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Pelvik organ prolapsusu olan kadınlarda pelvik taban kas fonksiyonları ile prolapsus semptomları ve cinsel fonksiyon arasındaki ilişki: pilot çalışma

Year 2022, , 118 - 124, 19.07.2022
https://doi.org/10.15437/jetr.993385

Abstract

Amaç: Pelvik organ prolapsusu (POP) olan kadınlarda pelvik taban kas (PTK) fonksiyonları ile prolapsus semptomları ve cinsel fonksiyon arasındaki ilişkiyi incelemekti.
Yöntem: Çalışmaya POP’u olan 22 kadın (yaş=42,77±6,25 yıl, vücut kütle indeksi=26,72±4,37 kg/m2) alındı. Fiziksel, demografik ve medikal özellikleri kaydedildi. PTK kuvvet ve enduransı perineometre cihazı ile, POP evrelendirmesi Basitleştirilmiş POP-Sınıflandırma Sistemi ile, prolapsus semptomları Pelvik Organ Prolapsus Semptom Skoru (POP-SS) ile, cinsel fonksiyon Pelvik Organ Prolapsus/Üriner İnkontinans Cinsel Fonksiyon Anketi (PISQ-12) ile değerlendirildi. İstatiksel analiz için Spearman korelasyon testi kullanıldı.
Bulgular: POP’lu kadınlarda PTK kuvveti ile POP-SS (p=0,027; rho=-0,470) arasında negatif yönde orta dereceli bir ilişki; PTK enduransı ile PISQ-12 skorları (p=0,035; rho=0,452) arasında pozitif yönde orta derecede bir ilişki olduğu bulundu. PTK kuvveti ile PISQ-12 skoru (p=0,382; rho=0,196) ve PTK enduransı ile POP-SS (p=0,399; rho=-0,189) arasında anlamlı bir ilişki olmadığı saptandı.
Sonuç: Bu çalışmada POP’lu kadınlarda PTK kuvveti ile prolapsus semptom şiddeti arasında negatif yönde, PTK enduransı ile cinsel fonksiyon arasında pozitif yönde bir ilişki tespit edildi. Kliniklerde POP’lu kadınlarda PTK fonksiyonları ile prolapsus semptom şiddeti ve cinsel fonksiyon arasındaki ilişkinin dikkate alınması önemli olabilir.

