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Pelvic Floor Disorder

MedGen UID:
465360
•Concept ID:
C3178892
•
Disease or Syndrome
Synonyms: Disease, Pelvic Floor; Diseases, Pelvic Floor; Disorder, Pelvic Floor; Disorders, Pelvic Floor; Pelvic Floor Disease; Pelvic Floor Diseases; Pelvic Floor Disorders

Definition

A disorder affecting the muscles of the pelvic floor. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPelvic Floor Disorder

Professional guidelines

PubMed

ACR Appropriateness Criteria® Pelvic Floor Dysfunction in Females.
Expert Panel on GYN and OB Imaging, Khatri G, Bhosale PR, Robbins JB, Akin EA, Ascher SM, Brook OR, Dassel M, Glanc P, Henrichsen TL, Learman LA, Sadowski EA, Saphier CJ, Wasnik AP, Maturen KE
J Am Coll Radiol 2022 May;19(5S):S137-S155. doi: 10.1016/j.jacr.2022.02.016. PMID: 35550798
Effect of conservative treatment of pelvic floor dysfunctions in women: An umbrella review.
Bascur-Castillo C, Carrasco-Portiño M, Valenzuela-Peters R, Orellana-Gaete L, Viveros-Allende V, Ruiz Cantero MT
Int J Gynaecol Obstet 2022 Nov;159(2):372-391. Epub 2022 Mar 21 doi: 10.1002/ijgo.14172. PMID: 35246849
Evaluation and Treatment of Urinary Incontinence in Women.
Trowbridge ER, Hoover EF
Gastroenterol Clin North Am 2022 Mar;51(1):157-175. Epub 2022 Jan 7 doi: 10.1016/j.gtc.2021.10.010. PMID: 35135660

Recent clinical studies

Etiology

Pelvic Floor Disorders/Obstetric Fistula.
Mama ST, Chandra Regmi M
Obstet Gynecol Clin North Am 2022 Dec;49(4):735-749. doi: 10.1016/j.ogc.2022.08.001. PMID: 36328677
Effects of Non-Invasive Radiofrequency Diathermy in Pelvic Floor Disorders: A Systematic Review.
González-Gutiérrez MD, López-Garrido Á, Cortés-Pérez I, Obrero-Gaitán E, León-Morillas F, Ibáñez-Vera AJ
Medicina (Kaunas) 2022 Mar 17;58(3) doi: 10.3390/medicina58030437. PMID: 35334613Free PMC Article
Early postpartum physical activity and pelvic floor support and symptoms 1 year postpartum.
Nygaard IE, Wolpern A, Bardsley T, Egger MJ, Shaw JM
Am J Obstet Gynecol 2021 Feb;224(2):193.e1-193.e19. Epub 2020 Aug 14 doi: 10.1016/j.ajog.2020.08.033. PMID: 32798462Free PMC Article
Pelvic floor muscle strength and the incidence of pelvic floor disorders after vaginal and cesarean delivery.
Blomquist JL, Carroll M, Muñoz A, Handa VL
Am J Obstet Gynecol 2020 Jan;222(1):62.e1-62.e8. Epub 2019 Aug 8 doi: 10.1016/j.ajog.2019.08.003. PMID: 31422064
Physical activity and the pelvic floor.
Nygaard IE, Shaw JM
Am J Obstet Gynecol 2016 Feb;214(2):164-171. Epub 2015 Sep 6 doi: 10.1016/j.ajog.2015.08.067. PMID: 26348380Free PMC Article

