Home  About us  Contact
 

Floor Disorders (floor + disorders)

Distribution by Scientific Domains
Medical Sciences100%

Kinds of Floor Disorders

  • pelvic floor disorders
    		•

    Selected Abstracts

    Imaging Pelvic Floor Disorders

    JOURNAL OF MEDICAL IMAGING AND RADIATION ONCOLOGY, Issue 4 2005
    F Voyvodic
    No abstract is available for this article. [source]

    Pelvic Floor Disorders: Nearly 25 Percent of Women Are Affected

    NURSING FOR WOMENS HEALTH, Issue 6 2008
    Jennifer Hellwig MS
    First page of article [source]

    Imaging Pelvic Floor Disorders

    COLORECTAL DISEASE, Issue 4 2009
    Marc Winslet
    No abstract is available for this article. [source]

    Follow up of surgical repair of female pelvic floor disorders by a mailed questionnaire

    INTERNATIONAL JOURNAL OF UROLOGY, Issue 4 2006
    HIDEYASU MATSUYAMA
    Background:, This study was conducted to determine whether surgical repair of pelvic prolapse enhances patients' quality of life (QOL) in the long term. Methods:, A total of 91 patients (median age, 68.0 years) with pelvic prolapse including cystoceles underwent bladder neck suspension with anterior/posterior colporrhaphy between 1997 and 2003. Postoperative QOL was longitudinally assessed by three disease-specific items (sensation of vaginal bulging, obstructive symptoms, urinary incontinence), and one overall health-related QOL (HR-QOL) item. Results:, A longitudinal study demonstrated that a significant improvement in these symptoms was sustained at a median follow up of 65.5 months, although poor HR-QOL was significantly higher in patients whose age was more than 70 years at surgery (P = 0.0234, Fisher's test). Multivariate analysis revealed update urinary incontinence, update obstructive symptoms, and basic comorbidity to be independent prognostic factors for predicting postoperative moderate-to-poor HR-QOL. Conclusions:, Longer follow up with adequate assessment of patients' QOL may be crucial for the management of postoperative patients, in particular those having basic comorbidity and aged 70 years or more at surgery. [source]

    Pelvic floor disorders and quality of life in women with self-reported irritable bowel syndrome

    ALIMENTARY PHARMACOLOGY & THERAPEUTICS, Issue 3 2010
    J. WANG
    Aliment Pharmacol Ther,31, 424,431 Summary Background, Quality of life among women with irritable bowel syndrome may be affected by pelvic floor disorders. Aim, To assess the association of self-reported irritable bowel syndrome with urinary incontinence, pelvic organ prolapse, sexual function and quality of life. Methods, We analysed data from the Reproductive Risks for Incontinence Study at Kaiser Permanente, a random population-based study of 2109 racially diverse women (mean age = 56). Multivariate analyses assessed the association of irritable bowel syndrome with pelvic floor disorders and quality of life. Results, The prevalence of irritable bowel syndrome was 9.7% (n = 204). Women with irritable bowel had higher adjusted odds of reporting symptomatic pelvic organ prolapse (OR 2.4; 95% CI, 1.4,4.1) and urinary urgency (OR 1.4; 95% CI, 1.0,1.9); greater bother from pelvic organ prolapse (OR 4.3; 95% CI, 1.5,11.9) and faecal incontinence (OR 2.0; 95% CI, 1.3,3.2); greater lifestyle impact from urinary incontinence (OR 2.2; 95% CI, 1.3,3.8); and worse quality of life (P < 0.01). Women with irritable bowel reported more inability to relax and enjoy sexual activity (OR 1.8; 95% CI, 1.3,2.6) and lower ratings for sexual satisfaction (OR 1.8; 95% CI, 1.3,2.5), but no difference in sexual frequency, interest or ability to have an orgasm. Conclusions, Women with irritable bowel are more likely to report symptomatic pelvic organ prolapse and sexual dysfunction, and report lower quality of life. [source]

    Basic science and translational research in female pelvic floor disorders: Proceedings of an NIH-sponsored meeting

