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Pelvic Relaxation

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182. Muscle-invasive and Metastatic Bladder Cancer

, and late gadolinium-enhanced imaging. Radiology, 1994. 193: 239. 103. Kim, J.K., et al. Bladder cancer: analysis of multi-detector row helical CT enhancement pattern and accuracy in tumor detection and perivesical staging. Radiology, 2004. 231: 725. 104. Yang, W.T., et al. Comparison of dynamic helical CT and dynamic MR imaging in the evaluation of pelvic lymph nodes in cervical carcinoma. AJR Am J Roentgenol, 2000. 175: 759. 105. Kim, S.H., et al. Uterine cervical carcinoma: evaluation of pelvic lymph (...) node metastasis with MR imaging. Radiology, 1994. 190: 807. 106. Kim, S.H., et al. Uterine cervical carcinoma: comparison of CT and MR findings. Radiology, 1990. 175: 45. 107. Oyen, R.H., et al. Lymph node staging of localized prostatic carcinoma with CT and CT-guided fine-needle aspiration biopsy: prospective study of 285 patients. Radiology, 1994. 190: 315. 108. Barentsz, J.O., et al. MR imaging of the male pelvis. Eur Radiol, 1999. 9: 1722. 109. Dorfman, R.E., et al. Upper abdominal lymph nodes

2019 European Association of Urology

183. Urinary Incontinence

, S.S., et al. Responsiveness of the Pelvic Floor Distress Inventory and Pelvic Floor Impact Questionnaire in women undergoing treatment for pelvic floor disorders. Int Urogynecol J, 2013. 24: 213. 16. Kim, J., et al. 1576 Is there a relationship between incontinence impact questionnaire 7 score after surgery for stress urinary incontinence and patient-perceived satisfaction and improvement? J Urol. 189: e647.J Urol. 189: e647. (13)03402-2/abstract 17. Tran, M.G., et al. Patient reported outcome (...) )/International Continence Society (ICS) joint terminology and classification of the complications related directly to the insertion of prostheses (meshes, implants, tapes) and grafts in female pelvic floor surgery. Neurourol Urodyn, 2011. 30: 2. 21. Brown, J.S., et al. Measurement characteristics of a voiding diary for use by men and women with overactive bladder. Urology, 2003. 61: 802. 22. Nygaard, I., et al. Reproducibility of the seven-day voiding diary in women with stress urinary incontinence. Int

2019 European Association of Urology

184. Guidance For: Prone Positioning in Adult Critical Care

before start of procedure Minimum of 5 people plus 1 for chest drains Yes No All team members aware of role Yes No Appropriate ventilator settings Yes No Cardiovascular stability Yes No Adequate sedation (ie. RASS -5) Yes No Adequate muscle relaxation – consider need for bolus Yes No Pillows positioned correctly – chest, pelvis, knees Yes No Team members familiar with procedure Yes No Appendix 1. LocSSIP PROCEDURE SAFETY CHECKLIST: Prone Ventilation in Critical Care PaO2/FiO2 Ratio Grade Laryngoscopy (...) or BiVAD support Relative: • Multiple Trauma e.g. Pelvic or Chest fractures, Pelvic fixation device • Severe facial fractures • Head injury/Raised intracranial pressure • Frequent seizures • Raised intraocular pressure • Recent tracheostomy <24hrs • CVS instability despite resuscitation with fluids and inotropes • Previously poor tolerance of prone position • Morbid obesity • Pregnancy 2 nd /3 rd trimester c. Equipment • Low air loss mattress/kinetic therapy bed or local equivalent • Airway trolley

2019 Faculty of Intensive Care Medicine

185. Approaches to Limit Intervention During Labor and Birth

, but few have been studied extensively enough to determine clear or relative effectiveness. During the first stage of labor, water immersion has been found to lower pain scores without evidence of harm (8, 34). Intradermal sterile water injections, relaxation techniques, acupuncture, and massage may result in reduction in pain in many studies, but methodologies for rating pain and applying these techniques have been varied; therefore, exact tech- niques that are most effective have not been determined (...) phases: 1) the passive descent of the fetus through the maternal pelvis and 2) the active phase of maternal pushing. Stud- iesthat suggestan increasedrisk of adversematernal and neonatal outcomes with increasing second-stage dura- tion generally do not account for the duration of these passive and active phases (53, 54). Two meta-analyses of RCTs compared maternal and neonataloutcomesinwomenassignedtoimmediateversus delayed pushing have been published (49, 55). Both studies found that delaying

