Chronic pelvic pain (CPP) is defined as pain in the pelvic organs and related structures of at least 6 months' duration. The pathophysiology of CPP is uncertain, and its treatment presents challenges. Botulinum toxin A (BoNT-A), known for its antinociceptive, anti-inflammatory, and muscle relaxant activity, has been used recently to treat refractory CPP with promising results. In patients with ...

AIMS Compare vaginal resting pressure (VRP), pelvic floor muscle (PFM) strength, and endurance in women with and without diastasis recti abdominis at gestational week 21 and at 6 weeks, 6 months, and 12 months postpartum. Furthermore, to compare prevalence of urinary incontinence (UI) and pelvic organ prolapse (POP) in the two groups at the same assessment points. METHODS This is a prospectiv...

BACKGROUND AND PURPOSE The mechanism by which clinical improvement occurs through pelvic floor muscle training (PFMT) for genuine stress incontinence, detrusor instability, or mixed incontinence is not established. Videourodynamic assessment of the anatomical changes of the pelvic floor muscles has not been reported. This study investigated the anatomical change of bladder base descent as well ...

OBJECTIVE To compare the pelvic floor function of primiparous women to women after a second delivery regarding symptoms of urinary and anal incontinence, anal sphincter ruptures and bladder-neck mobility. METHODS A questionnaire evaluating symptoms of urinary and anal incontinence was used in nulliparous women before and 27 months after childbirth. Furthermore these symptoms were correlated w...

Deconditioning of the core muscles, including abdominal and pelvic floor muscles (PFM), increases predisposition to injury, incontinence, sexual dysfunction diminishes quality life. As a monotherapy, HIFEM effectively strengthens PFM and, in synergy with radiofrequency (RF), fortifies muscles. Thus this study aimed investigate effectiveness treatments on improvement muscle strength

OBJECTIVE To evaluate the utility of magnetic resonance imaging (MRI) in diagnosing structural injury in primiparous women at risk for pelvic floor injury. METHODS This was an observational study of 77 women who underwent 3T MRI after delivery. Women were operationally defined as high risk (n = 45) for levator ani muscle tears (risk factors: second-stage labor > 150 min or < 30 min, anal sphi...

BACKGROUND The pelvic floor muscles are active in normal erectile function. Therefore, it was hypothesised that weak pelvic floor muscles could be a cause of erectile dysfunction. AIMS To compare the efficacy of pelvic floor muscle exercises and manometric biofeedback with lifestyle changes for men with erectile dysfunction. DESIGN OF STUDY Randomised controlled trial. SETTING The Somerse...

OBJECTIVE To compare the effect of pelvic floor exercises, electrical stimulation, vaginal cones, and no treatment for genuine stress incontinence. DESIGN Stratified, single blind, randomised controlled trial. SETTING Multicentre. PARTICIPANTS 107 women with clinically and urodynamically proved genuine stress incontinence. Mean (range) age was 49.5 (24-70) years, and mean (range) duration...

BACKGROUND Pelvic floor muscle training can reduce prolapse severity and symptoms in women seeking treatment. We aimed to assess whether this intervention could also be effective in secondary prevention of prolapse and the need for future treatment. METHODS We did this multicentre, parallel-group, randomised controlled trial at three centres in New Zealand and the UK. Women from a longitudina...