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41. Pelvic Floor Dysfunction

in the bladder, bowel, and vagina limits assessment of entire pelvic floor. ??? US pelvis transvaginal 3 O US pelvis transrectal 2 O US pelvis transabdominal 2 O MRI pelvis with endorectal coil 2 O CT pelvis without IV contrast 1 ??? CT pelvis with IV contrast 1 ??? CT pelvis without and with IV contrast 1 ???? Rating Scale: 1,2,3 Usually not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate *Relative Radiation Level ACR Appropriateness Criteria ® 2 Pelvic Floor Dysfunction Clinical Condition (...) : Pelvic Floor Dysfunction Variant 2: Urinary dysfunction. Involuntary leakage of urine, frequent urination, urgency. Straining to void, incomplete voiding, splinting, or digital maneuvers to void. Radiologic Procedure Rating Comments RRL* US pelvis transperineal 9 O MRI pelvis dynamic with rectal contrast 8 Dynamic refers to imaging the patient during rest and strain maneuvers. Encourage adequate Valsalva effort by patient. Avoid overdistended bladder. O MR defecography with rectal contrast 7 Consider

2014 American College of Radiology

42. Guidelines for Perioperative Care in Elective Rectal/Pelvic Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations

of acute hyperalgesia associated with high doses of remifentanil can be reduced by ketamine, magnesium or other N-methyl D-aspartate (NMDA) antagonists [ ]. Adequate relaxation of muscle is indicated to facilitate extensive resection in the pelvic area, especially during laparoscopic surgery. However, reversal of profound muscle relaxation can leave incomplete reversal. The use of sugammadex to counteract the action of large doses of muscle relaxants has proven to facilitate recovery [ ]. But no data (...) and recommendation Fluid balance should be optimised by targeting cardiac output and avoiding overhydration. Judicious use of vasopressors is recommended with arterial hypotension. Targeted fluid therapy using the oesophageal Doppler system is recommended. Evidence level Moderate Recommendation grade Strong Drainage of the peritoneal cavity or pelvis The use of a suction drain in the pelvic cavity after rectal surgery has been traditionally advocated to evacuate potential blood or serous collections and prevent

2013 ERAS Society

43. Pelvic Girdle Pain in the Antepartum Population: Physical Therapy Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health From the Section on Women's Health and the Orthopaedic Section of the America

of multiparity, joint hypermobility, periods of amenorrhea, increased BMI, and hip and/or lower extremity dysfunction including the presence of gluteus medius and pelvic floor muscle dysfunction. There is an association of the development of PGP with a history of trauma to the pelvis and a history of LBP and/or PGP, especially in a previous pregnancy. Finally, an association also exists with work dissatisfaction and lack of belief in improvement. I. Smoking during the antepartum period as well as cessation (...) Pelvic Girdle Pain in the Antepartum Population: Physical Therapy Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health From the Section on Women's Health and the Orthopaedic Section of the America 7/7/2017 Pelvic Girdle Pain in the Antepartum Population: Physical T... : Journal of Women’s Health Physical Therapy http://journals.lww.com/jwhpt/Fulltext/2017/05000/Pelvic_Girdle_Pain_in_the_Antepartum_Population__.7.aspx 1/27 Pelvic Girdle

2017 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

44. Pelvic Relaxation

Pelvic Relaxation Pelvic Relaxation Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Pelvic Relaxation Pelvic Relaxation Aka: Pelvic (...) Relaxation From Related Chapters II. Symptoms Vague pelvic ache Sensation of pressure or Something falling out III. Causes Enterocele Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Pelvic Relaxation." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Symptoms About FPnotebook.com is a rapid access, point-of-care medical reference for primary

2015 FP Notebook

45. Guidelines for Perioperative Care in Elective Rectal/Pelvic Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations

relaxation of muscle is indicated to facilitate extensive resection in the pelvic area, especially during laparoscopic surgery. However, reversal of profound muscle relaxation can leave incomplete reversal. The use of sugammadex to counteract the action of large doses of muscle relaxants has proven to facilitate recovery. x 50 Rex, C., Wagner, S., Spies, C., Scholz, J., Rietbergen, H., Heeringa, M. et al. Reversal of neuromuscular blockade by sugammadex after continuous infusion of rocuronium in patients (...) Guidelines for Perioperative Care in Elective Rectal/Pelvic Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations Guidelines for perioperative care in elective rectal/pelvic surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations - Clinical Nutrition Email/Username: Password: Remember me Search Terms Search within Search Access provided by Volume 31, Issue 6, Pages 801–816 Guidelines for perioperative care in elective rectal/pelvic surgery: Enhanced Recovery

