Article
Radiology, Nuclear Medicine & Medical Imaging
Kanupriya Vijay, Layne Kelley, Taemee Pak, Paige Kuhlmann, Amber Patterson-Lachowicz, David T. Fetzer, Laura Reynolds, Maude Carmel, Philippe Zimmern, Gaurav Khatri
Summary: Pelvic organ prolapse (POP) and stress urinary incontinence (SUI) are two common disorders affecting the anterior pelvic floor in women, which can be treated conservatively or surgically. Imaging plays a crucial role in identifying and characterizing procedures performed, locating synthetic materials, and assessing complications in patients treated surgically, especially in cases where medical records are unavailable or a comprehensive physical examination is not feasible. Ultrasound (US) and magnetic resonance imaging (MRI) are the commonly used imaging modalities, while radiopaque surgical materials can be visualized using voiding cystourethrography and CT. This article provides a summary of commonly used surgical options for SUI and POP, reviews imaging techniques for assessment, and discusses the normal imaging appearance and complications of pelvic floor surgical repair procedures in the anterior compartment of the pelvis.
Review
Biotechnology & Applied Microbiology
Meina Lin, Yongping Lu, Jing Chen
Summary: Pelvic floor dysfunction is a common urogynecology disorder with clinical treatments mainly focusing on conservative therapies and surgery. Synthetic materials used in surgical repair can cause complications, while biomaterial mesh has limitations due to degradation speed. Tissue-engineered repair materials show promise in improving PFD repair outcomes but require further research.
FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY
(2022)
Article
Medicine, General & Internal
Anne-Cecile Pizzoferrato, Stephanie Ragot, Louis Verite, Nicolas Naiditch, Xavier Fritel
Summary: The study aimed to assess women's perception of postoperative pelvic floor repair complications and compare it to the Clavien-Dindo classification. The results showed that women's perception of surgical complications differed from the Clavien-Dindo classification, with lack of repair and long-term disability being two major factors contributing to the perception of seriousness.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Biotechnology & Applied Microbiology
Guorui Zhang, Yuxin Dai, Jinghe Lang
Summary: This study explored the possibility and strategy of mesenchymal stem cells (MSCs) in treating pelvic floor dysfunction nerve injury by transplanting MSCs into a rat model. The results showed that MSC transplantation improved nerve content, with even better effects when MSCs were loaded on a gelatin scaffold. This research provides an improved strategy for regenerative medicine in pelvic floor disorders in the future.
FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY
(2023)
Article
Sport Sciences
Kristina Lindquist Skaug, Marie Ellstrom Engh, Helena Frawley, Kari Bo
Summary: This study investigated the prevalence, risk factors, and bother of pelvic floor dysfunction (PFD) in Norwegian powerlifters and Olympic weightlifters, as well as their knowledge of pelvic floor muscles (PFM). The study found a high prevalence of PFD in these athletes, and they had limited knowledge about PFM.
JOURNAL OF STRENGTH AND CONDITIONING RESEARCH
(2022)
Review
Oncology
Anne-Cecile Pizzoferrato, Margaux Klein, Raffaele Fauvet, Camille Durand, Fabrice Foucher, Hugo Sardain, Jean Leveque, Vincent Lavoue, Krystel Nyangoh Timoh
Summary: Pelvic floor disorders are common in women with ovarian cancer, with around 50% experiencing urinary incontinence before treatment. Sexual dysfunction is also prevalent post-treatment, but overall rates are not higher than the general population. More prospective studies are needed to explore the impact of gynecologic cancers and their treatments on pelvic floor function and quality of life.
GYNECOLOGIC ONCOLOGY
(2021)
Article
Computer Science, Interdisciplinary Applications
Wenyao Xia, Golafsoun Ameri, Djalal Fakim, Humayon Akhuanzada, Malik Z. Raza, S. Abbas Shobeiri, Linda McLean, Elvis C. S. Chen
Summary: This study introduces an automatic approach to extract anatomical landmarks and the PMHD from pelvic ultrasound images, as well as automatic segmentation of the levator-ani muscle. The experiments demonstrate the algorithm's high accuracy and potential for clinical applications and personalized treatment of PFD.
