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Pelvic Relaxation

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181. 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

183. 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 (...) carcinoma. Acta Radiol, 1988. 29: 251. 121. Lauenstein, T.C., et al. Whole-body MR imaging: evaluation of patients for metastases. Radiology, 2004. 233: 139. 122. Schmidt, G.P., et al. Whole-body MR imaging of bone marrow. Eur J Radiol, 2005. 55: 33. 123. Yang, Z., et al. Is whole-body fluorine-18 fluorodeoxyglucose PET/CT plus additional pelvic images (oral hydration-voiding-refilling) useful for detecting recurrent bladder cancer? Ann Nucl Med, 2012. 26: 571. 124. Maurer, T., et al. Diagnostic

2018 European Association of Urology

184. 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

185. 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

186. 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

187. A letter to my younger self

to see a trauma patient with a reasonable mechanism – but because he is stable and pain-free, you’ll decide not to do the pelvic XRay. That’s a mistake. You’re going to miss his unstable pelvic fracture. Thankfully one of your colleagues will find it and the patient ends up being ok. But, know that this will eat at you for weeks. You’ll talk to friends and colleagues who will make you feel better, but honestly – nothing makes a mistake easy to swallow. You just have to learn from it, it’ll make you (...) and reputations tarnished by poor interactions with allied health professionals. When someone is being rude to a nurse, stand up for them. It isn’t until you’re more senior that you have the confidence to this, and you’ll regret not doing it in some situations, but remember that your allied health colleagues are advocating for patients, and don’t deserve any abuse, from anyone, ever. Take vacations Real ones. Where you completely step away from working / studying, and relax. You’ll come to realize when you’ve

2018 CandiEM

188. Erectile Dysfunction

should be counseled regarding post-operative expectations. (Clinical Principle) 20. Penile prosthetic surgery should not be performed in the presence of systemic, cutaneous, or urinary tract infection. (Clinical Principle) 21. For young men with ED and focal pelvic/penile arterial occlusion and without documented generalized vascular disease or veno-occlusive dysfunction, penile arterial reconstruction may be considered. (Conditional Recommendation; Evidence Level: Grade C) 22. For men with ED (...) benefit most patients (see Guideline Statement 6) and should be strongly considered when unresolved issues appear to be affecting the sexual relationship. 54-56 In situations in which sudden or severe ED is likely to develop (e.g., men considering definitive therapy for pelvic cancers) or in cases with complex psychosocial issues (e.g., history of sexual trauma, long-term/lifelong sexual dysfunction), early inclusion of psychosexual expertise on the treatment team is critical to development

2018 American Urological Association

189. Consensus Statement of Definitions for Anorectal Physiology and Rectal Cancer

. For that to happen, the termi- nology used must be precise and uniform. With medical information increasingly shared, a consensus about the terminology is desirable. The purpose of this document is to define standardized terminology for use in academic presentations and publications pertaining to defecatory pelvic floor disorders. METHODOLOGY The ASCRS, the Colorectal Surgical Society of Australia, and the Association of Coloproctology of Great Brit- ain and Ireland have previously published definitions (...) of anorectal physiology terms after consulting with se- lected experts within each represented society. 1 This re- vision of the above-mentioned definitions was created at the initiative of the ASCRS Pelvic Floor Disorders Committee and the Clinical Practice Guidelines Com- mittee. The Pelvic Floor Disorders Committee is com- posed of members who are chosen because they have demonstrated expertise in the care and treatment of pel- vic floor conditions. This committee was created to lead international

2018 American Society of Colon and Rectal Surgeons

190. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm

mortality 33 Perioperative morbidity 33 Endoleak 34 Access site complications 34 Acute limb thrombosis 34 Postimplantation syndrome 34 Ischemic colitis 34 Role of elective EVAR in the high-risk and unfit patient 34 OSR 35 Indications 35 Surgical approach 35 Aortic clamping 35 Graft type and configuration 36 Maintenance of pelvic circulation 37 Management of associated intra-abdominal vascular disease 37 Management of associated intra-abdominal nonvascular disease 38 Perioperative outcomes of open AAA

2018 Society for Vascular Surgery

191. FDG-PET/CT(A) Imaging in Large Vessel Vasculitis and Polymyalgia Rheumatica: Joint Procedural Recommendation of the EANM, SNMMI, PET Interest Group, and endorsed by ASNC

be avoided within 24 hours 7 before FDG administration. At the moment and after administration of FDG, patients should relax in an adequately temperature-controlled room (20-22°C (68-71.6 °F)) to minimize physiologic uptake in muscles and brown fat [29]. In some cases, FDG uptake in brown fat can be reduced by beta-blocking drugs, e.g. oral administration 20 mg propranolol one hour before FDG injection [30]. Prior to positioning on the table, patients are asked to void urine. Patients with fever (...) being positive for active LVV (evidence level II, grade B). • Typical FDG joint uptake patterns including scapular and pelvic girdles, interspinous regions of the cervical and lumbar vertebrae or the knees should be 12 Diagnostic accuracy of FDG-PET/CT(A) for LVV and PMR The diagnostic performance of FDG-PET for the detection of LVV is overall good; individual studies are summarized in Table 4, and meta-analyses are summarized in Table 5. A recent meta-analysis of eight studies including 170 LVV

