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Primary care providers’ knowledge about the therapeutic management of refractory pelvic floor dysfunctions in Flanders, Belgium : a cross-sectional study Ghent University
Background Pelvic floor dysfunctions (PFD) are prevalent conditions in primary care practice. Basic knowledge of second-line therapies among primary care providers (PCPs) is indispensable to well-inform refractory patients and improve their access to specialized care. Objectives Getting insight into the extent of knowledge about second-line therapies for refractory PFD among PCPs in Flanders, Belgium. Methods From January to March 2019 Flemish ...
Recommendations on the use of botulinum toxin in the treatment of lower urinary tract disorders and pelvic floor dysfunctions: a European consensus report University of Antwerp
Context The increasing body of evidence and number of potential indications for the use of botulinum neurotoxins (BoNTs) in the lower urinary tract (LUT) underlines the pressing need for evidence-based guidelines. Objective A European expert panel consensus conference was convened with the main aim of evaluating the evidence and clinical considerations for the use of BoNTs in the treatment of urologic and pelvic-floor disorders and to propose ...
Knowledge of the pelvic floor in menopausal women and in peripartum women University of Antwerp
[Purpose] Pelvic floor dysfunction is an important health-care issue, with pregnancy, childbirth, and menopause as the most important risk factors. Insufficient knowledge about pelvic floor dysfunction is the largest barrier to seeking care. The aim of this study was to investigate the level of knowledge and information on pelvic floor dysfunction in peripartum and menopausal women. [Subjects and Methods] The present study was a crosssectional ...
Knowledge of the pelvic floor in nulliparous women University of Antwerp
[Purpose] Proper pelvic floor function is important to avoid serious dysfunctions including incontinence, prolapse, and sexual problems. The current study evaluated the knowledge of young nulliparous women about their pelvic floor and identified what additional information they wanted. [Subjects and Methods] In this cross-sectional survey, a validated, 36 item questionnaire was distributed to 212 nulliparous women. The questionnaire addressed ...
The innervation of the bladder, the pelvic floor, and emotion University of Antwerp
The innervation of the pelvic region is complex and includes extensive neurologic pathways. The higher centres' organisation determining the pelvic floor and organs' function remains a challenge understanding the physiological and pain mechanisms. Psychological and emotional factors have a profound influence on the pelvic floor and organ dysfunction such as LUTS. LUTS are associated with stress, depression, and anxiety. Neuroception is a ...
Cell-based secondary prevention of childbirth-induced pelvic floor trauma KU Leuven
With advancing population age, pelvic-floor dysfunction (PFD) will affect an increasing number of women. Many of these women wish to maintain active lifestyles, indicating an urgent need for effective strategies to treat or, preferably, prevent the occurrence of PFD. Childbirth and pregnancy have both long been recognized as crucial contributing factors in the pathophysiology of PFD. Vaginal delivery of a child is a serious traumatic event, ...
Does pelvic floor muscle contraction early after delivery cause perineal pain in postpartum women? University of Antwerp
Objective: Pelvic floor muscle training is effective and necessary in the prevention and treatment of pelvic floor dysfunction during pregnancy and after childbirth. But because of the high prevalence of perineal pain observed in women after childbirth, many women and caregivers fear to start pelvic floor muscle training immediately after childbirth. However, it is unknown whether pelvic floor muscle contractions (PFMC) provoke perineal pain in ...
Novel treatment and preventive strategies of pelvic floor disorders – Experimental studies KU Leuven
Vaginal birth is the most important risk factor for later pelvic floor dysfunction (PFD)(1). During vaginal delivery, the passage of the fetal head results in excessive muscle stretch, nerve injury(2) and causes also ischemia and reperfusion injury(3) mainly in the levator ani muscle, urethra and vagina. As the injury evolves, a myogenic damage is present which are characterized by atrophy, fibrosis(4) and increase of slow twitch muscle fiber ...