Pelvic Pain and Pelvic Floor Muscle Dysfunction in Women Seeking Treatment for Prolapse

医学 盆底肌 盆腔疼痛 佩萨 盆底功能障碍 盆底 物理疗法 外科
作者
Anuradha Gore,Kimberly A. Kenne,Joseph T. Kowalski,Catherine S. Bradley
标识
DOI:10.1097/spv.0000000000001323
摘要

Pelvic floor muscle dysfunction (PFMD) can cause pelvic pain, but its associations with pelvic organ prolapse (POP) and POP treatment outcomes are poorly understood.The objectives of this study were to determine (1) if pelvic pain is associated with PFMD in women seeking POP treatment and (2) if baseline PFMD in women seeking management of POP is associated with improvement in pelvic pain at 12 months.This was an ambispective cohort study of women enrolled at one site of the Pelvic Floor Disorders Registry. Pelvic floor muscle dysfunction was identified if tenderness was reported on a standardized pelvic floor muscle examination at baseline. Outcomes included a pelvic pain questionnaire (score 0-70, assessed pain in the past 24 hours in 7 pelvic locations) and the Global Health-10 overall average pain rating (0-10).One hundred forty-four women planning surgery (118) or pessary (26) were included. Twenty (13.9%) had baseline PFMD. Women with PFMD versus no PFMD had greater baseline Pelvic Pain scores (median [IQR], 9.7 [4-23] vs 2.5 [0-7], P < 0.001) and overall average pain (4 [3-6] vs 1 [0-3], P < 0.001). In 107 women with 12-month treatment outcomes, those with PFMD at baseline had greater improvement in pelvic pain compared with those without PFMD (change score -6.5 [-15.2 to 0] vs 0 [-3 to 0] respectively, P = 0.03). Overall pain improved after treatment in the no PFMD group but not in the PFMD group.Patients with baseline PFMD vs none undergoing treatment for prolapse had higher baseline pelvic pain and greater improvement in pelvic pain at 12 months.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
麦兜完成签到,获得积分10
刚刚
科研人发布了新的文献求助10
1秒前
2秒前
束负允三金完成签到,获得积分10
2秒前
3秒前
www发布了新的文献求助10
3秒前
4秒前
haoryan完成签到 ,获得积分10
6秒前
何糖发布了新的文献求助10
8秒前
理想小郭完成签到,获得积分10
8秒前
科研人完成签到,获得积分10
8秒前
CodeCraft应助大马猴采纳,获得10
8秒前
JamesPei应助哈哈哈采纳,获得20
10秒前
10秒前
李健的粉丝团团长应助wsy采纳,获得10
10秒前
背后的含蕊完成签到,获得积分10
10秒前
11秒前
yang完成签到,获得积分20
11秒前
11秒前
12秒前
完美世界应助纯情的咖啡采纳,获得10
12秒前
NexusExplorer应助纯情的咖啡采纳,获得10
12秒前
Ava应助璀璨c采纳,获得10
13秒前
13秒前
敬老院N号应助bjzhaikang采纳,获得20
13秒前
冬不拉的红糖纸完成签到,获得积分20
14秒前
14秒前
科目三应助展开的黑花球采纳,获得10
14秒前
16秒前
胡里奥完成签到,获得积分10
17秒前
17秒前
18秒前
虾米吃螃蟹完成签到,获得积分20
18秒前
阿咚发布了新的文献求助10
20秒前
liiy发布了新的文献求助10
21秒前
搜集达人应助dudupig采纳,获得10
21秒前
22秒前
芝士拌麦粒完成签到,获得积分10
22秒前
15136780701完成签到 ,获得积分10
22秒前
Quiller.Wang完成签到,获得积分10
23秒前
高分求助中
Mantiden: Faszinierende Lauerjäger Faszinierende Lauerjäger Heßler, Claudia, Rud 1000
PraxisRatgeber: Mantiden: Faszinierende Lauerjäger 1000
Natural History of Mantodea 螳螂的自然史 1000
A Photographic Guide to Mantis of China 常见螳螂野外识别手册 800
Autoregulatory progressive resistance exercise: linear versus a velocity-based flexible model 500
Spatial Political Economy: Uneven Development and the Production of Nature in Chile 400
山海经图录 李云中版 400
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 物理化学 催化作用 细胞生物学 免疫学 冶金
热门帖子
关注 科研通微信公众号,转发送积分 3328119
求助须知:如何正确求助?哪些是违规求助? 2958244
关于积分的说明 8589820
捐赠科研通 2636574
什么是DOI,文献DOI怎么找? 1443038
科研通“疑难数据库(出版商)”最低求助积分说明 668500
邀请新用户注册赠送积分活动 655733