Conservative management of pelvic floor weakness after spontaneous delivery

2019 ◽  
Vol 18 (4) ◽  
pp. 104-108
Author(s):  
O.L. Glazkova ◽  
◽  
D.Yu. Makeev ◽  
I.N. Khuzhokova ◽  
Е.М. Kukovenko ◽  
...  
2019 ◽  
Author(s):  
Sabine Keim ◽  
Alexandra von Au ◽  
Lina Maria Matthies ◽  
Stephanie Wallwiener ◽  
Sarah Brugger ◽  
...  

BACKGROUND Background: Many women experience urinary incontinence (UI) during andafter pregnancy due to pelvic floor weakness. First-line therapy is conservative treatment, which nowadays can be facilitated by using digitalsolutions. OBJECTIVE The aim ofthe present study was to investigate the efficacy and effectiveness of pelvinain patients with existing UI. METHODS Methods: In the present observational study we analyzed the effectivenessof pelvina, a certified digital pelvic floor training course, in reducing UI symptoms by regularly applying “The Questionnaire for Urinary Incontinence Diagnosis” (QUID) and furthermore examining quality of life (QoL) by conducting the SF-6D. RESULTS Results: In this prospective study, 373 patients with a median age of 36 years (IQR 33 - 47 years) were included. At baseline the patients had a median QUID of 11 (IQR 11 - 15). During the course, incontinence improved significantly to a QUID of 5 (IQR 2 – 11; p<0.001). Additionally, the patients had also shown a significant impairment in their QoL at baseline with a value of 19 (IQR 16 - 22) in SF-6D. After completing the course, the QoL had risen to 24 (IQR 20 - 26). CONCLUSIONS Conclusion: Use of the certified digital pelvic floor course pelvinasignificantly reduces existing UI due to pelvic floor weakness over the timespan of the course. At the same time QoL is significantly improved. CLINICALTRIAL The present study was approved by the ethics committee of the Heidelberg University Hospital (S-392/2019)


Radiology ◽  
1997 ◽  
Vol 203 (1) ◽  
pp. 77-81 ◽  
Author(s):  
J C Healy ◽  
S Halligan ◽  
R H Reznek ◽  
S Watson ◽  
R K Phillips ◽  
...  

Author(s):  
MED Jarrett ◽  
NAT Wijffels ◽  
A Slater ◽  
C Cunningham ◽  
I Lindsey

2021 ◽  
Author(s):  
Renee Widdison ◽  
Amineh Rashidi ◽  
Lisa Whitehead

Abstract Introduction: Pelvic floor exercises are effective in the treatment of urinary incontinence (UC) and are routinely prescribed, along with bladder training, by primary healthcare providers as first line conservative management. Mobile phone applications are increasingly popular within the healthcare setting and can provide opportunities for patients to complete treatments at home. To date, there has not been a systematic review examining outcomes from randomised controlled trials on the effectiveness of mobile applications to improve UC.Methods: A systematic review of randomized controlled trials evaluating the effectiveness of mobile applications to improve UC was carried out according to the PRISMA reporting guidelines. The online databases MEDLINE, Embase, PsychINFO, CINAHL, Web of Science, Scopus, The Cochrane Library, JBI, Google Scholar were searched for papers published between 2007 to 2020. The search was conducted during the 3/3/20-15/4/20. Studies were appraised and data extracted by the first and second reviewers. Findings: In total four studies generated four categories, including high level of adherence; improved quality of life (QOL) and reduction of symptoms. The findings of this review reported that pelvic floor muscle training (PFMT) can be effective to improve UC. Conclusion: Mobile applications for PFMT indicated that increase adherence to treatment and decrease UC. The integration of this treatment modality into current practice is recommended. Mobile phone applications for PFMT show promise in the conservative management of UC. Further research is required to support the use of this technology in the conservative management of UC.


Medic ro ◽  
2020 ◽  
Vol 2 (134) ◽  
pp. 16
Author(s):  
Teodora Onciu ◽  
Remus Şipoş ◽  
Claudiu Mărginean ◽  
Marian Botoncea

2015 ◽  
Vol 39 (2) ◽  
pp. 285-288 ◽  
Author(s):  
Allison A. Tillack ◽  
Bonnie N. Joe ◽  
Benjamin M. Yeh ◽  
Stephanie L. Jun ◽  
John Kornak ◽  
...  

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