2019 American College of Obstetricians and Gynecologists

186. BSPGHAN Motility Working Group consensus statement- Anorectal manometry in children with defecation disorders Full Text available with Trip Pro

is secondary to constipation, but in approximately 20% it is associated with conditions such as non‐retentive fecal incontinence (NFI). Pelvic floor dyssynergia, which describes poor coordination between pelvic floor muscles and abdominal wall muscles during defecation, can also lead to FI and will require different management strategies. In children with FI secondary to CC, the majority will have functional constipation but up to 5% are affected by other medical conditions that lead to delayed transit (...) parameters can be obtained (Table ). It is, however, recognized that is certain circumstances (eg, significant child distress or anxiety, learning difficulties, or in infants with suspected Hirschsprung's disease) ARM can be done under sedation. If sedation is needed, muscle relaxants should be avoided and clarity given to the parents and recipient healthcare professionals with regard to the limited information obtained (essentially limited to resting pressure of the anal sphincter and RAIR

2020 British Society of Paediatric Gastroenterology Hepatology and Nutrition

187. Erectile Dysfunction

and psychological systems. Biopsychosocial stimulation causes the local release of nitric oxide via the parasympathetic system increasing formation of cyclo-guanosine monophosphate (cGMP) which causes relaxation of the cavernosal smooth muscle. This compresses the small veins in the penis preventing venous return and erection occurs. Various mechanisms can interfere with this pathway and reduce of 3’5’-cGMP concentration below the level necessary for an erection. The Sexual Health Inventory for Men (SHIM) can (...) of libido (annual risk 5 per 1000 patients) but are not generally associated with erectile dysfunction No medical assessment or prior diagnosis of erectile dysfunction History of trauma to genital area, pelvis or spine since medical assessment Non-response after an adequate trial of PDE-5 inhibitors Contraindications to PDE-5 inhibitors If the safety of sexual activity is a concern, for example: Unstable heart disease (e.g., angina) Recent myocardial infarction Poorly compensated heart failure Unstable

2018 medSask

188. Mindfulness?based stress reduction (MBSR) for improving health, quality of life and social functioning in adults: a systematic review and meta?analysis Full Text available with Trip Pro

, with a total of 8,135 participants who were randomized to MBSR or a control group ( ). Table 1. Study characteristics Study name Target Group Outcome Measures F‐up (ms) N MBSR hours Practice Min/day Atten‐dance % Women % ITT / Non‐ITT Alterman 2004 Substance abusers ASI, SF‑36‑Vit, SF‑36 PH, SF‑36 MH, SAS, LOT, LAP‑R, PANAS‑Pos 5 31 23 58 Non‐ITT Amutio 2015 Physicians Basic relaxation, Positive energy, Transcendence, Core‐mindfulness, FFMQ 72 28 57 ITT Anderson 2007 Healthy adults BAI, BDI, Anger Rum (...) sensory, MAAS 28 20 75 Non‐ITT Bränström 2010 Cancer patients HADS Anx, HADS Depr, IES‐aviodance, IES‐hyperarousal, IES‐intrusion, PSS, PSOM, FFMQ AA, FFMQ D, FFMQ NJ, FFMQ NR, FFMQ O, Coping self‐efficacy 4 71 16 73 98,6 ITT Carmody 2011 Hot flushes HADS anx, PSS, Overall QOL, Sleep quality 110 27 100 Non‐ITT Carson 2004 Normal couples BSI men, BSI women, Ind relax IRI men, Ind relax IRI wom, INSPIRIT men, INSPIRIT wom, LOT optimism men, LOT optimism wom 3 57 27 32 80 50 Non‐ITT Cohen‐Katz 2005

2017 Campbell Collaboration

189. Utian Translational Science Symposium report: New Ttherapies for Leiomyomas: When Surgery May Not Be the Best Option

symptoms may produce pelvic pressure; uri- nary frequency, urgency, and incontinence; abdominal distension; constipation; back pain; or dyspareunia. 4 Repro- ductivedysfunction,althoughusuallyadiagnosisofexclusion from other factors, may include difficulty conceiving and recurrentpregnancyloss.Pregnanciesmaybecomplicatedby abnormalplacentation,small-for-gestational-ageinfants,pre- mature delivery, malpresentation, increases in caesarean delivery rates, or postpartum haemorrhage. 4,5 Risks for uterine (...) because of necrosis or torsion of a pedunculated leio- myoma, deep vein thrombosis because of physical obstruc- tion, or even polycythemia because of erythropoietin produced by the leiomyoma. 11 A mass may be observed or palpatedinthelowerabdomen,andirregularuterineenlarge- ment may be found during pelvic examination. A pelvic ultrasound will confirm the diagnosis. Magnetic resonance imaging(MRI)or3-Dultrasoundcanbeusedforpreoperative mappingandmayberequiredtodifferentiateanovarianfrom a uterine mass

