The correlation between transperineal ultrasound assessment of the levator ani muscle and postpartum urinary incontinence

2021 ◽  
Author(s):  
Aly Youssef ◽  
Marta Fiorentini ◽  
Gaetana Di Donna ◽  
Elena Brunelli ◽  
Ginevra Salsi ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Levator Ani ◽  
Transperineal Ultrasound ◽  
Levator Ani Muscle ◽  
Ultrasound Assessment

Evaluation of isolated urinary stress incontinence according to the type of levator ani muscle lesion using 3/4D transperineal ultrasound 36 months post-partum

2016 ◽  
Vol 28 (7) ◽  
pp. 1019-1026 ◽  
Author(s):  
José Antonio García Mejido ◽  
Pamela Valdivieso Mejias ◽  
Ana Fernández Palacín ◽  
María José Bonomi Barby ◽  
Paloma De la Fuente Vaquero ◽  
...  
Keyword(s):  
Stress Incontinence ◽  
Post Partum ◽  
Levator Ani ◽  
Urinary Stress Incontinence ◽  
Transperineal Ultrasound ◽  
Levator Ani Muscle

scholarly journals Postpartum sexual function; the importance of the levator ani muscle

2020 ◽  
Vol 31 (11) ◽  
pp. 2261-2267
Author(s):  
Anne-Marie Roos ◽  
Leonie Speksnijder ◽  
Anneke B. Steensma
Keyword(s):  
Regression Analysis ◽  
Sexual Dysfunction ◽  
Pelvic Floor ◽  
Vaginal Delivery ◽  
Sexual Functioning ◽  
Pelvic Floor Muscle ◽  
Linear Regression Analysis ◽  
Levator Ani ◽  
Transperineal Ultrasound ◽  
Levator Ani Muscle

Abstract Introduction and hypothesis Pelvic floor muscle function plays an important role in female sexual functioning. Smaller genital hiatal dimensions have been associated with sexual dysfunction, mainly dyspareunia. On the other hand, trauma of the levator ani muscle sustained during childbirth is associated with increased genital hiatus, which potentially can affect sexual functioning by causing vaginal laxity. This study aims to determine the association between levator hiatal dimensions and female sexual dysfunction after first vaginal delivery. Methods This is a secondary analysis of a prospective observational study. Two hundred four women who had a first, spontaneous vaginal delivery at term between 2012 and 2015 were recruited at a minimum of 6 months postpartum. Thirteen pregnant women were excluded. We analyzed the association of total PISQ-12 score, as well as individual sexual complaints (desire, arousal, orgasm and dyspareunia), with levator hiatal dimensions at rest, with maximum Valsalva and during pelvic floor muscle contraction as measured by 4D transperineal ultrasound. Statistical analysis was performed using linear regression analysis and Mann-Whitney U test. Results One hundred ninety-one women were evaluated at a median of 11 months postpartum. There was no significant association between total PISQ-12 score and levator hiatal dimensions. Looking at individual sexual complaints, women with dyspareunia had significantly smaller levator hiatal area and anterior-posterior diameter on maximum Valsalva. By using multivariate logistic regression analysis however we found dyspareunia was not independently associated with levator hiatal dimensions. Conclusions After first vaginal delivery sexual dysfunction is not associated with levator hiatal dimensions as measured by 4D transperineal ultrasound.

Factors that influence the development of avulsion of the levator ani muscle in eutocic deliveries: 3–4D transperineal ultrasound study

2015 ◽  
Vol 29 (19) ◽  
pp. 3183-3186 ◽  
Author(s):  
José Antonio Garcia-Mejido ◽  
Laura Gutierrez-Palomino ◽  
Carlota Borrero ◽  
Pamela Valdivieso ◽  
Ana Fernandez-Palacin ◽  
...  
Keyword(s):  
Levator Ani ◽  
Transperineal Ultrasound ◽  
Levator Ani Muscle ◽  
Ultrasound Study

Colposuspension compared with levator ani muscle repair for correction of female stress urinary incontinence

1986 ◽  
Vol 4 (1) ◽  
pp. 38-40 ◽  
Author(s):  
Lone Mouritsen ◽  
J. H. Petersen ◽  
Kirsten Folke ◽  
C. Frimodt-M�ller ◽  
A. Berget
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Levator Ani ◽  
Female Stress Urinary Incontinence ◽  
Levator Ani Muscle ◽  
Muscle Repair
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