2012 ERAS Society

46. Hip and pelvic fracture patients with fear of falling: development and description of the "Step by Step" treatment protocol. (Abstract)

Hip and pelvic fracture patients with fear of falling: development and description of the "Step by Step" treatment protocol. Based on a theoretical framework and sound evidence, this article describes a rehabilitation programme for patients with fear of falling after hip and pelvic fracture.Based on exercise science principles, current knowledge from fall prevention, emotion regulation, and the Health Action Process Approach we developed a theoretical framework, from which the components (...) of the intervention were derived. Description of the intervention: The intervention consists of 6 components: (1) relaxation, (2) meaningful activities and mobility-based goals, (3) falls related cognitions and emotions, coping with high risk tasks and situations, (4) individual exercise programme, (5) planning and implementing exercises and activities, and (6) fall risks and hazards. The intervention comprises of 8 individual sessions during 3 to 5 weeks of inpatient rehabilitation and 4 telephone calls and 1

2017 Clinical rehabilitation Controlled trial quality: uncertain

47. Comparison of the efficiency of combined extracorporeal shock-wave therapy and triple therapy versus triple therapy itself in Category III B chronic pelvic pain syndrome (CPPS). (Abstract)

Comparison of the efficiency of combined extracorporeal shock-wave therapy and triple therapy versus triple therapy itself in Category III B chronic pelvic pain syndrome (CPPS). The aim of this study is to determine the effect of combining extracorporeal shock-wave therapy (ESWT) and triple therapy versus triple therapy alone, when treating Category III B chronic prostatitis (CPPS). Study included 60 patients, classified as having CPPS, divided into two groups: the first group numbered 30 (...) patients, who were treated with a combination of an α-blocker, an anti-inflammatory agent and a muscle relaxant; the second group consisted of 30 patients who received a combination of ESWT and the fore-mentioned triple therapy. Patients were treated for 12 weeks. The primary criterion of a response to therapy was scoring 2 or less on the NIH-CPSI quality of life item, while the secondary criterion of a response to therapy was a greater than a 50% reduction in NIH-CPSI pain score. Patients who received

2017 The aging male : the official journal of the International Society for the Study of the Aging Male Controlled trial quality: uncertain

48. The Effects of a Water Based Exercise Programme and a Land Based Exercise Programme on Women Experiencing Pregnancy Related Pelvic Girdle Pain

Completion Date : December 31, 2016 Actual Study Completion Date : January 31, 2017 Resource links provided by the National Library of Medicine related topics: Arms and Interventions Go to Arm Intervention/treatment Experimental: Water Exercise + advice Each group undertook four, once weekly exercise sessions (including a warm up, cool down, relaxation, pelvic control and stability exercise). Both programmes focused on similar exercise and muscle groups, but due to the aquatic medium programmes were (...) unable to be exactly matched. Other: water based exercise Behavioral: advice general advice given to all subjects Experimental: Land Exercise + advice Each group undertook four, once weekly exercise sessions (including a warm up, cool down, relaxation, pelvic control and stability exercise). Both programmes focused on similar exercise and muscle groups, but due to the aquatic medium programmes were unable to be exactly matched. Other: land based exercise Behavioral: advice general advice given to all

2017 Clinical Trials

49. Prehabilitation for Pelvic Cancer: Changes in Setup Variability

of Massachusetts, Worcester Information provided by (Responsible Party): Janaki Moni, University of Massachusetts, Worcester Study Details Study Description Go to Brief Summary: The investigators hypothesize that two pelvic relaxation exercises will be feasible and safe to perform by subjects daily before radiation during the participant's treatment and will decrease variability of sacral slope measurements on daily port films. The investigators will observe trends in the daily variability and change (...) Prehabilitation for Pelvic Cancer: Changes in Setup Variability Prehabilitation for Pelvic Cancer: Changes in Setup Variability - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Prehabilitation for Pelvic

2017 Clinical Trials

50. Intravaginal Electrical Nerve Stimulation in Women With Non-contracting Pelvic Floor

Intravaginal Electrical Nerve Stimulation in Women With Non-contracting Pelvic Floor Intravaginal Electrical Nerve Stimulation in Women With Non-contracting Pelvic Floor - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before (...) adding more. Intravaginal Electrical Nerve Stimulation in Women With Non-contracting Pelvic Floor The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03319095 Recruitment Status : Recruiting First Posted : October 24, 2017

