scholarly journals The Evaluation of Bioelectrical Activity of Pelvic Floor Muscles Depending on Probe Location: A Pilot Study

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Tomasz Halski ◽  
Kuba Ptaszkowski ◽  
Lucyna Słupska ◽  
Robert Dymarek
Keyword(s):  
Surface Emg ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Bioelectrical Activity ◽  
Nulliparous Women ◽  
Probe Location ◽  
Significant Difference ◽  
Resting Activity ◽  
Vaginal Probe ◽  
Semg Activity

Objectives. The main objective was to determine how the depth of probe placement affects functional and resting bioelectrical activity of the PFM and whether the recorded signal might be dependent on the direction in which the probe is rotated.Participants. The study comprised of healthy, nulliparous women between the ages of 21 and 25.Outcome Measures. Bioelectric activity of the PFM was recorded from four locations of the vagina by surface EMG and vaginal probe.Results. There were no statistically significant differences between the results during functional sEMG activity. During resting sEMG activity, the highest bioelectrical activity of the PFM was observed in the L1 and the lowest in the L4 and a statistically significant difference between the highest and the lowest results of resting sEMG activity was observed (P=0.0043).Conclusion. Different electrodes placement during functional contraction of PFM does not affect the obtained results in sEMG evaluation. In order to diagnose the highest resting activity of PFM the recording plates should be placed toward the anterior vaginal wall and distally from the introitus. However, all of the PFM have similar bioelectrical activity and it seems that these muscles could be treated as a single muscle.

scholarly journals Routine episiotomy versus selective episiotomy in nulliparous women at term-randomized comparative trial

2020 ◽  
Vol 9 (12) ◽  
pp. 5019
Author(s):  
Dipak Kumar Giri ◽  
Deboroop Mandal ◽  
Snehamay Chaudhuri
Keyword(s):  
Urinary Incontinence ◽  
Anal Incontinence ◽  
Apgar Score ◽  
Comparative Trial ◽  
Fetal Outcome ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Perineal Pain ◽  
Perineal Tear ◽  
Nulliparous Women

Background: Practice of routine episiotomy is debatable. The study aims to compare maternal and fetal outcome in routine episiotomy versus selective episiotomy in nulliparous women delivering at term.Methods: Two hundred nulliparous women at term were assigned randomly to receive routine or selective episiotomy during delivery. The primary outcome measures were anterior vaginal trauma, 1st degree perineal tear, 2nd degree perineal tear, 3rd degree perineal tear, 4th degree perineal tear and Apgar score at 1 and 5 minutes. Secondary measures of outcome included consumption of analgesics, anal incontinence, urinary incontinence and dyspareunia.Results: The episiotomy rate was 90% in routine episiotomy group and 42% in selective episiotomy group. Occurrence of second-degree perineal injury was more common in routine episiotomy group (90% versus 64%; p<0.0001). However, there was no difference in occurrence of 3rd degree perineal tear among the groups. More women in selective episiotomy group suffered from anterior vaginal wall tear (22% versus 54% p<0.0001). There was no difference among the groups in Apgar score, severity of perineal pain, analgesic use on day 2 of delivery, anal incontinence, urinary incontinence, dyspareunia and NICU admission of the neonate.Conclusions: Routine episiotomy is associated with a higher incidence of perineal injuries without any added benefit for the mother and the baby.

scholarly journals Expression Collagen I and III in Anterior Vaginal Women with and without Pelvic Organ Prolapse

2014 ◽  
pp. 87-90
Author(s):  
Basyar Basyar ◽  
Trika Irianta ◽  
Syahrul Rauf
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Collagen I ◽  
Control Group ◽  
Case Group ◽  
Significance Level ◽  
Collagen Iii ◽  
Significant Difference