    NEUROUROLOGY AND URODYNAMICS, Issue 4 2004
    Anne M. Weber
    Abstract Aims To report the findings of a multidisciplinary group of scientists focusing on issues in basic science and translational research related to female pelvic floor disorders, and to produce recommendations for a research agenda for investigators studying female pelvic floor disorders. Methods A National Institutes of Health (NIH)-sponsored meeting was held on November 14,15, 2002, bringing together scientists in diverse fields including obstetrics, gynecology, urogynecology, urology, gastroenterology, biomechanical engineering, neuroscience, endocrinology, and molecular biology. Recent and ongoing studies were presented and discussed, key gaps in knowledge were identified, and recommendations were made for research that would have the highest impact in making advances in the field of female pelvic floor disorders. Results The meeting included presentations and discussion on the use of animal models to better understand physiology and pathophysiology; neuromuscular injury (such as at childbirth) as a possible pathogenetic factor and mechanisms for recovery of function after injury; the use of biomechanical concepts and imaging to better understand the relationship between structure and function; and molecular and biochemical mechanisms that may underlie the development of female pelvic floor disorders. Conclusions While the findings of current research will help elucidate the pathophysiologic pathways leading to the development of female pelvic floor disorders, much more research is needed for full understanding that will result in better care for patients through specific rather than empiric therapy, and lead to the potential for prevention on primary and secondary levels. © 2004 Wiley-Liss, Inc. [source]

    Does delayed child-bearing increase the risk of levator injury in labour?

    AUSTRALIAN AND NEW ZEALAND JOURNAL OF OBSTETRICS AND GYNAECOLOGY, Issue 6 2007
    Hans P. DIETZ
    Abstract Background:, Levator trauma is common in parous women. We have recently found a relationship with age at first vaginal delivery in women seen before and after childbirth. Aims:, To examine women presenting with symptoms of pelvic floor disorders for such an association. Methods:, Eight hundred and one women were prospectively seen for an interview, clinical examination (including for levator integrity and function in 789 cases), multichannel urodynamic testing and pelvic floor ultrasound (including 3D imaging in 350 cases). Findings were tested for association with maternal age at first vaginal delivery, parity and operative vaginal delivery using logistic regression. Results:, Mean age was 55.3 years (range 17,90), with 79% complaining of stress urinary incontinence and 28% of symptoms of prolapse. Median vaginal parity was 2 (range 0,12); mean age at first vaginal delivery was 24 (range 14,39). Levator defects were found in 170 women (21.6%), 24% of the vaginally parous. Defects were more common on the right (86%) than left (45%) (P < 0.0001). Women with levator trauma had a higher mean age (25.5 (SD 5.2) vs 23.5 (SD 4.5) years, P < 0.0001). Regression modelling confirmed findings, demonstrating an increase in the odds of levator trauma of approximately 10% for every year of delay in child-bearing. Vaginal operative delivery was associated with a near-doubling of the odds of trauma. Conclusions:, Increased maternal age is a risk factor for intrapartum pelvic floor trauma. The global trend towards delayed child-bearing may result in an increased prevalence of pelvic floor disorders in coming decades. [source]

    Pelvic floor disorders 4 years after first delivery: a comparative study of restrictive versus systematic episiotomy

    BJOG : AN INTERNATIONAL JOURNAL OF OBSTETRICS & GYNAECOLOGY, Issue 2 2008
    X Fritel
    Objective, To compare two policies for episiotomy: restrictive and systematic. Design, Quasi-randomised comparative study. Setting, Two French university hospitals with contrasting policies for episiotomy: one using episiotomy restrictively and the second routinely. Population, Seven hundred and seventy-four nulliparous women delivered during 1996 of a singleton in cephalic presentation at a term of 37,41 weeks. Methods, A questionnaire was mailed 4 years after delivery. Sample size was calculated to allow us to show a 10% difference in the prevalence of urinary incontinence with 80% power. Main outcome measures, Urinary incontinence, anal incontinence, perineal pain, and pain during intercourse. Results, We received 627 responses (81%), 320 from women delivered under the restrictive policy, 307 from women delivered under the routine policy. In the restrictive group, 186 (49%) deliveries included mediolateral episiotomies and in the routine group, 348 (88%). Four years after the first delivery, there was no difference in the prevalence of urinary incontinence (26 versus 32%), perineal pain (6 versus 8%), or pain during intercourse (18 versus 21%) between the two groups. Anal incontinence was less prevalent in the restrictive group (11 versus 16%). The difference was significant for flatus (8 versus 13%) but not for faecal incontinence (3% for both groups). Logistic regression confirmed that a policy of routine episiotomy was associated with a risk of anal incontinence nearly twice as high as the risk associated with a restrictive policy (OR = 1.84, 95% CI: 1.05,3.22). Conclusions, A policy of routine episiotomy does not protect against urinary or anal incontinence 4 years after first delivery. [source]