2017 Clinical Trials

51. Effects of Bladder Training and Pelvic Floor Muscle Training on the Symptomatology of Overactive Bladder Syndrome

Effects of Bladder Training and Pelvic Floor Muscle Training on the Symptomatology of Overactive Bladder Syndrome Effects of Bladder Training and Pelvic Floor Muscle Training on the Symptomatology of Overactive Bladder Syndrome - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved (...) studies (100). Please remove one or more studies before adding more. Effects of Bladder Training and Pelvic Floor Muscle Training on the Symptomatology of Overactive Bladder Syndrome The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov

2017 Clinical Trials

52. Whole Body Vibration and Pelvic Floor Exercises on Urinary Incontinence

training: The patients were instructed to empty their bladders before the treatment sessions in an effort to feel comfortable and relaxed during the treatment session. Each patient was prepared and taught a program of pelvic floor exercises to be performed in daily sessions in lying, sitting, and standing positions consisting of 10 seconds of contractions followed by 10 seconds of relaxation and repeating the exercises 15 times each session. The contraction and relaxation times were continuously (...) received only pelvic floor training only. Pelvic floor exercises: Each patient was prepared and taught a program of pelvic floor exercises to be performed in daily sessions in lying, sitting, and standing positions consisting of 10 seconds of contractions followed by 10 seconds of relaxation and repeating the exercises 15 times each session. Primary Purpose: Treatment Official Title: The Role of Whole Body Vibration and Pelvic Floor Muscle Exercises in Treating Urinary Incontinence Following Prostate

2017 Clinical Trials

53. M1 Macrophages Are Predominantly Recruited to the Major Pelvic Ganglion of the Rat Following Cavernous Nerve Injury. Full Text available with Trip Pro

M1 Macrophages Are Predominantly Recruited to the Major Pelvic Ganglion of the Rat Following Cavernous Nerve Injury. Neurogenic erectile dysfunction is a common sequela of radical prostatectomy. The etiology involves injury to the autonomic cavernous nerves, which arise from the major pelvic ganglion (MPG), and subsequent neuroinflammation, which leads to recruitment of macrophages to the injury site. Currently, two macrophage phenotypes are known: neurotoxic M1 macrophages and neuroprotective (...) -time polymerase chain reaction) and protein (western blot) expressions of M1 and M2 markers, cytokines, and chemokines; and immunohistochemical localization of M1 and M2 macrophages.BCNI impaired the corporal parasympathetic-mediated relaxation response to electrical field stimulation and enhanced the contraction response to electrical field stimulation. Gene expression of proinflammatory (Il1b, Il16, Tnfa, Tgfb, Ccl2, Ccr2) and anti-inflammatory (Il10) cytokines was upregulated in the MPG 48 hours

2017 Journal Of Sexual Medicine

54. Effects of yogic intervention on pain scores and quality of life in females with chronic pelvic pain. Full Text available with Trip Pro

Effects of yogic intervention on pain scores and quality of life in females with chronic pelvic pain. Chronic pelvic pain (CPP) is a common condition of women of the reproductive age group. It has a negative impact on a woman's personal health and quality of life (QOL). Practicing yoga has shown numerous benefits in various chronic painful conditions.To study the effects of yogic intervention on pain scores and quality of life in females of reproductive age group with CPP, on conventional (...) therapy.It is a follow-up, randomized case-control study done in a tertiary care hospital.Sixty female patients of CPP in the age group of 18-45 years were randomly divided into Group I (n = 30) and Group II (n = 30). Group I received only conventional therapy in the form of NSAIDS and Group II received yoga therapy in the form of asanas, pranayama, and relaxation along with the conventional therapy for 8 weeks. They were assessed twice (pre- and post-treatment) for pain scores through visual analog

2017 International journal of yoga Controlled trial quality: uncertain

55. Biomechanical paradigm and interpretation of female pelvic floor conditions before a treatment Full Text available with Trip Pro