2018 Society of Nuclear Medicine and Molecular Imaging

192. WHO recommendations: intrapartum care for a positive childbirth experience

preferences. Recommended Opioid analgesia for pain relief 20. Parenteral opioids, such as fentanyl, diamorphine and pethidine, are recommended options for healthy pregnant women requesting pain relief during labour, depending on a woman’s preferences. Recommended Relaxation techniques for pain management 21. Relaxation techniques, including progressive muscle relaxation, breathing, music, mindfulness and other techniques, are recommended for healthy pregnant women requesting pain relief during labour

2018 World Health Organisation Guidelines

193. Early Pregnancy Loss

to prevent early pregnancy loss. Therapies that have historically been recommended, such as pelvic rest, vitamins, uterine relaxants, and administration ofb-hCG,havenotbeen proved to prevent early pregnancy loss (60–62). Like- wise, bed rest should not be recommended for the prevention of early pregnancy loss (63). A 2008 Co- chrane review found no effect of prophylactic proges- terone administration (oral, intramuscular, or vaginal) in the prevention of early pregnancy loss (64). For threatened early (...) in the vacuum aspiration group (23, 42). How- ever, rates of hemorrhage-related hospitalization with or without transfusion are similar between treatment approaches (0.5–1%) (23, 43). Pelvic infection also can occur after any type of early pregnancy loss treat- ment. One systematic review concluded that although infection rates appeared lower among those undergo- ing expectant management than among those undergo- ing surgical evacuation (RR, 0.29; 95% CI, 0.09– 0.97), the overall rates of infection were low

2018 American College of Obstetricians and Gynecologists

194. 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)

196. Sacral nerve stimulation for idiopathic chronic non-obstructive urinary retention

and current treatments Indications and current treatments 2.1 Non-obstructive urinary retention is the inability to empty the bladder with no physical obstruction to the urine flow. It can occur as a result of neurological disorders, such as multiple sclerosis or spinal cord disease, or it can be idiopathic. In younger women, it may be caused by Fowler's syndrome, which is a rare disorder in which the urethral sphincter fails to relax to allow urine to be passed normally. This guidance covers idiopathic (...) ) of patients in the case series of 60 patients, 15 of whom were in the group of 30 patients who had a 1-stage procedure for implanting the neurostimulator. 5.4 Pain at the implant site, pain at the lead site and new pain (unspecified) were reported in 10% (128/1239), 2% and 4% of patients respectively, in the systematic review of 14 articles, including a total of 1239 patients. Pain at the implant site was reported in 32% (19/60) of patients in the case series of 60 patients. Leg pain, pelvic pain

2016 National Institute for Health and Clinical Excellence - Interventional Procedures

197. CUA-PUC Canadian guideline for the diagnosis, management and followup of cryptorchidism

-scrotal position. In addition, exploration and orchidopexy aim to relocate viable testicular tissue outside of the abdomen in a position amenable to regular self-exam later in life, which aids in early diagnosis of testicular cancer. Surgical correction also decreases the risk of future testicu- lar torsion and addresses associated abnormalities (such as a patent processus vaginalis or clinically evident hernia). Orchidopexy may also aid in preventing direct testicular trauma against the pelvic bones

2017 Canadian Urological Association

198. Low back pain and radicular pain: evaluation and management

(NSAIDs) 102 3.3.2 Paracetamol 107 3.3.3 Opioids 110 3.3.4 Antidepressants 114 3.3.5 Anticonvulsants 117 3.3.6 Skeletal muscle relaxants 120 3.3.7 Antibiotics 122 3.3.8 Oral Methylprednisolone 124 3.4 INVASIVE TREATMENTS 124 3.4.1 Spinal injections 124 3.4.2 Radiofrequency denervation for facet joint pain 128 3.4.3 Epidural injections 134 3.4.4 Surgery and prognostic factors 140 3.4.5 Disc replacement 143 3.4.6 Spinal fusion 146 3.4.7 Spinal decompression 151 4 IMPLEMENTATION AND UPDATING

2017 Belgian Health Care Knowledge Centre

200. Preventing Falls and Reducing Injury from Falls, Fourth Edition

18. Table 18: Exercise and Physical Training Interventions TYPE OF TRAINING OR EXERCISE INTERVENTION DEFINITION POTENTIAL BENEFITS Core strength training and Pilates exercise training Core strength training includes exercises targeted at strengthening the core. “The core can be described as a muscular box with the abdominals in the front, paraspinals and glutes in the back, the diaphragm as the roof, and the pelvic floor and hip girdle musculature as the bottom” (Granacher, Gollhofer, Hortobagyi (...) , 2015; Leung et al., 2011). Reduces falls and fear of falling; best suited if a person is not frail (Leung et al., 2011; Schleicher, Wedam, & Wu, 2012). Effective for people at lower risk for falls (Gillespie et al., 2012). Yoga “Yoga-based activity takes many forms, ranging from the practice of standing postures that aim to improve strength, flexibility and balance through to relaxation and meditation-based form” (Youkhana, Dean, Wolff, Sherrington, & Tiedemann, 2016, p. 22). Results in small

2017 Registered Nurses' Association of Ontario

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