Document Detail

Prevalence of major levator abnormalities in symptomatic patients with an underactive pelvic floor contraction.
MedLine Citation:
PMID:  20204327     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION AND HYPOTHESIS: Major levator ani abnormalities (LAA) may lead to abnormal pelvic floor muscle contraction (pfmC) and secondarily to stress urinary incontinence (SUI), prolapse, or fecal incontinence (FI).
METHODS: A retrospective observational study included 352 symptomatic patients to determine prevalence of LAA in underactive pfmC and the relationship with symptoms. On 2D/3D transperineal ultrasound, PfmC was subjectively assessed as underactive (UpfmC) or normal (NpfmC) and quantified. LAA, defined as a complete avulsion of the pubic bone, was analyzed using tomographic ultrasound imaging.
RESULTS: LAA were found in 53.8% of women with UpfmC versus 16.1% in NpfmC (P < 0.001). Patients with UpfmC were less likely to reduce hiatal area on pfmC (mean 7% reduction vs 25% in NpfmC (P < 0.001)). An UpfmC was associated with FI (P = 0.002), not with SUI or prolapse of the anterior and central compartment.
CONCLUSION: An underactive pfmC is associated with increased prevalence of LAA and FI.
Anneke B Steensma; Maja L Konstantinovic; Curt W Burger; Dirk de Ridder; Dirk Timmerman; Jan Deprest
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Publication Detail:
Type:  Journal Article     Date:  2010-03-04
Journal Detail:
Title:  International urogynecology journal     Volume:  21     ISSN:  1433-3023     ISO Abbreviation:  Int Urogynecol J     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-05-26     Completed Date:  2010-10-28     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  101567041     Medline TA:  Int Urogynecol J     Country:  England    
Other Details:
Languages:  eng     Pagination:  861-7     Citation Subset:  IM    
Department of Gynaecology and Gynaecooncology, Erasmus Medical Center, Rotterdam, The Netherlands.
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MeSH Terms
Aged, 80 and over
Fecal Incontinence / etiology,  physiopathology*
Middle Aged
Muscle Contraction*
Pelvic Floor / abnormalities*,  physiopathology*,  ultrasonography
Pelvic Organ Prolapse / etiology,  physiopathology*
Retrospective Studies
Urinary Incontinence, Stress / etiology,  physiopathology*
Young Adult

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