, and connective tissues in the female pelvic floor.Vaginal tactile imaging (VTI) allows biomechanical assessment of the soft tissue along the entire length of the anterior, posterior, and lateral vaginal walls at rest, with manually applied deflection pressures and with muscle contraction, muscle relaxation, and Valsalva maneuver. VTI allows a large body of measurements to evaluate individual variations in tissue elasticity, support defects, as well as pelvic muscle function. Presuming that 1) the female (...) Biomechanical paradigm and interpretation of female pelvic floor conditions before a treatment Further progress in restoring a woman's health may be possible if a patient with a damaged pelvic floor could undergo medical imaging and biomechanical diagnostic tests. The results of such tests could contribute to the analysis of multiple treatment options and suggest the optimal one for that patient.To develop a new approach for the biomechanical characterization of vaginal conditions, muscles

2017 International journal of women's health

56. Three Cases With Relaxed Pelvic Supports Full Text available with Trip Pro

Three Cases With Relaxed Pelvic Supports 18736394 2008 08 29 2008 11 20 0093-402X 12 10 1914 Oct California state journal of medicine Cal State J Med Three Cases With Relaxed Pelvic Supports. 414 Brown R R eng Journal Article United States Cal State J Med 0414327 0093-402X 1914 10 1 0 0 1914 10 1 0 1 1914 10 1 0 0 ppublish 18736394 PMC1641266

1914 California state journal of medicine

57. PREDISPOSING FACTORS TO PELVIC RELAXATION AND PROLAPSE (ETIOLOGY) Full Text available with Trip Pro

PREDISPOSING FACTORS TO PELVIC RELAXATION AND PROLAPSE (ETIOLOGY) 18740063 2008 08 29 2008 11 20 0093-4038 25 2 1926 Aug California and western medicine Cal West Med PREDISPOSING FACTORS TO PELVIC RELAXATION AND PROLAPSE (ETIOLOGY). 206-8 Vruwink J J eng Journal Article United States Cal West Med 0414326 0093-4038 1926 8 1 0 0 1926 8 1 0 1 1926 8 1 0 0 ppublish 18740063 PMC1655168

1926 California and western medicine

58. Pelvic Floor Dysfunction in the Female Athlete. Full Text available with Trip Pro

Pelvic Floor Dysfunction in the Female Athlete. Pelvic floor dysfunction (PFD) is a term used to describe a variety of disorders involving moderate to severe impairment of the pelvic floor muscles. It can be divided into two broad categories. Relaxing PFD is more common, presenting with urinary incontinence, fecal incontinence, or pelvic organ prolapse. Nonrelaxing PFD symptoms include impaired ability to evacuate urine or stool, sexual dysfunction, and pelvic pain. Unfamiliarity

2019 Current Sports Medicine Reports

59. Chronic Pelvic Pain

usage Previous evaluation and treatment by other providers Psychiatric History Mood changes and how quickly Physical functioning in work and activities Family Roles and Responsibilities with recent changes Sexual abuse or physical abuse history (commonly associated) Efforts to cope with pain (Relaxation or ) Patient and Families' interpretation of pain Associated Conditions (one or more present in 50% of cases) (often accompanies ) Pelvic adhesions VIII. Exam: Neurologic Stance and gait Sitting (...) vaginal exam with 1 finger Patient contracts and relaxes intermittently Same type of pain as with intercourse? Press at pelvic floor (levator plate palpation) Pelvic floor tension myalgia increases during day Speculum exam Use a small speculum with adequate lubricant Obtain KOH and wet prep sample Obtain STD testing for and Bimanual Exam Cul-de-sac and uterosacral palpation for nodularity, tenderness or masses Cancer Cervical Motion Tenderness for Mild Adhesions Severe (PID) Retroverted associated

2018 FP Notebook

60. Pelvic floor muscle dysfunctions are prevalent in female chronic pelvic pain: a cross-sectional population-based study. (Abstract)

Pelvic floor muscle dysfunctions are prevalent in female chronic pelvic pain: a cross-sectional population-based study. No current standardized set of pelvic floor muscle (PFM) outcome measures have been specifically tested for their applicability in a general female chronic pelvic pain (CPP) population. We aimed to compare PFM function between a randomly selected population-based sample of women with CPP and age-matched pain-free controls using multiple standardized intravaginal examination (...) measures recommended by the International Continence Society.This was a cross-sectional, population-based and controlled study with randomly selected participants among women in Denmark. We reported blinded findings from a set of standardized vaginal PFM examination manoeuvres in 50 female participants (24 with CPP, 26 pain free). A preliminary pilot study ensured the intra- and intertester reliability of the test procedure. PFM outcomes were resting tone, relaxation capacity, strength, surface

2014 European Journal of Pain

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