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References

  • 1. Bo K, Frawley HC, Haylen BT, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for the conservative and nonpharmacological management of female pelvic floor dysfunction. Int Urogynecol J. 2017;28:191-213.
  • 2. Haylen BT, Maher CF, Barber MD, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP). Int Urogynecol J. 2016;27:165-194.
  • 3. Haylen BT, De Ridder D, Freeman RM, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn. 2010;29:4-20.
  • 4. Sultan AH, Monga A, Lee J, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female anorectal dysfunction. Int Urogynecol J. 2017;28:5-31.
  • 5. Weintraub AY, Glinter H, Marcus-Braun N. Narrative review of the epidemiology, diagnosis and pathophysiology of pelvic organ prolapse. Int Braz J Urol. 2020;46:5-14.
  • 6. Ashton-Miller JA, DeLancey JOL. Functional anatomy of the female pelvic floor. Ann N Y Acad Sci. 2007;1101:266-296.
  • 7. Canaz E, Ark H, Alkış I, et al. Pelvik organ prolapsusu: Anatomik temeller ve cerrahi yaklaşım. IKSST Derg. 2013;5:47-61.
  • 8. Brækken IH, Majida M, Engh ME, et al. Morphological changes after pelvic floor muscle training measured by 3-dimensional ultrasonography: a randomized controlled trial. Obstet Gynecol. 2010;115:317-324.
  • 9. Delancey JO, Hurd WW. Size of the urogenital hiatus in the levator ani muscles in normal women and women with pelvic organ prolapse. Obstet Gynecol. 1998;91:364-368.
  • 10. Hoyte L, Schierlitz L, Zou K, et al. Two-and 3-dimensional MRI comparison of levator ani structure, volume, and integrity in women with stress incontinence and prolapse. Am J Obstet Gynecol. 2001;185:11-19.
  • 11. Athanasiou S, Chaliha C, Toozs‐Hobson P, et al. Direct imaging of the pelvic floor muscles using two‐dimensional ultrasound: a comparison of women with urogenital prolapse versus controls. BJOG-Int J Obstet Gy. 2007;114:882-888.
  • 12. Tang JH, Zhong C, Wen W, et al. Quantifying levator ani muscle elasticity under normal and prolapse conditions by shear wave elastography: A preliminary study. J Ultras Med. 2020;39:1379-1388.
  • 13. Brækken IH, Majida M, Engh ME, et al. Are pelvic floor muscle thickness and size of levator hiatus associated with pelvic floor muscle strength, endurance and vaginal resting pressure in women with pelvic organ prolapse stages I–III? A cross sectional 3D ultrasound study. Neurourol Urodynam. 2014;33:115-120.
  • 14. Oversand SH, Atan IK, Shek KL, et al. The association between different measures of pelvic floor muscle function and female pelvic organ prolapse. Int Urogynecol J. 2015;26:1777-1781.
  • 15. Borello-France DF, Handa VL, Brown MB, et al. Pelvic-floor muscle function in women with pelvic organ prolapse. Phys Ther. 2007;87:399-407.
  • 16. Hagen S, Stark D, Maher C, et al. Conservative management of pelvic organ prolapse in women. Cochrane Database Syst Rev. 2006;4:CD003882.
  • 17. Barber MD. Pelvic Organ Prolpase. In: Bø K, Berghmans B, Morkved S, van Kampen M, editors. Evidence based physical therapy for the pelvic floor: bridging science and clinical practice. 2nd ed. Toronto: Elseiver; 2015:226-237.
  • 18. Tok EC, Yasa O, Ertunc D, et al. The effect of pelvic organ prolapse on sexual function in a general cohort of women. J Sex Med. 2010;7:3957-3962.
  • 19. Brigitte F, Vincent L, Stéphanie H. Pelvic organ prolapse and sexual function. Nat Rev Urol. 2020;17:373-390.
  • 20. Eickmeyer SM. Anatomy and physiology of the pelvic floor. Phys Med Rehabil Clin N Am. 2017;28:455-460.
  • 21. Barber MD, Visco AG, Wyman JF, et al. Sexual function in women with urinary incontinence and pelvic organ prolapse. Obstet Gynecol. 2002;99:281-289.
  • 22. Özel B, White T, Urwitz-Lane R, et al. The impact of pelvic organ prolapse on sexual function in women with urinary incontinence. Int Urogynecol J. 2006;17:14-17.
  • 23. Tosun G, Peker N, Tosun ÖÇ, et al. Pelvic floor muscle function and symptoms of dysfunctions in midwifes and nurses of reproductive age with and without pelvic floor dysfunction. Taiwan J Obstet Gyne. 2019;58:505-513.
  • 24. Grzybowska ME, Wydra DG. Is voluntary pelvic floor muscles contraction important for sexual function in women with pelvic floor disorders? Neurourol Urodynam. 2019;38:2001-2009.
  • 25. Parekh M, Swift S, Lemos N, et al. Multicenter inter-examiner agreement trial for the validation of simplified POPQ system. Int Urogynecol J. 2011;22:645-650.
  • 26. Kaya S, Akbayrak T, Gürsen C, et al. Short-term effect of adding pelvic floor muscle training to bladder training for female urinary incontinence: a randomized controlled trial. Int Urogynecol J. 2015;26:285-293.
  • 27. Hagen S, Glazener C, Sinclair L, et al. Psychometric properties of the pelvic organ prolapse symptom score. BJOG-Int J Obstet Gy. 2009:116:25-31.
  • 28. Özengin N, Kaya S, Orhan C, et al. Turkish adaptation of the Pelvic Organ Prolapse Symptom Score and its validity and reliability. Int Urogynecol J. 2017;28:1217-1222.
  • 29. Rogers RG, Coates KW, Kammerer-Doak D, et al. A short form of the pelvic organ prolapse/urinary incontinence sexual questionnaire (PISQ-12). Int Urogynecol J Pel. 2003;14:164-168.
  • 30. Cam C, Sancak P, Karahan N, et al. Validation of the short form of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) in a Turkish population. Eur J Obstet Gyn R B. 2009;146: 104-107.
  • 31. Omodei MS, Delmanto LRMG, Carvalho-Pessoa E, et al. Association between pelvic floor muscle strength and sexual function in postmenopausal women. J Sex Med. 2019;16:1938-1946.
  • 32. Schober P, Boer C, Schwarte LA. Correlation coefficients: appropriate use and interpretation. Anesth Analg. 2018;126:1763-1768.

