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Pelvic Relaxation

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1161. A placebo-controlled comparison of the efficiency of triple- and monotherapy in category III B chronic pelvic pain syndrome (CPPS). (PubMed)

A placebo-controlled comparison of the efficiency of triple- and monotherapy in category III B chronic pelvic pain syndrome (CPPS). To perform a prospective, placebo-controlled study to examine the efficacy of alpha-blocker compared with triple therapy (alpha-blocker, anti-inflammatory, and muscle relaxant) in the treatment of Category IIIB chronic pelvic pain syndrome (Category IIIB CPPS).The study was conducted between September 2004 and December 2005, and included 90 treatment naïve patients (...) , aged 22-42 yr (mean age: 29.1+/-5.2) with Category IIIB CPPS, who were randomized into three groups: group 1, alpha-blocker; group 2, combination of alpha-blocker, anti-inflammatory, and muscle relaxant; group 3, placebo once daily. The patients were treated for 6 mo and were followed up for a further 6 mo. Changes from baseline in the total and domain scores of the NIH Chronic Prostatitis Symptom Index (NIH-CPSI) were evaluated. The primary criterion for response was scoring

2007 European urology Controlled trial quality: uncertain

1162. Guinea-pig interpubic joint (symphysis pubica) relaxation at parturition: Underlying cellular processes that resemble an inflammatory response (PubMed)

to the increased flexibility of the pelvic symphysis that occurs in many species to enable safe delivery. The aim of this study was to investigate whether the guinea-pig interpubic joint relaxation process observed during late pregnancy and parturition resembles an inflammatory process.Samples of pubic symphysis were taken from pregnant guinea-pigs sacrificed along gestation, parturition and postpartum. Serial sections of paraffin-embedded tissues were used to measure the interpubic distance on digitalized (...) Guinea-pig interpubic joint (symphysis pubica) relaxation at parturition: Underlying cellular processes that resemble an inflammatory response At term, cervical ripening in coordination with uterine contractions becomes a prerequisite for a normal vaginal delivery. Currently, cervical ripening is considered to occur independently from uterine contractions. Many evidences suggest that cervical ripening resembles an inflammatory process. Comparatively little attention has been paid

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2003 Reproductive biology and endocrinology : RB&E

1163. Study of Biomarkers and the Relaxation Response Using Guided Imagery in Women With IC

imagery intervention studies in areas such as cancer, post-operative pain, and arthritis reported that guided imagery resulted in improvements in the psychological or physiological outcomes examined. If this is also true in IC patients, this intervention may prevent the use of unnecessary medications and procedures that are currently being used. Condition or disease Intervention/treatment Phase Interstitial Cystitis Pelvic Pain Behavioral: Relaxation Response using Guided Imagery Phase 2 Detailed (...) of time twice a day. All subjects will complete questionnaires upon enrollment and at week 6.The "Treatment" subjects will receive the guided imagery CD specific for pelvic pain and interstitial cystitis. After the baseline data is completed, they will listen to track 2 of the CD (25 min. in length) twice a day ("Relaxation Exercise A"). The first week they listen to the CD, for 3 days they will obtain salivary tests upon waking then ½ hour later. Then they will listen to the CD, and obtain another

2007 Clinical Trials

1164. Acupuncture and Relaxation Response for GI Symptoms and HIV Medication Adherence

Acupuncture and Relaxation Response for GI Symptoms and HIV Medication Adherence Acupuncture and Relaxation Response for GI Symptoms and HIV Medication Adherence - 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. Acupuncture and Relaxation Response for GI Symptoms and HIV Medication Adherence 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. Read our for details. ClinicalTrials.gov Identifier: NCT00545623 Recruitment Status : Completed First Posted : October 17, 2007 Results First Posted : September 3, 2014 Last Update Posted : September 3, 2014 Sponsor

