: Pelvic floor disorders affect many women globally. Objective: To provide a critical appraisal of the literature on the effects of pelvic floor disorders on the quality of life and functioning of pregnant and postnatal women. Methods: Available literature was reviewed and summarized to discuss the definitions, pelvic floor anatomy, dysfunctions, and the mechanism of the condition, and more specifically, on the strengthening exercises for the pelvic floor muscles. Results: Pelvic floor disorder is an important public health concern because of the high prevalence, deleterious effects on pregnancy, and its outcomes as well as impacts on the health care system. They include genuine urinary incontinence, bladder and bowel incontinence, pelvic pain, weakness of the pelvic muscles, weakness of the muscles of the core stability, as well as the prolapse of pelvic organs. Pregnancy and subsequent vaginal delivery are associated causes of pelvic floor muscle disorders. Approximately 60% and 50% of community settlers and residents of nursing homes respectively are affected by urinary incontinence and the numbers increase with hysterectomy. Multiple birth, obesity, chronic coughs, overweight babies, and heavy lifting are associated risk factors. Treatment of pelvic floor muscle disorders should involve an increased physical activity prescription among women diagnosed with weaker pelvic floor muscles, engaging the multidisciplinary team, increasing the quality of life and functioning of women during and after pregnancy. Training aimed at strengthening the pelvic floor muscles is beneficial and prevention of dysfunctions. Conclusion: Structured and well organised pelvic floor muscle training regimen also known as Kegel exercises are important in preventing disorders of the pelvic floor during pregnancy and after delivery.

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Abstract PS9-26: Pelvic floor disorders and quality of life among breast cancer survivors

10.1158/1538-7445.sabcs20-ps9-26 ◽

2021 ◽

Author(s):

Jon F Pennycuff ◽

Felice Yang ◽

Tania Lobo ◽

Caroline Jackman ◽

Colleen McGuire ◽

...

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Pelvic Floor ◽

Cancer Survivors ◽

Breast Cancer Survivors ◽

Pelvic Floor Disorders

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Translation and psychometric evaluation of the Greek short forms of two condition-specific quality of life questionnaires for women with pelvic floor disorders: PFDI-20 and PFIQ-7

International Urogynecology Journal ◽

10.1007/s00192-013-2144-5 ◽

2013 ◽

Vol 24 (12) ◽

pp. 2131-2144 ◽

Cited By ~ 17

Author(s):

Themos Grigoriadis ◽

Stavros Athanasiou ◽

George Giannoulis ◽

Sylvia-Christina Mylona ◽

Dionysia Lourantou ◽

...

Keyword(s):

Quality Of Life ◽

Pelvic Floor ◽

Pelvic Floor Disorders ◽

Psychometric Evaluation ◽

Short Forms ◽

Quality Of Life Questionnaires

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Assessing Rectocele Depth and Its Association with Symptoms of Pelvic Floor Disorders Using Transperineal Ultrasound

10.21203/rs.3.rs-1083563/v1 ◽

2021 ◽

Author(s):

Hongyoon Jeong ◽

Duk Hoon Park ◽

Daeyoun Won ◽

Jong Kyun Lee

Keyword(s):

Quality Of Life ◽

Pelvic Floor ◽

Faecal Incontinence ◽

Pelvic Floor Disorders ◽

Clinical Symptoms ◽

Cleveland Clinic ◽

Severity Index ◽

Transperineal Ultrasound ◽

Incontinence Score

Abstract Aim We investigated the clinical features of symptomatic rectoceles, as measured by transperineal ultrasound (TPUS), and evaluated the association between rectocele size and the clinical symptoms of pelvic floor disorders. Method This was a retrospective study using data obtained at a pelvic floor centre between August 2020 and January 2021. A total of 125 patients with defaecation disorders, such as constipation and faecal incontinence, were included. The preoperative questionnaire included the Cleveland Clinic Constipation Scoring System (CCCS, Wexner constipation score), Cleveland Clinic Incontinence Score (CCIS, Wexner incontinence score), faecal incontinence severity index (FISI), and faecal incontinence quality of life (FIQOL) scale. The size of the rectocele was measured on the trans-perineal 2D images. Patients were assigned to three groups based on rectocele size: no rectocele (<10 mm), ≥10 mm rectocele, and ≥15 mm rectocele. Results In the study population, 43 participants (34.4%) had no rectocele, 50 (40.0%) had ≥10 mm rectocele, and 32 (25.6%) had ≥15 mm rectocele. From the no rectocele to ≥15 mm rectocele group, the scores for the symptoms of incontinence and constipation increased, and the quality of life worsened. The CCIS (6.00±4.95 vs 8.62±5.77 vs 11.08±5.63, P = 0.004), FIQOL (13.72±4.19 vs 13.42±4.35 vs 10.38±3.88, P = 0.006), FISI (18.83±17.67 vs 25.15±17.34 vs 33.42±15.49, P = 0.010), and CCCS (7.50±6.26 vs 8.65±5.31 vs 13.11±5.90, P = 0.006), respectively. Conclusion The TPUS was a valuable method for the anatomical evaluation of symptomatic rectocele. The larger the size of the symptomatic rectocele measured using TPUS, the more severe the clinical symptoms.

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