Document Detail


Effects of age on levator function and morphometry of the levator hiatus in women with pelvic floor disorders.
MedLine Citation:
PMID:  20419367     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION AND HYPOTHESIS: Epidemiological data supports the hypothesis that ageing is a risk factor for pelvic organ prolapse. In this study, we intended to determine the effect of age on levator function and morphometry in women with pelvic floor disorders.
METHODS: Three hundred seventy-five patients underwent an interview, physical examination and transperineal ultrasound. Clinical assessment included palpation using the Modified Oxford Scale. Ultrasonography was performed to diagnose levator defects and assess levator hiatal morphometry.
RESULTS: Pelvic floor muscle strength was weakly associated with patient age (r = -0.25, p < 0.01). This remained true after accounting for the confounders parity and levator defects. Morphometry of the levator hiatus was weakly positively correlated with age.
CONCLUSIONS: Ageing seems to have a limited effect on contractility and distensibility of the pelvic floor muscle. The small effect of ageing results in reduced contraction strength and increased hiatal diameters. This effect is partly confounded by parity and levator defects.
Authors:
Mirjam Weemhoff; Ka Lai Shek; Hans P Dietz
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2010-04-24
Journal Detail:
Title:  International urogynecology journal     Volume:  21     ISSN:  1433-3023     ISO Abbreviation:  Int Urogynecol J     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-07-27     Completed Date:  2011-04-05     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101567041     Medline TA:  Int Urogynecol J     Country:  England    
Other Details:
Languages:  eng     Pagination:  1137-42     Citation Subset:  IM    
Affiliation:
Department of Obstetrics & Gynaecology, GROW, School for Oncology and Developmental Biology, Maastricht University Medical Centre, P.O. Box 5800, 6202 AZ, Maastricht, The Netherlands. m.weemhoff@mumc.nl
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Aging*
Female
Humans
Incidence
Middle Aged
Muscle Contraction / physiology*
Pelvic Floor / physiopathology*,  ultrasonography
Pelvic Organ Prolapse / epidemiology,  physiopathology*,  ultrasonography
Retrospective Studies
Risk Factors
Young Adult
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