2007 Clinical Trials

1165. Anterior vaginal wall hammock with fascia lata for the correction of stage 2 or greater anterior vaginal compartment relaxation. (PubMed)

preoperatively with a history and pelvic organ prolapse quantitative examination. Postoperatively patients were evaluated at 6 weeks, 6 months and yearly thereafter with pelvic organ prolapse quantitative staging of the anterior, middle and posterior compartments. Objective cure was defined as stage 0 or 1 relaxation. Subjective cure was defined as no symptoms of pelvic pressure or a vaginal bulge.Of the 69 (89%) patients who underwent surgery 58 were available for followup. Median age of the population (...) stage 2 or greater anterior compartment relaxation. The whole pelvic floor must be evaluated and repaired to minimize the progression of prolapse of the middle and posterior compartments.

2004 Journal of Urology

1166. The urethra during pelvic floor contraction: observations on three-dimensional ultrasound. (PubMed)

The urethra during pelvic floor contraction: observations on three-dimensional ultrasound. To investigate with three-dimensional ultrasound how voluntary pelvic floor contractions influence the morphology of the female urethra's components.Twenty female patients with benign gynecologic disorders (mean age: 29 years; range: 19-40) had transrectal sonography using a 7.5-MHz mechanical sector endoprobe with three-dimensional features during both pelvic floor muscle relaxation and pelvic floor (...) because of poor image quality, leaving 18 patients for evaluation. When compared with pelvic floor relaxation, the following measures were smaller during pelvic floor contraction: sagittal urethral diameter (10.4 versus 11.5 mm; P =.004), transverse urethral diameter (14.1 versus 15.0 mm; P =.009), urethral sphincter thickness (2.4 versus 2.7 mm; P =.012), urethral sphincter volume (0.5 versus 0.6 mL; P =.003), and total urethral volumes (1.4 versus 1.5 mL; P =.007). Sphincter length and smooth muscle

2002 Obstetrics and Gynecology

1167. Do pelvic floor exercises really improve orgasmic potential? (PubMed)

Do pelvic floor exercises really improve orgasmic potential? Women with orgasmic difficulties are commonly taught pubococcygeal (PC) muscle exercises which, practiced regularly, are said to have both specific and nonspecific beneficial effects on sexual enjoyment. The hypothesis tested was that women practicing these exercises over a 12-week period, would be more likely to become orgasmic than women practicing relaxation exercises, or than women in an attention-control group. Forty-six women (...) were allocated to one of three groups, PC exercise, relaxation or control. PC muscle tone was measured and questionnaires about sexual response were completed over a 12-week period with a 6-month follow-up assessment. Results indicated that there was no difference in orgasmic outcome for the three groups during the experimental period. This was taken to imply that PC exercises are not of specific value for women with normal muscle tone. It remains possible that women with poor muscle tone

1981 Journal of sex & marital therapy Controlled trial quality: uncertain

1168. Pediatric residents' assessment of adolescents' experiences during pelvic examination. (PubMed)

Pediatric residents' assessment of adolescents' experiences during pelvic examination. We compared male and female pediatric residents' perceptions of adolescent females' attitude and experience during a pelvic examination. Females (n = 112) ages 12-19 years were randomly assigned to a male of female examiner and to a supine or semisitting pelvic-examination position. Pre- and postexamination questionnaires were completed by the patients. Female physicians were more accurate in assessing (...) patient discomfort (p less than 0.006),pain (p less than 0.0004), and embarrassment (p less than 0.0006) during the pelvic examination. The correlation between the physicians' and the patients' assessments of the completeness of the examination was stronger for the male physicians (p less than 0.003). These relationships remained constant for both positions. The female physicians' appeared to base their perceptions of the patient-physician relationship partly on the emotional responses of the patient

1987 Journal of adolescent health care : official publication of the Society for Adolescent Medicine Controlled trial quality: uncertain