2018 The North American Menopause Society

190. Urological Trauma

., et al. Diagnosis and management of ureteric injury: an evidence-based analysis. BJU Int, 2004. 94: 277. 121. Chou, M.T., et al. Prophylactic ureteral catheterization in gynecologic surgery: a 12-year randomized trial in a community hospital. Int Urogynecol J Pelvic Floor Dysfunct, 2009. 20: 689. 122. Delacroix, S.E., Jr., et al. Urinary tract injures: recognition and management. Clin Colon Rectal Surg, 2010. 23: 104. 123. Visco, A.G., et al. Cost-effectiveness of universal cystoscopy to identify (...) Kidney Autotransplantation: A Minimally Invasive Way to Salvage Kidneys. Eur Urol Focus, 2018. 4: 198. 152. Zhao, L.C., et al. Robotic Ureteral Reconstruction Using Buccal Mucosa Grafts: A Multi-institutional Experience. Eur Urol, 2017. 153. Pereira, B.M., et al. Bladder injuries after external trauma: 20 years experience report in a population-based cross-sectional view. World J Urol, 2013. 31: 913. 154. Figler, B.D., et al. Multi-disciplinary update on pelvic fracture associated bladder

2018 European Association of Urology

192. Neuro-urology

with urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct, 2008. 19: 955. 61. Henze, T. Managing specific symptoms in people with multiple sclerosis. Int MS J, 2005. 12: 60. 62. Liu, C.W., et al. The relationship between bladder management and health-related quality of life in patients with spinal cord injury in the UK. Spinal Cord, 2010. 48: 319. 63. Khalaf, K.M., et al. The impact of lower urinary tract symptoms on health-related quality of life among patients with multiple sclerosis. Neurourol (...) viewpoint. J Pediatr Urol, 2017. 97. Yang, C.C., et al. Bladder management in women with neurologic disabilities. Phys Med Rehabil Clin N Am, 2001. 12: 91. 98. Podnar, S., et al. Protocol for clinical neurophysiologic examination of the pelvic floor. Neurourol Urodyn, 2001. 20: 669. 99. Harrison, S., et al. Urinary incontinence in neurological disease: assessment and management. NICE Clinical Guideline 2012. [CG148]. 100. Liu, N., et al. Autonomic dysreflexia severity during urodynamics and cystoscopy

2018 European Association of Urology

193. Male Sexual Dysfunction

. Erectile dysfunction in the cardiovascular patient. Eur Heart J, 2013. 34: 2034. 50. Seftel, A.D., et al. Coexisting lower urinary tract symptoms and erectile dysfunction: a systematic review of epidemiological data. Int J Clin Pract, 2013. 67: 32. 51. Rosen, R., et al. Lower urinary tract symptoms and male sexual dysfunction: the multinational survey of the aging male (MSAM-7). Eur Urol, 2003. 44: 637. 52. Zhang, Y., et al. Erectile Dysfunction in Chronic Prostatitis/Chronic Pelvic Pain Syndrome (...) 2 and 4 years after radical prostatectomy. J Urol, 2009. 181: 731. 79. Incrocci, L., et al. Pelvic radiotherapy and sexual function in men and women. J Sex Med, 2013. 10 Suppl 1: 53. 80. Morgia, G., et al. Association between long-term erectile dysfunction and biochemical recurrence after permanent seed I(125) implant brachytherapy for prostate cancer. A longitudinal study of a single-institution. Aging Male, 2016. 19: 15. 81. Stember, D.S., et al. The concept of erectile function preservation

2018 European Association of Urology

195. Muscle-invasive and Metastatic Bladder Cancer

, and late gadolinium-enhanced imaging. Radiology, 1994. 193: 239. 103. Kim, J.K., et al. Bladder cancer: analysis of multi-detector row helical CT enhancement pattern and accuracy in tumor detection and perivesical staging. Radiology, 2004. 231: 725. 104. Yang, W.T., et al. Comparison of dynamic helical CT and dynamic MR imaging in the evaluation of pelvic lymph nodes in cervical carcinoma. AJR Am J Roentgenol, 2000. 175: 759. 105. Kim, S.H., et al. Uterine cervical carcinoma: evaluation of pelvic lymph (...) node metastasis with MR imaging. Radiology, 1994. 190: 807. 106. Kim, S.H., et al. Uterine cervical carcinoma: comparison of CT and MR findings. Radiology, 1990. 175: 45. 107. Oyen, R.H., et al. Lymph node staging of localized prostatic carcinoma with CT and CT-guided fine-needle aspiration biopsy: prospective study of 285 patients. Radiology, 1994. 190: 315. 108. Barentsz, J.O., et al. MR imaging of the male pelvis. Eur Radiol, 1999. 9: 1722. 109. Dorfman, R.E., et al. Upper abdominal lymph nodes

