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Pelvic Relaxation

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1181. 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

1182. 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

1183. 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

1184. 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

1185. Capsaicin-induced relaxation in the rat isolated external urethral sphincter: characterization of the vanilloid receptor and mediation by CGRP. (Full text)

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

1993 British journal of pharmacology

1186. [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

1187. Guinea-pig interpubic joint (symphysis pubica) relaxation at parturition: Underlying cellular processes that resemble an inflammatory response (Full text)

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

2003 Reproductive biology and endocrinology : RB&E

1188. Stretching the point: an association between the occurrence of striae and pelvic relaxation? (Full text)

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.

2006 Journal of Investigative Dermatology

1189. Striae and pelvic relaxation: two disorders of connective tissue with a strong association. (Full text)

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

2006 Journal of Investigative Dermatology

1190. 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

1191. Sexual dysfunction in men with chronic prostatitis/chronic pelvic pain syndrome: improvement after trigger point release and paradoxical relaxation training. (Full text)

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

2006 Journal of Urology

1192. Integration of myofascial trigger point release and paradoxical relaxation training treatment of chronic pelvic pain in men. (Full text)

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

2005 Journal of Urology

1193. 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

1194. 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

1195. 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

1196. Relationship of episiotomy to perineal trauma and morbidity, sexual dysfunction, and pelvic floor relaxation. (PubMed)

Relationship of episiotomy to perineal trauma and morbidity, sexual dysfunction, and pelvic floor relaxation. Our purpose was to compare consequences for women of receiving versus not receiving median episiotomy early and 3 months post partum on the outcomes perineal pain, urinary and pelvic floor functioning by electromyography, and sexual functioning and to analyze the relationship between episiotomy and third- and fourth-degree tears.A secondary cohort analysis was performed of participants (...) within a randomized clinical trial, analyzed by type of perineal trauma and pain, pelvic floor, and sexual consequences of such trauma, while controlling for trial arm. The study was conducted in three university or community hospitals; 356 primiparous and 341 multiparous women were studied.Early and 3-month-postpartum perineal pain was least for women who gave birth with an intact perineum. Spontaneous perineal tears were less painful than episiotomy. Sexual functioning was best for women

1994 American journal of obstetrics and gynecology Controlled trial quality: uncertain

1197. [Management of postoperative transurethral catheterization with two technics for bladder drainage in surgery for pelvic floor relaxation]. (PubMed)

[Management of postoperative transurethral catheterization with two technics for bladder drainage in surgery for pelvic floor relaxation]. Fifty patients with diagnoses of pelvic floor relaxation or stress urinary incontinence were randomly allocated to either transurethral closed, or transurethral open bladder drainage after vaginal surgery for pelvic floor relaxation or stress urinary incontinence. Postoperative normal bladder function resumed more rapidly when transurethral closed drainage (...) was used (P < 0.05). Postoperative use transurethral closed bladder drainage significantly reduced urinary tract infection (P < 0.05), so most of the patients didn't need bladder catheterization at time of discharge, as opposed to more than half those with transurethral open drainage, who left the hospital with a catheter in place (P < 0.05). We that is both beneficial and efficient to use transurethral closed bladder drainage than transurethral open bladder drainage after a pelvic floor relaxation

1996 Ginecología y obstetricia de México Controlled trial quality: uncertain

1198. [Method for transurethral catheterization for 1-3 days for pelvic floor relaxation in the postoperative period]. (PubMed)

[Method for transurethral catheterization for 1-3 days for pelvic floor relaxation in the postoperative period]. This clinic trial, randomized and blinded was done to determine efficient whether reducing transurethral Foley catheterization from 3 days to 1 would lead to fewer urinary (UTI) tract infections without retention becoming a problem. Fifty women undergoing vaginal plastic repair to either 1 or 3 days catheterization. Of 25 patients catheterized for both group postoperative urinary

1997 Ginecología y obstetricia de México Controlled trial quality: uncertain

1199. [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

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