IEEE TRANSACTIONS ON MEDICAL IMAGING
(2022)
Article
Sport Sciences
Jodie G. Dakic, Jill Cook, Jean Hay-Smith, Kuan-Yin Lin, Helena Frawley
Summary: This study found that pelvic floor symptoms significantly impact women's exercise participation, with urinary incontinence having the largest impact. Symptomatic women tend to stop participating in high-impact sports, and often modify their exercise by lowering intensity or frequency to mitigate the symptoms.
JOURNAL OF SCIENCE AND MEDICINE IN SPORT
(2021)
Article
Health Care Sciences & Services
Yoav Baruch, Stefano Manodoro, Marta Barba, Alice Cola, Ilaria Re, Matteo Frigerio
Summary: This study investigated and compared the prevalence and severity of pelvic floor symptoms among pregnant women in different trimesters using a valid pregnancy-targeted questionnaire. The results showed that bladder and prolapse symptoms significantly intensified in the third trimester, while bowel and sexual symptoms did not intensify in the third trimester.
Article
Multidisciplinary Sciences
A. R. Mothes, H. K. Mothes, A. Kather, A. Altendorf-Hofmann, M. P. Radosa, J. C. Radosa, I. B. Runnebaum
Summary: This study retrospectively evaluated urethral length in patients with prolapse undergoing anterior native-tissue repair, finding preoperative urethral length was associated with defect type and stress incontinence risk, while postoperative urethral length depended on prolapse stage and defect type. Additionally, patients who required TVT surgery postoperatively had longer urethras compared to those who did not. The study suggests that urethral length may have functional implications in the context of connective tissue aging.
SCIENTIFIC REPORTS
(2021)
Article
Biochemistry & Molecular Biology
Jirui Wen, Zhiwei Zhao, Fei Fang, Jingyue Xiao, Ling Wang, Juan Cheng, Jiang Wu, Yali Miao
Summary: By synthesizing PBNP@GelMA and conducting heat shock pretreatment, the viability of MSCs was improved, which further promoted muscle regeneration and improved the quality of life in patients with pelvic organ prolapse.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2023)
Article
Obstetrics & Gynecology
Lauren Caldwell, Gabriela E. Halder, Gena Dunivan, Amanda B. White, Uchenna Ossai, Rebecca G. Rogers
Summary: This study describes the timing, quality, and patient concerns regarding the first sexual encounter after surgery for pelvic organ prolapse or urinary incontinence. Most women resumed intercourse 2-4 months post-surgery, with partners' desires, fears, and physician counseling strongly influencing the timing of the first sexual encounter. Reports of initial sexual activity after surgery are often positive, with improved self-image and sexual confidence.
OBSTETRICS AND GYNECOLOGY
(2021)
Article
Medicine, General & Internal
Kathryn E. Fitzpatrick, Mohamed Abdel-Fattah, Joris Hemelaar, Jennifer J. Kurinczuk, Maria A. Quigley
Summary: This study investigates the association between planned mode of birth after previous cesarean section and the woman's subsequent risk of undergoing pelvic floor surgery. It found that planned vaginal birth compared to planned cesarean section is associated with a greater risk of pelvic floor surgery, but these risks are only apparent in women who actually give birth vaginally. Women who needed a non-elective cesarean section during labor have a similar risk of pelvic floor surgery to those who had a planned cesarean section.
Article
Obstetrics & Gynecology
Ying Zhou, Yetao Luo, Qirong Zhou, Jiangyang Xu, Shengyu Tian, Bizhen Liao
Summary: The study aimed to explore the effect of gestational weight gain (GWG) on postpartum pelvic floor function in twin primiparas. It was found that excessive GWG was positively correlated with pelvic floor dysfunction in twin primiparas, but did not exacerbate pelvic floor symptoms. Therefore, it is recommended to control GWG within a reasonable range to reduce the risk of pelvic floor dysfunctions in pregnant women with twins.
BMC PREGNANCY AND CHILDBIRTH
(2023)
Review
Orthopedics
Jodie G. Dakic, Jean Hay-Smith, Jill Cook, Kuan-Yin Lin, Marlena Calo, Helena Frawley
Summary: The study found that urinary incontinence symptoms negatively affect exercise participation for half of women, while pelvic organ prolapse also has a negative impact on exercise. However, there is limited data on the effects of anal incontinence on exercise.
JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY
(2021)