1169. Pelvic floor spasms in children: an unknown condition responding well to pelvic floor therapy. (PubMed)

floor relaxation biofeedback in these children.All children diagnosed with pelvic floor spasms underwent biofeedback pelvic floor relaxation therapy in order to learn them to counteract pelvic pain due to these spasms. In those girls in whom detrusor hyperactivity was seen on urodynamics concomitant anticholinergic treatment was given (oxybutynin).Between January 1998 and January 2002 symptomatic pelvic floor spasms were diagnosed in 21 children (19 girls/2 boys). Pelvic floor relaxation biofeedback (...) was successful for treatment of this condition in 17 of 21 children. Mean duration of therapy was 3 months (12 weekly sessions) and on long term follow-up relapse was seen in 3 of 17 successfully treated children. 10 of 17 successfully treated children received anticholinergics.Pelvic floor spasms in children (which can be secondary to detrusor overactivity) respond well to pelvic floor relaxation therapy.

2004 European Urology

1170. Capsaicin-induced relaxation in the rat isolated external urethral sphincter: characterization of the vanilloid receptor and mediation by CGRP. (PubMed)

rats that had undergone surgical ablation of the major pelvic ganglion 4 days earlier.6. In conclusion we have demonstrated the existence of vanilloid receptors on capsaicin-sensitive nerves innervating the rat urethra mainly through the major pelvic ganglion. The activation of this set of nerves could lead to a local release of CGRP that in turn elicits a remarkable urethral relaxation. Such a mechanism could be of relevance in physiological conditions to facilitate urine expulsion during (...) Capsaicin-induced relaxation in the rat isolated external urethral sphincter: characterization of the vanilloid receptor and mediation by CGRP. 1. The potential role of capsaicin-sensitive nerves in the relaxation of the rat external urethral sphincter (REUS) was evaluated by demonstrating the existence of specific vanilloid (capsaicin) receptors and by investigating the sensory neurotransmitter(s) putatively involved in this relaxation. 2. Capsaicin (1 microM) relaxed REUS strips precontracted

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1993 British journal of pharmacology

1171. [Vecuronium bromide and succinylcholine procedures in medial relaxation. A comparison of electromyography and clinical findings]. (PubMed)

[Vecuronium bromide and succinylcholine procedures in medial relaxation. A comparison of electromyography and clinical findings]. Clinical and electromyographic effects of either succinylcholine (Suc) or vecuronium bromide (VEC) were compared during induction and maintenance of neuromuscular blockade for pelvic laparoscopy.Forty ASA class I and II patients (pat.) were studied under general anesthesia with thiopental, enflurane, and nitrous oxide. Group VEC-pat. (n = 20) received 0.015 mg/kg (...) body wt. VEC as priming and 5 min later 0.085 mg/kg as intubation doses. Repetitive doses of 0.01 mg/kg were injected to maintain twitch depression (T1%) less than or equal to 15%. Neuromuscular block was reversed with atropine and pyridostigmine (0.01 resp. 0.1 mg/kg). In group Suc-pat. relaxation was induced with 1.5 mg/kg Suc 5 min after pretreatment with 2 mg alcuronium. Relaxation (10% less than or equal to T1% less than or equal to 15%) was prolonged using a Suc infusion. Neuromuscular

1989 Der Anaesthesist Controlled trial quality: uncertain

1172. Repair of vaginal vault prolapse and pelvic floor relaxation using polypropylene mesh. (PubMed)

Repair of vaginal vault prolapse and pelvic floor relaxation using polypropylene mesh. Innumerable techniques have been described for vaginal vault prolapse and enterocele repair including abdominal (open, laparoscopic, and robotic) and vaginal techniques. Recently, the use of surgical mesh in pelvic floor surgery has become increasingly popular due to the high incidence of recurrence with primary repairs and no surrogate material. The increasing variety of available materials and techniques (...) , combined with a lack of well conducted clinical trials, make the choice of repair to use difficult.This article provides an update review on the different procedures available to the urogynecologist and female urologist for repair of vault prolapse. We will also discuss a new surgical technique for the repair of vault prolapse, which recreates the sacrouterine-cardinal ligament complex and reconstructs the pelvic floor with mesh.The best approach to vaginal vault prolapse remains unknown. Surgeon

