Is pelvic floor muscle strength and thickness associated with pelvic organ prolapse in Nepali women? – A cross-sectional study

Abstract OBJECTIVE To analyse pelvic floor muscle strength (PFMS) and urinary and anal incontinence (UI and AI) in the postpartum period. METHOD Cross-sectional study carried out with women in their first seven months after child birth. Data were collected through interviews, perineometry (Peritron™), and the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). RESULTS 128 women participated in the study. The PFMS mean was 33.1 (SD=16.0) cmH2O and the prevalence of UI and AI was 7.8% and 5.5%, respectively. In the multiple analyses, the variables associated with PFMS were type of birth and cohabitation with a partner. Newborn’s weight, previous pregnancy, UI during pregnancy, and sexual activity showed an association with UI after child birth. Only AI prior to pregnancy was associated with AI after childbirth. CONCLUSION Vaginal birth predisposes to the reduction of PFMS, and caesarean section had a protective effect to its reduction. The occurrence of UI during pregnancy is a predictor of UI after childbirth, and women with previous pregnancies and newborns with higher weights are more likely to have UI after childbirth.AI prior to pregnancy is the only risk factor for its occurrence after childbirth. Associations between PFMS and cohabitation with a partner, and between UI and sexual activity do not make possible to conclude that these variables are directly associated.

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Pelvic floor muscle strength of women consulting at the gynecology outpatient clinics and its correlation with sexual dysfunction: A cross-sectional study

Pakistan Journal of Medical Sciences ◽

10.12669/pjms.334.12250 ◽

2017 ◽

Vol 33 (4) ◽

Author(s):

Filiz Ciledag Ozdemir ◽

Erkan Pehlivan ◽

Rauf Melekoglu

Keyword(s):

Sexual Dysfunction ◽

Muscle Strength ◽

Pelvic Floor ◽

Pelvic Floor Muscle ◽

Cross Sectional Study ◽

Outpatient Clinics ◽

Sectional Study ◽

Cross Sectional ◽

Pelvic Floor Muscle Strength

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Sexual performance and pelvic floor muscle strength in patients with fibromyalgia: a controlled cross-sectional study

Rheumatology International ◽

10.1007/s00296-020-04595-4 ◽

2020 ◽

Author(s):

Hellen Cristina Souza de Carvalho Fusco ◽

Marco Antônio Pontes Filho ◽

Rafael Treitero Consolo ◽

Adriana Claudia Lunardi ◽

Elizabeth Alves Gonçalves Ferreira

Keyword(s):

Muscle Strength ◽

Pelvic Floor ◽

Pelvic Floor Muscle ◽

Cross Sectional Study ◽

Sectional Study ◽

Sexual Performance ◽

Cross Sectional ◽

Pelvic Floor Muscle Strength

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Effect of colpexin sphere on pelvic floor muscle strength in women with pelvic organ prolapse: a randomized controlled trial (a preliminary report)

Archives of Gynecology and Obstetrics ◽

10.1007/s00404-010-1394-4 ◽

2010 ◽

Vol 283 (3) ◽

pp. 575-579 ◽

Cited By ~ 4

Author(s):

Thitima Harnsomboon ◽

Jittima Manonai ◽

Sirirat Sarit-apirak ◽

Rujira Wattanayingcharoenchai ◽

Apichart Chittacharoen ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Pelvic Organ Prolapse ◽

Muscle Strength ◽

Pelvic Floor ◽

Preliminary Report ◽

Pelvic Floor Muscle ◽

Controlled Trial ◽

Pelvic Organ ◽

Pelvic Floor Muscle Strength ◽

Randomized Controlled

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Pelvic floor muscle knowledge and relationship with muscle strength in Brazilian women: a cross-sectional study

International Urogynecology Journal ◽

10.1007/s00192-018-3824-y ◽

2018 ◽

Vol 30 (11) ◽

pp. 1903-1909 ◽

Cited By ~ 1

Author(s):

Leticia Maciel de Freitas ◽

Kari Bø ◽

Ana Carolina Nociti Lopes Fernandes ◽

Natalia Uechi ◽

Thaiana Bezerra Duarte ◽

...