Objective: To find out the expression of collagen [ and III in the anterior vaginal wall of women with and without pelvic organ prolapse (POP). Method: The research was a cross sect ional study, conducted in Dr. Wahidin Sudiro Husodo hospital and its networks from January 1, 2011 to April 1, 2012. The case group consisted of 35 women with POPlevel III and IV.The contro l group consisted of35 women without POP. The expression of collagen I and III were examined by immunohistochemical test with the stain ing of antibody of collagen I (mouse monoclonal collagen lab 90395 ) and the antibody collagen III (Mu167 4i).The data was then analyzed by using a computer statistic program with a significance level of 0.05. Result: It was found that in the group of women with POP, there were 28 cases of expression collagen III (84%), which is significantly higher than in women without POP, found in only 20 cases (58.8%), with p=0.02. Meanwhile, in the group of POP, 9.1% of subjects showed moderate expre ssion of collagen I, significantly less compared to the expressio n in the contro l group (35.3%), with p=0.007. For the ratio of collagen I and III, the result was weak in women with POP(58.5% ) while in the control group, the result was high (85.7%). Conclu sion: In terms of collagen I and III expression, there was no significant difference between the two groups. Keywords: collagen I, collagen III, pelvic organ prolapse, vaginal wall

scholarly journals The Rolf Method of Structural Integration and Pelvic Floor Muscle Facilitation: Preliminary Results of a Randomized, Interventional Study

2020 ◽  
Vol 9 (12) ◽  
pp. 3981
Author(s):  
Martyna Kasper-Jędrzejewska ◽  
Grzegorz Jędrzejewski ◽  
Lucyna Ptaszkowska ◽  
Kuba Ptaszkowski ◽  
Robert Schleip ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Control Group ◽  
Bioelectrical Activity ◽  
Interventional Study ◽  
Phasic Contraction ◽  
Structural Integration ◽  
Intergroup Comparison ◽  
Significant Difference ◽  
Semg Activity

The management of pelvic floor dysfunctions might need to be based on a comprehensive neuro-musculoskeletal therapy such as The Rolf Method of Structural Integration (SI). The aim of the study was to evaluate the pelvic floor muscle (PFM) after the tenth session of SI by using surface electromyography (sEMG). This was a randomized, interventional study. Thirty-three healthy women were randomly assigned to the experimental (SI) or control group. The outcome measures included PFM bioelectrical activity, assessed using sEMG and endovaginal probes. An intervention in the SI group included 60 min of SI once a week, and teaching on how to contract and relax PFMs; in the control group, only the teaching was carried out. In the SI group, a significant difference was found between the PFM sEMG activity during “pre-baseline rest” (p < 0.014) and that during “rest after tonic contraction” (p = 0.021) in the supine position, as were significant increases in “phasic contraction” in the standing position (p = 0.014). In the intergroup comparison, higher PFM sEMG activity after the intervention “phasic contraction” (p = 0.037) and “pre-baseline rest” (p = 0.028) was observed in the SI group. The SI intervention significantly changes some functional bioelectrical activity of PFMs, providing a basis for further research on a new approach to PFM facilitation, particularly in clinical populations.

906: Pelvicol Implants for Prevention of Anterior Vaginal wall Prolapse: Randomized Multicenter Study

2006 ◽  
Vol 175 (4S) ◽  
pp. 293-293
Author(s):  
Ervin Kocjancic ◽  
Paolo Pifarotti ◽  
Fabio Magatti ◽  
Francesco Bernasconi ◽  
Diego Riva ◽  
...  
Keyword(s):  
Multicenter Study ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Anterior Vaginal Wall Prolapse

Utility of anterior vaginal wall length measurement in vaginal reconstructive surgery

2016 ◽  
Vol 28 (8) ◽  
pp. 1197-1200 ◽  
Author(s):  
Amy F Collins ◽  
Paula J Doyle ◽  
Smitha Vilasagar ◽  
Gunhilde M Buchsbaum
Keyword(s):  
Reconstructive Surgery ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Length Measurement ◽  
Vaginal Reconstructive Surgery
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