Aims of Study This study aimed to investigate the relationship of pelvic floor muscle and transversus abdominis (TA) muscle activity during a pelvic floor (PF) muscle contraction. Sapsford et al (1) investigated this relationship using EMG and found there to be consistent co-contraction between these two muscles. Due to this finding, it has been hypothesised that the pelvic floor muscles can be...

OBJECTIVE The pelvic floor is an integrated structure; dysfunctions may lead to a wide range of symptoms, involving voiding, defecation and sexual functioning (SF). Functional symptoms such as constipation and lower abdominal pain are often caused by pelvic floor dysfunction (PFD), and they highly impact the quality of life. Multiple specialists are responsible for a specific part of the pelvic...

PURPOSE The impact of chronic pelvic pain syndrome on sexual function in men is underestimated. We quantified sexual dysfunction (ejaculatory pain, decreased libido, erectile dysfunction and ejaculatory difficulties) in men with chronic pelvic pain syndrome and assessed the effects of pelvic muscle trigger point release concomitant with paradoxical relaxation training. MATERIALS AND METHODS W...

Pelvic floor and perineum muscles play an important role in the formation of apparatus supporting pelvic organs. The functional insufficiency myofascial structures frequently leads to development urinary fecal incontinence, erectile dysfunction, prolapse internal organs, perineal hernias formation. Back 20th century, morphologists focused on skeletal perineum, highlighting their leading organs ...

Hypothesis / aims of study Pelvic organ prolapse (POP) is a common yet distressing pelvic floor dysfunction affecting one-third of adult women worldwide. However, the underlying pathophysiology is largely unknown. Its etiology is multifactorial, including direct mechanical injury, partial denervation of pelvic floor, and hormonal changes caused by pregnancy. Findings from epidemiologic studies ...

OBJECTIVE To estimate whether botulinum toxin type A is more effective than placebo at reducing pain and pelvic floor pressure in women with chronic pelvic pain and pelvic floor muscle spasm. METHODS This study was a double-blinded, randomized, placebo-controlled trial. All participants presented with chronic pelvic pain of more than 2 years duration and evidence of pelvic floor muscle spasm....

The majority of childbirth injuries to the pelvic floor occur after the first vaginal delivery. Cesarean sections performed after the onset of labor may not protect the pelvic floor. Elective cesarean section is the only true primary prevention strategy for childbirth injuries to the pelvic floor. Alternative primary prevention strategies include elective cesarean section for women with nonmodi...