Aim To evaluate the long-term effectiveness of perineal Thiele massage in the treatment of women with dyspareunia caused by tenderness of the pelvic floor muscles. Methods A total of 18 women with diagnoses of dyspareunia caused by tenderness of the pelvic floor muscles were included in the study. The women were divided in two groups: the dyspareunia (D) group - 8 women with dyspareunia caused ...

Pelvic floor weakness is common in middle-aged and elderly parous women and is often associated with stress incontinence, uterine prolapse, constipation, and incomplete defecation. Most patients with incontinence and minimal pelvic floor weakness can be treated based on physical examination and basic urodynamic findings. However, in women with symptoms of multicompartment involvement for whom a...

[Purpose] The purpose of this study was to investigate the reliability of measuring the amount of pelvic floor elevation during pelvic and abdominal muscle contraction with a diagnostic ultrasonic imaging device. [Subjects] The study group comprised 11 healthy women without urinary incontinence or previous birth experience. [Methods] We measured the displacement elevation of the bladder base du...

Objective: For the patients with pelvic floor dysfunction (PFD) associated with stress urinary incontinence (SUI), we used the polypropylene mesh for pelvic floor repair via transvaginal and the laparoscopic routes respectively. This prospective study compared the differences of the prognosis and the short-long term efficacy between the two surgical procedures. Methods: Thirty cases with proven...

OBJECTIVES Despite extensive research aimed at clarifying (failing) pelvic organ support, the complete aetiology of pelvic organ prolapse (POP) is still not fully understood. During vaginal delivery, the pelvic floor can be irreversibly traumatised, resulting in pubovisceral muscle avulsions. The aetiology of these avulsions is discussed in this pictorial overview. Normal female pelvic floor an...

OBJECTIVE There is preliminary evidence linking long-term participation in high-impact exercise with poor performance in labor and increased incidence of stress urinary incontinence, which may be due to altered pelvic floor function. Recent work has shown that HIFIT (high-impact, frequent intense training) athletes have an increased cross-sectional area of the levator ani muscle group as visual...

Idiopathic chronic male pelvic pain is difficult to diagnose and treat. Currently, diagnosis relies on subjective symptoms; objective measures of neuromuscular mechanisms have not been investigated. Sonographic imaging has been used to investigate these neuromuscular mechanisms in the female pelvic floor, but neither research nor books describe sonography evaluation of the male pelvic floor. Th...

Objective: For the patients with pelvic floor dysfunction (PFD) associated with stress urinary incontinence (SUI), we used the polypropylene mesh for pelvic floor repair via transvaginal and the laparoscopic routes respectively. This prospective study compared the differences of the prognosis and the short-long term efficacy between the two surgical procedures. Methods: Thirty cases with proven...

BACKGROUND AND PURPOSE The purpose of this study was to determine whether pelvic organ prolapse severity, pelvic symptoms, quality of life, and sexual function differ based on pelvic-floor muscle function in women planning to have prolapse surgery. SUBJECTS AND METHODS Three hundred seventeen women without urinary stress incontinence who were enrolled in a multicenter surgical trial were exam...

OBJECTIVE To compare sexual function before and 12 months after between sacrocolpopexy and sacrocervicopexy. METHODS This retrospective study examined a cohort of 55 sexually active women who underwent either supracervical hysterectomy with sacrocervicopexy (n=28) or total abdominal hysterectomy with sacrocolpopexy (n=27) for stage II to IV pelvic organ prolapse. Pelvic floor support was meas...