2018 European Association of Urology

196. Urinary Incontinence

, S.S., et al. Responsiveness of the Pelvic Floor Distress Inventory and Pelvic Floor Impact Questionnaire in women undergoing treatment for pelvic floor disorders. Int Urogynecol J, 2013. 24: 213. 16. Kim, J., et al. 1576 Is there a relationship between incontinence impact questionnaire 7 score after surgery for stress urinary incontinence and patient-perceived satisfaction and improvement? J Urol. 189: e647.J Urol. 189: e647. (13)03402-2/abstract 17. Tran, M.G., et al. Patient reported outcome (...) )/International Continence Society (ICS) joint terminology and classification of the complications related directly to the insertion of prostheses (meshes, implants, tapes) and grafts in female pelvic floor surgery. Neurourol Urodyn, 2011. 30: 2. 21. Brown, J.S., et al. Measurement characteristics of a voiding diary for use by men and women with overactive bladder. Urology, 2003. 61: 802. 22. Nygaard, I., et al. Reproducibility of the seven-day voiding diary in women with stress urinary incontinence. Int

2018 European Association of Urology

197. Adult Urodynamics

and Reporting Patient Education Adult Urodynamics: AUA/SUFU Guideline (2012) Published 2012 This guideline developed by AUA in collaboration with the Society for Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction is intended to review the literature regarding the use of urodynamic testing in common lower urinary tract symptoms (LUTS) conditions. It presents the principles of application and technique to guide the clinician in the role of urodynamics in complex LUTS disorders. [pdf] [pdf (...) with reduction of the prolapse in women with high grade pelvic organ prolapse (POP) but without the symptom of SUI. Multi-channel urodynamics with prolapse reduction may be used to assess for occult stress incontinence and detrusor dysfunction in these women with associated LUTS. ( Option ; Evidence Strength : Grade C) Overactive Bladder (OAB), Urgency Urinary Incontinence (UUI), Mixed Incontinence 6. Clinicians may perform multi-channel filling cystometry when it is important to determine if altered

2018 American Urological Association

198. WHO recommendations: non-clinical interventions to reduce unnecessary caesarean sections

, Intervention, Comparator, Outcome PFMT Pelvic Floor Muscle T raining RCT Randomized Controlled T rial RD Risk Difference RR Risk Ratio TWG T echnical Working Group UNFPA United Nations Population Fund UNICEF United Nations Children’s Fund USAID United States Agency for International Development VBAC Vaginal Birth After Caesarean WHO World Health Organization8 WHO recommendations non-clinical interventions to reduce unnecessary caesarean sections Executive summary Introduction Caesarean section (...) relaxation training programme (content includes group discussion of anxiety and stress-related issues in pregnancy and purpose of applied relaxation, deep breathing techniques, among other relaxation techniques). ? ? Psychosocial couple-based prevention programme (content includes emotional self-management, conflict management, problem solving, communication and mutual support strategies that foster positive joint parenting of an infant). “Couple” in this recommendation includes couples, people

2018 World Health Organisation Guidelines

199. Nonsurgical Treatments for Urinary Incontinence in Women: A Systematic Review Update

interventions mostly aim to strengthen the pelvic floor and change behaviors that influence bladder function, whereas pharmacological interventions mostly address bladder and sphincter function. This report addresses a Contextual Question and four Key Questions. Key Question 1: What are the benefits and harms of nonpharmacological treatments of UI in women, and how do they compare with each other? Key Question 2: What are the benefits and harms of pharmacological treatments of UI in women, and how do (...) Abbreviations: AE = adverse events, Imp = improvement, MBSR = mindfulness-based stress reduction, PFMT = pelvic floor muscle therapy, QoL = quality of life, Sat = satisfaction, TENS = transcutaneous electrical nerve stimulation (including transvaginal, surface, and related electric stimulation used to treat UI), UI = urinary incontinence. * The categorization of different interventions was based on recommendations from The National Institute for Health and Care Excellence (NICE) and American Urological

2018 Effective Health Care Program (AHRQ)

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