Diagnosis

Pelvic floor disorder assessment of knowledge and symptoms: an educational intervention for Spanish-speaking women (PAKS study).
Muñiz KS, Grado L, Gomez M, Ortiz C, Cerna R, Brioso X, Carson KA, Chen CCG
Int Urogynecol J 2023 Aug;34(8):1789-1796. Epub 2023 Feb 3 doi: 10.1007/s00192-023-05459-8. PMID: 36735052
Pelvic Floor Disorders/Obstetric Fistula.
Mama ST, Chandra Regmi M
Obstet Gynecol Clin North Am 2022 Dec;49(4):735-749. doi: 10.1016/j.ogc.2022.08.001. PMID: 36328677
Evaluation and Treatment of Urinary Incontinence in Women.
Trowbridge ER, Hoover EF
Gastroenterol Clin North Am 2022 Mar;51(1):157-175. Epub 2022 Jan 7 doi: 10.1016/j.gtc.2021.10.010. PMID: 35135660
Peripartum pelvic floor disorder clinics inform obstetric provider practices.
Propst K, Hickman LC
Int Urogynecol J 2021 Jul;32(7):1793-1799. Epub 2020 Oct 31 doi: 10.1007/s00192-020-04564-2. PMID: 33128569
Subspecialty care for peripartum pelvic floor disorders.
Hickman LC, Propst K, Swenson CW, Lewicky-Gaupp C
Am J Obstet Gynecol 2020 Nov;223(5):709-714. Epub 2020 Sep 2 doi: 10.1016/j.ajog.2020.08.015. PMID: 32888923Free PMC Article

Therapy

Noninvasive brain stimulation in the treatment of functional urological and pelvic floor disorders: A scoping review.
Mazeaud C, Salazar BH, Khavari R
Neurourol Urodyn 2023 Aug;42(6):1318-1328. Epub 2023 May 20 doi: 10.1002/nau.25205. PMID: 37209294Free PMC Article
Effects of Non-Invasive Radiofrequency Diathermy in Pelvic Floor Disorders: A Systematic Review.
González-Gutiérrez MD, López-Garrido Á, Cortés-Pérez I, Obrero-Gaitán E, León-Morillas F, Ibáñez-Vera AJ
Medicina (Kaunas) 2022 Mar 17;58(3) doi: 10.3390/medicina58030437. PMID: 35334613Free PMC Article
Improvements following multimodal pelvic floor physical therapy in gynecological cancer survivors suffering from pain during sexual intercourse: Results from a one-year follow-up mixed-method study.
Cyr MP, Dostie R, Camden C, Dumoulin C, Bessette P, Pina A, Gotlieb WH, Lapointe-Milot K, Mayrand MH, Morin M
PLoS One 2022;17(1):e0262844. Epub 2022 Jan 25 doi: 10.1371/journal.pone.0262844. PMID: 35077479Free PMC Article
Subspecialty care for peripartum pelvic floor disorders.
Hickman LC, Propst K, Swenson CW, Lewicky-Gaupp C
Am J Obstet Gynecol 2020 Nov;223(5):709-714. Epub 2020 Sep 2 doi: 10.1016/j.ajog.2020.08.015. PMID: 32888923Free PMC Article
Knowledge of pelvic floor disorder in pregnancy.
Liu J, Tan SQ, Han HC
Int Urogynecol J 2019 Jun;30(6):991-1001. Epub 2019 Feb 19 doi: 10.1007/s00192-019-03891-3. PMID: 30783706

Prognosis

Improvements following multimodal pelvic floor physical therapy in gynecological cancer survivors suffering from pain during sexual intercourse: Results from a one-year follow-up mixed-method study.
Cyr MP, Dostie R, Camden C, Dumoulin C, Bessette P, Pina A, Gotlieb WH, Lapointe-Milot K, Mayrand MH, Morin M
PLoS One 2022;17(1):e0262844. Epub 2022 Jan 25 doi: 10.1371/journal.pone.0262844. PMID: 35077479Free PMC Article
Early postpartum physical activity and pelvic floor support and symptoms 1 year postpartum.
Nygaard IE, Wolpern A, Bardsley T, Egger MJ, Shaw JM
Am J Obstet Gynecol 2021 Feb;224(2):193.e1-193.e19. Epub 2020 Aug 14 doi: 10.1016/j.ajog.2020.08.033. PMID: 32798462Free PMC Article
Pelvic floor muscle strength and the incidence of pelvic floor disorders after vaginal and cesarean delivery.
Blomquist JL, Carroll M, Muñoz A, Handa VL
Am J Obstet Gynecol 2020 Jan;222(1):62.e1-62.e8. Epub 2019 Aug 8 doi: 10.1016/j.ajog.2019.08.003. PMID: 31422064
Evolution of the human pelvis and obstructed labor: new explanations of an old obstetrical dilemma.
Pavličev M, Romero R, Mitteroecker P
Am J Obstet Gynecol 2020 Jan;222(1):3-16. Epub 2019 Jun 25 doi: 10.1016/j.ajog.2019.06.043. PMID: 31251927Free PMC Article
Knowledge of pelvic floor disorder in pregnancy.
Liu J, Tan SQ, Han HC
Int Urogynecol J 2019 Jun;30(6):991-1001. Epub 2019 Feb 19 doi: 10.1007/s00192-019-03891-3. PMID: 30783706

