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....

Human pelvic floor muscles have been shown to operate synergistically with a wide variety of muscles, which has been suggested to be an important contributor to continence and pelvic stability during functional tasks. However, the neural mechanism of pelvic floor muscle synergies remains unknown. Here, we test the hypothesis that activation in motor cortical regions associated with pelvic floor...

OBJECTIVES To assess the cure rate of patients with premature ejaculation who underwent a treatment involving: 1) awareness of the pelvic floor muscles 2) learning the timing of execution and maintenance of contraction of the pelvic floor muscles during the sensation of the pre-orgasmic phase 3) pelvic floor rehabilitation (bio feed back, pelvic exercises and electrostimulation). MATERIALS AN...

Prostate cancer is the rnost comûlon cancer in rnen in the UK. Treatrnent with radical prostatectorny rnay produce risk factors that corrrmonly include urinary incontinence and erectile dysfunction. Post-prostatectorny incontinence can be classifìed as either stress urinary incontinence, urge urinary incontinence or post-micturition dribble. Evidence has shown that these ernbarrassing condition...

OBJECTIVES To describe the results of home exercise targeting the pelvic floor in continent women one year after the end of a physical therapy treatment for the following outcomes: functional assessment of the pelvic floor and urinary incontinence. METHODS This is an observational study that evaluated fifteen women one year after physical therapy treatment for Stress Urinary Incontinence (SUI...

OBJECTIVES To examine a possible effect on labour of training the muscles of the pelvic floor during pregnancy. DESIGN Randomised controlled trial. SETTING Trondheim University Hospital and three outpatient physiotherapy clinics in a primary care setting. PARTICIPANTS 301 healthy nulliparous women randomly allocated to a training group (148) or a control group (153). INTERVENTION A stru...

The results of the pelvic floor exercises for the treatment of genuine stress incontinence of urine were compared between two different hospitals geographically 50 miles apart. A perineal pad weighing test was used to assess the quantity of urine lost during exercise before and after treatment. A similar percentage of patients in the two studies responded to treatment and became either complete...