Relationship between pelvic floor muscle functions and prolapse symptoms and sexual function in women with pelvic organ prolapse: a pilot study

Year 2022, , 118 - 124, 19.07.2022
https://doi.org/10.15437/jetr.993385

Abstract

Purpose: To examine the relationship between pelvic floor muscle (PFM) function, prolapse symptoms and sexual function in women with pelvic organ prolapse (POP).
Methods: Twenty-two women with POP (age=42.77±6.25 years, body mass index=26.72±4.37 kg/m2) were included in the study. The physical, demographic, and medical characteristics were recorded. PFM strength and endurance with perineometer device, POP staging with simplified POP- Quantification System, prolapse symptoms with Pelvic Organ Prolapse Symptom Score (POP-SS), sexual function with Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ-12) were evaluated. Spearman correlation test was used for statistical analysis.
Results: In women with POP, it was found that there was a moderate negative correlation between the PFM strength and the POP-SS (p=0.027; rho=-0.470) and a moderate positive correlation between the PFM endurance and the PISQ-12 scores (p=0.035; rho=0.452). No significant correlation was determined between the PFM strength and the PISQ-12 score (p=0.382; rho=0.196), and between the PFM endurance and the POP-SS (p=0.399; rho=-0.189).
Conclusion: In this study, it was detected a negative relationship between the PFM strength and prolapse symptom severity, and a positive relationship between the PFM endurance and sexual function in women with POP. In clinical settings, it may be important to consider the relationship between PFM functions and prolapse symptom severity and sexual function in women with POP.

