China
Africa
Explore chapters and articles related to this topic
Sexual Health
Published in Carolyn Torkelson, Catherine Marienau, Beyond Menopause, 2023
Carolyn Torkelson, Catherine Marienau
Pelvic floor physical therapy also includes Kegel exercises. “Kegels,” as they are commonly called, involve contracting and relaxing the muscles of your pelvic floor, which holds your uterus and bladder in place above your vagina. The key to doing Kegels is identifying the right muscles to contract and relax. If you can stop urinating mid-stream, you’ve identified the basic move. A couple of tips are to always try to do Kegels when your bladder is empty, and aim to hold your contractions for 2–3 seconds and then release. Once you have the hang of it, do five sets of ten repetitions every day. You can do these while performing routine tasks, such as driving or sitting at your desk. If you have trouble with the technique, ask your physician for a referral to a pelvic floor physical therapist.
Malone Complications and Troubleshooting
Published in Marc A. Levitt, Pediatric Colorectal Surgery, 2023
A referral to pelvic floor physiotherapy can be made for patients who have difficulty relaxing their pelvic floor muscles. Pelvic floor therapists are physical therapists specifically trained in the pelvic floor muscles and many common bowel and bladder issues. They can help patients strengthen and relax those muscles while also helping them coordinate their breathing and pushing to have more comfortable and complete bowel movements.
Pain Management Strategies and Alternative Therapies
Published in Nazar N. Amso, Saikat Banerjee, Endometriosis, 2022
The pelvis consists of bones, the ligaments that connect these bones, and the muscles that line their inner surfaces. The pelvic muscles play an important role in producing and maintaining pelvic pain. Piriformis and obturator internus muscles form part of the posterolateral wall while Levator ani is a broad muscular sheet of variable thickness attached to the internal surface of the pelvis and pelvic viscera. It forms the large portion of pelvic floor and consists of pubococcygeus, iliococcygeus and puborectalis and coccygeus muscles. The urethra, vagina and anus pass through the medial border of the two levator ani muscles. The pelvic floor acts as a support to the pelvic organs and has a vital role in urination and defecation as well as sexual function. Myofascial dysfunction of one or more of its muscles leads to disharmony of action and dysfunction resulting in urinary frequency, dysuria, feeling of incomplete void, dyspareunia, constipation and dyschezia. Most of these symptoms are integral parts of endometriosis-related pelvic pain conditions and often are unrecognized or misdiagnosed.
Intrinsic factors contributing to elevated intra-abdominal pressure
Published in Computer Methods in Biomechanics and Biomedical Engineering, 2023
Stefan Niederauer, Grace Hunt, K. Bo Foreman, Andrew Merryweather, Robert Hitchcock
Pelvic floor disorders (PFDs) often result from damage or weakening of the musculoskeletal tissues that line the bottom of the abdominal cavity. PFDs will affect 1 in every 4 women during their lifetime (Nygaard 2008). A woman’s lifetime risk of surgical intervention for PFDs is 10%, and 30% of women receiving surgery will undergo 2 or more procedures (Nygaard 2008; DeLancey 2005). The pelvic floor is responsible for supporting pelvic organs, such as the bladder, uterus, and rectum, and plays a key role in proper function of these organs. When the pelvic floor cannot provide adequate support, symptoms of urinary incontinence, fecal incontinence, and pelvic organ prolapse develop. The weight of pelvic organs produces strain on the pelvic floor, and this strain can increase during dynamic activities and is often measured as intra-abdominal pressure (IAP). While the exact role of IAP on PFDs is still uncertain, there is a predominant hypothesis that high IAP overloads the pelvic floor, and over time can damage the musculoskeletal tissues (Bø and Nygaard 2020).
Effectiveness of Physiotherapy Interventions in the Management Male Sexual Dysfunction: A Systematic Review
Published in International Journal of Sexual Health, 2023
Caleb Ademola Omuwa Gbiri, Joy Chukwumhua Akumabor
Two clinical trials were found to have assessed premature ejaculation. One of the studies used pelvic floor exercises—described as physio-kinesitherapy, biofeedback, and electrical stimulation, while the other incorporated physical activities alone as the intervention. The parameters for the electrical stimulation were not stated but the entire intervention was three 60-min sessions weekly, for 12 weeks. The physical activity group entailed moderate running for one group and walking for another, at least 30 min daily, 5 days a week for 30 days. Kilinc et al. (2018) reported a statistically significant difference in IELT scores compared to the baseline for each group on the 10th, 20th, and 30th day. The PEDT scores on day 30 was significantly smaller than the baseline scores in the intervention and control group. Pastore et al. (2012) reported that at the end of 12 weeks of PFM rehabilitation, 11 0f 19 patients (51%) were able to control the ejaculation reflex, optimizing latency time to ejaculation from the start of intravaginal intercourse. Five patients did not respond to treatment, and two improved after the first 20 sessions and opted to drop out of the study. The results of 11 who responded were maintained throughout the follow-up time of 3 months after the end of 12 weeks of treatment.
Acceptability and effectiveness of a multidisciplinary team approach involving counselling for mesh-removal patients
Published in Journal of Obstetrics and Gynaecology, 2022
Lisa A. Osborne, Simon Emery, Monika Vij, Bhawana Purwar, Phil Reed
Twenty consecutively referred women, attending one of five MDT-clinics, during 2019 and early 2020, participated. All gave informed consent (no patients declined). The study follows the principles of the Declaration of Helsinki. Patients were aged 38–69 years (mean = 54.90; SD ± 8.91). Ethical approval was obtained from the University Psychology Ethics Committee. All patients had a variety of pelvic floor dysfunctions, including stress urinary incontinence, faecal incontinence, and prolapse. All had the mesh fitted between 3 and 7 years, previously. Patients were referred to the MDT from several centres, and access to full records was not always possible. Patients had undergone a variety of mesh procedures, including TVT, TVT-O, and vaginal-wall repairs. All patients reported complications from mesh, 2–4 years previously; all had mesh-removal (full or partial), 1–3 years previously.