2006 Current Opinion in Obstetrics and Gynecology

1173. Sexual dysfunction in men with chronic prostatitis/chronic pelvic pain syndrome: improvement after trigger point release and paradoxical relaxation training. (PubMed)

Sexual dysfunction in men with chronic prostatitis/chronic pelvic pain syndrome: improvement after trigger point release and paradoxical relaxation training. The impact of chronic pelvic pain syndrome on sexual function in men is underestimated. We quantified sexual dysfunction (ejaculatory pain, decreased libido, erectile dysfunction and ejaculatory difficulties) in men with chronic pelvic pain syndrome and assessed the effects of pelvic muscle trigger point release concomitant (...) with paradoxical relaxation training.We treated 146 men with a mean age of 42 years who had had refractory chronic pelvic pain syndrome for at least 1 month with trigger point release/paradoxical relaxation training to release trigger points in the pelvic floor musculature. The Pelvic Pain Symptom Survey and National Institutes of Health-Chronic Prostatitis Symptom Index were used to document the severity/frequency of pain, urinary and sexual symptoms. A global response assessment was done to record patient

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2006 Journal of Urology

1174. Integration of myofascial trigger point release and paradoxical relaxation training treatment of chronic pelvic pain in men. (PubMed)

Integration of myofascial trigger point release and paradoxical relaxation training treatment of chronic pelvic pain in men. A perspective on the neurobehavioral component of the etiology of chronic prostatitis (CP) and chronic pelvic pain syndrome (CPPS) is emerging. We evaluated a new approach to the treatment of CP/CPPS with the Stanford developed protocol using myofascial trigger point assessment and release therapy (MFRT) in conjunction with paradoxical relaxation therapy (PRT).A total (...) of 138 men with CP/CPPS refractory to traditional therapy were treated for at least 1 month with the MFRT/PRT protocol by a team comprising a urologist, physiotherapist and psychologist. Symptoms were assessed with a pelvic pain symptom survey (PPSS) and National Institutes of Health-CP Symptom Index. Patient reported perceptions of overall effects of therapy were documented on a global response assessment questionnaire.Global response assessments of moderately improved or markedly improved

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2005 Journal of Urology

1175. Stretching the point: an association between the occurrence of striae and pelvic relaxation? (PubMed)

Stretching the point: an association between the occurrence of striae and pelvic relaxation? Striae are seen in numerous clinical conditions, including pregnancy, and may be resultant from progressive, continuous skin stretching. Regardless of etiology, they appear as raised pink/purple lesions, which mature leaving depressed silver 'scars'. In this issue, Salter et al. explore the possibility that occurrence of striae may predict pelvic relaxation (prolapse of the pelvic organs) in later life.

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2006 Journal of Investigative Dermatology

1176. Striae and pelvic relaxation: two disorders of connective tissue with a strong association. (PubMed)

Striae and pelvic relaxation: two disorders of connective tissue with a strong association. Pelvic relaxation, a weakening of pelvic support structures, is an under-reported condition that affects a multitude of women. In the United States alone, more than 338,000 procedures for prolapse are performed annually. Decreased collagen content has been noted in the tissues of women affected by this condition. Interestingly, biopsy specimens of women with striae also show a diminution of collagen (...) . Using self-reported anonymous data, we compared the prevalence of striae in women with and without pelvic relaxation to see if an association between these two disorders of connective tissue existed. More than half the women with prolapse (54.7%) (n = 41) reported striae, whereas only 25.0% of women in the non-prolapse group (n = 8) reported striae (P < 0.01). Multivariate logistic regression analysis confirmed striae as a significant risk factor for the development of clinical prolapse (odds ratio

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2006 Journal of Investigative Dermatology