Project Number

yok

References

  • 1. Bo K, Frawley HC, Haylen BT, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for the conservative and nonpharmacological management of female pelvic floor dysfunction. Int Urogynecol J. 2017;28:191-213.
  • 2. Haylen BT, Maher CF, Barber MD, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP). Int Urogynecol J. 2016;27:165-194.
  • 3. Haylen BT, De Ridder D, Freeman RM, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn. 2010;29:4-20.
  • 4. Sultan AH, Monga A, Lee J, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female anorectal dysfunction. Int Urogynecol J. 2017;28:5-31.
  • 5. Weintraub AY, Glinter H, Marcus-Braun N. Narrative review of the epidemiology, diagnosis and pathophysiology of pelvic organ prolapse. Int Braz J Urol. 2020;46:5-14.
  • 6. Ashton-Miller JA, DeLancey JOL. Functional anatomy of the female pelvic floor. Ann N Y Acad Sci. 2007;1101:266-296.
  • 7. Canaz E, Ark H, Alkış I, et al. Pelvik organ prolapsusu: Anatomik temeller ve cerrahi yaklaşım. IKSST Derg. 2013;5:47-61.
  • 8. Brækken IH, Majida M, Engh ME, et al. Morphological changes after pelvic floor muscle training measured by 3-dimensional ultrasonography: a randomized controlled trial. Obstet Gynecol. 2010;115:317-324.
  • 9. Delancey JO, Hurd WW. Size of the urogenital hiatus in the levator ani muscles in normal women and women with pelvic organ prolapse. Obstet Gynecol. 1998;91:364-368.
  • 10. Hoyte L, Schierlitz L, Zou K, et al. Two-and 3-dimensional MRI comparison of levator ani structure, volume, and integrity in women with stress incontinence and prolapse. Am J Obstet Gynecol. 2001;185:11-19.
  • 11. Athanasiou S, Chaliha C, Toozs‐Hobson P, et al. Direct imaging of the pelvic floor muscles using two‐dimensional ultrasound: a comparison of women with urogenital prolapse versus controls. BJOG-Int J Obstet Gy. 2007;114:882-888.
  • 12. Tang JH, Zhong C, Wen W, et al. Quantifying levator ani muscle elasticity under normal and prolapse conditions by shear wave elastography: A preliminary study. J Ultras Med. 2020;39:1379-1388.
  • 13. Brækken IH, Majida M, Engh ME, et al. Are pelvic floor muscle thickness and size of levator hiatus associated with pelvic floor muscle strength, endurance and vaginal resting pressure in women with pelvic organ prolapse stages I–III? A cross sectional 3D ultrasound study. Neurourol Urodynam. 2014;33:115-120.
  • 14. Oversand SH, Atan IK, Shek KL, et al. The association between different measures of pelvic floor muscle function and female pelvic organ prolapse. Int Urogynecol J. 2015;26:1777-1781.
  • 15. Borello-France DF, Handa VL, Brown MB, et al. Pelvic-floor muscle function in women with pelvic organ prolapse. Phys Ther. 2007;87:399-407.
  • 16. Hagen S, Stark D, Maher C, et al. Conservative management of pelvic organ prolapse in women. Cochrane Database Syst Rev. 2006;4:CD003882.
  • 17. Barber MD. Pelvic Organ Prolpase. In: Bø K, Berghmans B, Morkved S, van Kampen M, editors. Evidence based physical therapy for the pelvic floor: bridging science and clinical practice. 2nd ed. Toronto: Elseiver; 2015:226-237.
  • 18. Tok EC, Yasa O, Ertunc D, et al. The effect of pelvic organ prolapse on sexual function in a general cohort of women. J Sex Med. 2010;7:3957-3962.
  • 19. Brigitte F, Vincent L, Stéphanie H. Pelvic organ prolapse and sexual function. Nat Rev Urol. 2020;17:373-390.
  • 20. Eickmeyer SM. Anatomy and physiology of the pelvic floor. Phys Med Rehabil Clin N Am. 2017;28:455-460.
  • 21. Barber MD, Visco AG, Wyman JF, et al. Sexual function in women with urinary incontinence and pelvic organ prolapse. Obstet Gynecol. 2002;99:281-289.
  • 22. Özel B, White T, Urwitz-Lane R, et al. The impact of pelvic organ prolapse on sexual function in women with urinary incontinence. Int Urogynecol J. 2006;17:14-17.
  • 23. Tosun G, Peker N, Tosun ÖÇ, et al. Pelvic floor muscle function and symptoms of dysfunctions in midwifes and nurses of reproductive age with and without pelvic floor dysfunction. Taiwan J Obstet Gyne. 2019;58:505-513.
  • 24. Grzybowska ME, Wydra DG. Is voluntary pelvic floor muscles contraction important for sexual function in women with pelvic floor disorders? Neurourol Urodynam. 2019;38:2001-2009.
  • 25. Parekh M, Swift S, Lemos N, et al. Multicenter inter-examiner agreement trial for the validation of simplified POPQ system. Int Urogynecol J. 2011;22:645-650.
  • 26. Kaya S, Akbayrak T, Gürsen C, et al. Short-term effect of adding pelvic floor muscle training to bladder training for female urinary incontinence: a randomized controlled trial. Int Urogynecol J. 2015;26:285-293.
  • 27. Hagen S, Glazener C, Sinclair L, et al. Psychometric properties of the pelvic organ prolapse symptom score. BJOG-Int J Obstet Gy. 2009:116:25-31.
  • 28. Özengin N, Kaya S, Orhan C, et al. Turkish adaptation of the Pelvic Organ Prolapse Symptom Score and its validity and reliability. Int Urogynecol J. 2017;28:1217-1222.
  • 29. Rogers RG, Coates KW, Kammerer-Doak D, et al. A short form of the pelvic organ prolapse/urinary incontinence sexual questionnaire (PISQ-12). Int Urogynecol J Pel. 2003;14:164-168.
  • 30. Cam C, Sancak P, Karahan N, et al. Validation of the short form of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) in a Turkish population. Eur J Obstet Gyn R B. 2009;146: 104-107.
  • 31. Omodei MS, Delmanto LRMG, Carvalho-Pessoa E, et al. Association between pelvic floor muscle strength and sexual function in postmenopausal women. J Sex Med. 2019;16:1938-1946.
  • 32. Schober P, Boer C, Schwarte LA. Correlation coefficients: appropriate use and interpretation. Anesth Analg. 2018;126:1763-1768.
There are 32 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Articles
Authors

Zehra Korkut 0000-0001-9243-0937

Emine Türen Demir This is me 0000-0001-5510-4411

Şeyda Toprak Çelenay 0000-0001-6720-4452

Project Number yok
Publication Date July 19, 2022
Submission Date September 14, 2021
Published in Issue Year 2022

Cite

Vancouver Korkut Z, Türen Demir E, Toprak Çelenay Ş. Pelvik organ prolapsusu olan kadınlarda pelvik taban kas fonksiyonları ile prolapsus semptomları ve cinsel fonksiyon arasındaki ilişki: pilot çalışma. JETR. 2022;9(2):118-24.