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Pelvic Relaxation

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161. Primary postpartum haemorrhage

, colour, cerebral perfusion) o Hypovolemic shock disproportionate to the revealed blood loss o Feelings of pelvic or rectal pressure o Urinary retention · Act promptly to: o Resuscitate as required [refer to 3.3 Resuscitation] o Perform vaginal/rectal examination to determine site and extent o Consider transfer to operating theatre (OT) for clot evacuation, primary repair and/or tamponade of blood vessels · Refer to Queensland Clinical Guideline: Perineal care 38 Refer to online version, destroy

2019 Queensland Health

162. Gynaecological Cancers: a Handbook for Aboriginal and Torres Strait Islander Health Workers and Health Practitioners

in the cervix • Stage II: cancer has spread to the vagina or other tissue next to the cervix • Stage III: cancer has spread to tissue on the side of the pelvis (pelvic sidewall) • Stage IV: cancer has spread to the bladder or rectum, or beyond the pelvis to the lung, liver or bones. i31 CERVICAL CANCER Treatments for cervical cancer The aims of treatment for cervical cancer are to: • remove the cancer • destroy the cancer cells and slow growth of the cancer and/or • manage the symptoms of cervical cancer (...) the effects of treatment on fertility and menopause, go to Chapter 7. Types of surgery for cervical cancer include: • trachelectomy: removal of the cervix only • hysterectomy: removal of the womb and cervix (Figure 4.1). Depending on the size and type of the cancer, the surgeon may also remove: - a small part of the upper vagina - ligaments supporting the cervix - lymph nodes in the pelvis (pelvic lymphadenectomy). • lymph node dissection (pelvic lymphadenectomy): removal of some lymph nodes in the pelvis

2018 Cancer Australia

165. Treatment for Acute Pain: An Evidence Map

several classes. Pain relieving analgesics include opioids, nonsteroidal anti-inflammatory drugs (NSAIDs), and acetaminophen. These are often used in combination. Based on putative pain mechanisms, providers may also manage acute pain with muscle relaxants, antidepressants, alpha-2 agonists, GABA analogues, corticosteroids, NMDA receptor antagonists, local anesthetics, cannabinoids, among others. 23, 24 Topical agents such as capsaicin and lidocaine are also used. 23 Many medications for pain

2019 Effective Health Care Program (AHRQ)

167. 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

2019 European Association of Urology

168. Neuro-urology

bladder diary in women 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 (...) augmentation cystoplasty: A transitional urologist’s 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

2019 European Association of Urology

169. 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

2019 European Association of Urology

171. 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

172. 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

173. Anterior vaginal repair for urinary incontinence in women. Full Text available with Trip Pro

from three of these trials that this was reflected in a need for more repeat operations for incontinence (25/107 (23%) versus 4/164 (2%); RR 8.87, 95% CI 3.28 to 23.94). These findings held, irrespective of the co-existence of prolapse (pelvic relaxation). Although fewer women had a prolapse after anterior repair (RR 0.24, 95% CI 0.12 to 0.47), later prolapse operation appeared to be equally common after vaginal (3%) or abdominal (4%) operation.In respect of the type of open abdominal retropubic

2017 Cochrane

174. 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

175. 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

176. 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

177. 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

179. 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

180. 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

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