1177. Raloxifene effect on frequency of surgery for pelvic floor relaxation. (PubMed)

Raloxifene effect on frequency of surgery for pelvic floor relaxation. To assess the effects of raloxifene therapy on the frequency of surgery for pelvic floor relaxation in postmenopausal women.This analysis used safety data through 3 years of treatment from three double-masked, placebo-controlled, randomized trials of raloxifene, which included 6926 postmenopausal women with uteri at entry. Studies 1 and 2 enrolled 969 nonosteoporotic, postmenopausal women who were assigned to 30, 60, or 150 (...) mg per day raloxifene or placebo. Study 3 enrolled 5957 osteoporotic, postmenopausal women randomized to raloxifene 60 or 120 mg per day or placebo. Indications for any reported pelvic operations were identified, including procedures performed for pelvic organ prolapse or urinary incontinence.A total of 34 (1.51%) women in the placebo group and 35 (0.75%) raloxifene-treated women underwent surgical procedures for pelvic floor relaxation. The odds ratio (and 95% confidence interval) for pelvic

2001 Obstetrics and Gynecology

1178. [Does episiotomy prevent perineal trauma and pelvic floor relaxation?]. (PubMed)

[Does episiotomy prevent perineal trauma and pelvic floor relaxation?]. 8276683 1994 02 10 2004 11 17 0021-7468 106 10 1993 Oct Jordemodern Jordemodern [Does episiotomy prevent perineal trauma and pelvic floor relaxation?]. 375-7 Klein M C MC Gauthier R J RJ Jorgensen S H SH Robbins J M JM Kaczorowski J J Johnson B B Corriveau M M Westreich R R Waghorn K K Gelfand M M MM swe Clinical Trial Journal Article Randomized Controlled Trial Förebygger episiotomi perineal trauma och försvagning av (...) bäckenbotten? Sweden Jordemodern 17810330R 0021-7468 N Adult Episiotomy Female Humans Muscle Hypotonia prevention & control Pelvic Floor Perineum injuries Pregnancy Rupture 1993 10 1 1993 10 1 0 1 1993 10 1 0 0 ppublish 8276683

1994 Jordemodern Controlled trial quality: uncertain

1179. Primary stress urinary incontinence and pelvic relaxation: prospective randomized comparison of three different operations. (PubMed)

Primary stress urinary incontinence and pelvic relaxation: prospective randomized comparison of three different operations. There were 289 women with clinical and urodynamic diagnosis of primary stress urinary incontinence, stable bladder, and pelvic relaxation who underwent a single-stage surgical procedure because of incontinence and pelvic relaxation. Patients underwent one of three surgical procedures because of stress incontinence--anterior colporrhaphy, revised Pereyra procedure, or Burch (...) underwent Burch urethropexy (n = 101) was significantly higher than that of either Pereyra or anterior colporrhaphy (cure rates were 87%, 70%, and 69%, respectively; p less than 0.01). The Burch urethropexy was more effective than the Pereyra procedure or anterior colporrhaphy in the stabilization of the bladder base and resulted in a significantly better cure rate in women with primary stress urinary incontinence and pelvic relaxation.

1989 American journal of obstetrics and gynecology Controlled trial quality: uncertain

1180. Does episiotomy prevent perineal trauma and pelvic floor relaxation? (PubMed)

Does episiotomy prevent perineal trauma and pelvic floor relaxation? To compare the outcomes of the current practice of liberally or routinely employing episiotomy to prevent perineal tears and pelvic floor relaxation (control group) to a policy of restricting episiotomy use to specific fetal and maternal indications (experimental group).A randomized controlled trial (RCT).Three university hospitals in Montreal.Seven hundred three low-risk women enrolled at 30 to 34 weeks of gestation were (...) found no evidence that liberal or routine use of episiotomy prevents perineal trauma or pelvic floor relaxation. Virtually all severe perineal trauma was associated with median episiotomy. Restriction of episiotomy use among multiparous women resulted in significantly more intact perineums and less perineal suturing.

1992 The Online journal of current clinical trials Controlled trial quality: predicted high

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