Keyword(s):

Muscle Strength ◽

Pelvic Floor ◽

Pelvic Floor Muscle ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Factors Associated with Sexual Activity for Women with Pelvic Floor Dysfunction - A Cross-Sectional Study

Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics ◽

10.1055/s-0040-1713805 ◽

2020 ◽

Vol 42 (08) ◽

pp. 493-500

Author(s):

Sandra Rebouças Macêdo ◽

José Ananias Vasconcelos Neto ◽

José Tadeu Nunes Tamanini ◽

Leonardo Bezerra ◽

Rodrigo Aquino Castro

Keyword(s):

Quality Of Life ◽

Pelvic Organ Prolapse ◽

Pelvic Floor ◽

Pelvic Floor Dysfunction ◽

Pelvic Organ ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated

Abstract Objective To examine women with pelvic floor dysfunction (PFDs) and identify factors associated with sexual activity (SA) status that impacts quality of life (QoL). Methods We conducted a cross-sectional study that included women > 18 years old who presented with at least one PFD symptom (urinary incontinence [UI] and/or pelvic organ prolapse [POP]), in outpatient clinics specializing in urogynecology and PFD in Fortaleza, state of Ceará, Brazil, using a service evaluation form and QoL questionnaires. Results The analysis of 659 women with PFD included 286 SA (43.4%) women and 373 non-sexually active (NSA) (56.6%) women, with a mean age of 54.7 (±12) years old. The results revealed that age (odds ratio [OR] = 1.07, 95% confidence interval [CI] 1.03–1.12) and post-menopausal status (OR = 2.28, 95% CI 1.08–4.8) were negatively associated with SA. Being married (OR = 0.43, 95% CI 0.21–0.88) was associated with SA. Pelvic organ prolapse (OR = 1.16, 95% CI 0.81–1.68) and UI (OR = 0.17, 95% CI 0.08–0.36) did not prevent SA. SF-36 Health Survey results indicated that only the domain functional capacity was significantly worse in NSA women (p = 0.012). Two King's Health Questionnaire domains in NSA women, impact of UI (p = 0.005) and personal relationships (p < 0.001), were significantly associated factors. Data from the Prolapse Quality-of-life Questionnaire indicated that NSA women exhibited compromised QoL. Conclusion Postmenopausal status and age negatively affected SA. Being married facilitated SA. Presence of POP and UI did not affect SA. However, NSA women with POP exhibited compromised QoL.

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Effect of Hypopressive exercise in women with Pelvic Organ Prolapse

Nepal Journal of Obstetrics and Gynaecology ◽

10.3126/njog.v16i1.37517 ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Jyoti Parle ◽

Sana Shahmalak ◽

Divya Irkar

Keyword(s):

Pelvic Organ Prolapse ◽

Muscle Strength ◽

Pelvic Floor ◽

Outcome Measures ◽

Pelvic Floor Muscle ◽

Pelvic Organ ◽

P Value ◽

Pelvic Floor Muscle Strength ◽

Post Evaluation ◽

Significant Difference

Aim: To study the effect of Hypopressive exercises to improve pelvic floor muscle strength in women with Pelvic Organ Prolapse.(grade 1and 2). Methods: This is an experimental study conducted on women of urban and rural areas of Kamothe and Kalamboli in India who presented with grade 1 and grade 2 Pelvic Organ Prolapse. 20 women (35 years and above) were recruited after taking their consent. The outcome measures assessed during pre and post evaluation were pelvic floor muscle strength as measured by modified oxford scale and perinometer whereas Pelvic Organ Prolapse symptoms by pelvic floor distress inventory scale-20. Intervention consisted of 6-weeks of Hypopressive exercises with a physiotherapist. The protocol consisted of three sessions weekly with progression in each week. Precautions to be taken during the study were explained to the participants each time. Results: Hypopressive exercises presented positive results with statistically significant difference in pre and post evaluation of outcome measures. Wilcoxon Signed Rank Test analysis reported p-value of 0.00 for modified oxford scale. For perinometer, p-value for peak, average, duration and gradient was 0.00, 0.00, 0.01 and 0.04 respectively. Pelvic Floor Distress Inventory Scale reported p-value of 0.00. Conclusion: Hypopressive exercises exhibited improvements in pelvic floor muscle strength and reducing the symptoms of Pelvic Organ Prolapse.

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