Clinical prediction guides

Pelvic floor disorder assessment of knowledge and symptoms: an educational intervention for Spanish-speaking women (PAKS study).
Muñiz KS, Grado L, Gomez M, Ortiz C, Cerna R, Brioso X, Carson KA, Chen CCG
Int Urogynecol J 2023 Aug;34(8):1789-1796. Epub 2023 Feb 3 doi: 10.1007/s00192-023-05459-8. PMID: 36735052
Clinical prediction is at the heart of preventing birth trauma and pelvic floor disorders for individual women.
Jelovsek JE
Int Urogynecol J 2021 Jul;32(7):1971-1976. Epub 2021 Apr 17 doi: 10.1007/s00192-021-04797-9. PMID: 33864475
Early postpartum physical activity and pelvic floor support and symptoms 1 year postpartum.
Nygaard IE, Wolpern A, Bardsley T, Egger MJ, Shaw JM
Am J Obstet Gynecol 2021 Feb;224(2):193.e1-193.e19. Epub 2020 Aug 14 doi: 10.1016/j.ajog.2020.08.033. PMID: 32798462Free PMC Article
Pelvic floor muscle strength and the incidence of pelvic floor disorders after vaginal and cesarean delivery.
Blomquist JL, Carroll M, Muñoz A, Handa VL
Am J Obstet Gynecol 2020 Jan;222(1):62.e1-62.e8. Epub 2019 Aug 8 doi: 10.1016/j.ajog.2019.08.003. PMID: 31422064
Evolution of the human pelvis and obstructed labor: new explanations of an old obstetrical dilemma.
Pavličev M, Romero R, Mitteroecker P
Am J Obstet Gynecol 2020 Jan;222(1):3-16. Epub 2019 Jun 25 doi: 10.1016/j.ajog.2019.06.043. PMID: 31251927Free PMC Article

Recent systematic reviews

Effects of Non-Invasive Radiofrequency Diathermy in Pelvic Floor Disorders: A Systematic Review.
González-Gutiérrez MD, López-Garrido Á, Cortés-Pérez I, Obrero-Gaitán E, León-Morillas F, Ibáñez-Vera AJ
Medicina (Kaunas) 2022 Mar 17;58(3) doi: 10.3390/medicina58030437. PMID: 35334613Free PMC Article
Patient-reported outcome measures for pain in women with pelvic floor disorders: a systematic review.
Ralphsmith M, Ahern S, Dean J, Ruseckaite R
Int Urogynecol J 2022 Sep;33(9):2325-2334. Epub 2022 Mar 2 doi: 10.1007/s00192-022-05126-4. PMID: 35233681Free PMC Article
Does Bariatric Surgery Improve Faecal Incontinence? A Systematic Review and Meta-analysis.
Mohamed F, Jeram M, Coomarasamy C, Lauti M, Wilson D, MacCormick AD
Obes Surg 2021 Jul;31(7):2942-2953. Epub 2021 Apr 14 doi: 10.1007/s11695-021-05360-7. PMID: 33852150Free PMC Article
Perineal stapled prolapse resection for external rectal prolapse: a systematic review and meta-analysis.
Fan K, Cao AM, Barto W, De Lacavalerie P
Colorectal Dis 2020 Dec;22(12):1850-1861. Epub 2020 Sep 21 doi: 10.1111/codi.15338. PMID: 32865320
Obesity and pelvic floor disorders: a systematic review.
Greer WJ, Richter HE, Bartolucci AA, Burgio KL
Obstet Gynecol 2008 Aug;112(2 Pt 1):341-9. doi: 10.1097/AOG.0b013e31817cfdde. PMID: 18669733Free PMC Article

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