The significance of pelvic floor support on the pelvic floor muscle functions of women with lower urinary tract symptoms

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Objective: To explore the significance of pelvic organ prolapse (POP) on pelvic floor muscle (PFM) function among women with lower urinary tract symptoms (LUTS). Materials and methods: Four-dimensional ultrasound data of 577 women with LUTS were retrospectively analyzed. The bladder neck and genital hiatus were assessed during resting, coughing, and squeezing. The bladder neck location, genitohiatal size, and genitohiatal location were evaluated with bladder neck distance (BNd) and bladder neck angle (BNa), genitohiatal dimension (GHd) and genitohiatal area (GHAR), and genitohiatal angle (GHa), respectively. Results: Compared with women without POP (n = 306), women with POP (n = 271) exhibited higher rates of levator complete avulsion (6.5% vs. 40.2%, P < 0.001), shorter BNd (2.84 ± 1.56 cm vs. 2.45 ± 0.45 cm, P = 0.018), larger BNa (92 ± 15° vs. 101 ± 21°, P < 0.001), longer GHd (5.25 ± 0.72 cm vs. 5.60 ± 0.87 cm, P < 0.001), larger GHa (141 ± 10° vs. 145 ± 9°, P = 0.004), and larger GHAR (20.0 ± 4.7 cm2 vs. 24.2 ± 5.6 cm2, P < 0.001) during resting. Fewer women with POP were able to maintain stable bladder neck location (79.5% vs. 65.5%, P < 0.001), genitohiatal size (60.7% vs. 51.9%, P = 0.042), and genitohiatal location (61.6% vs. 52.8%, P = 0.044) following coughing. Fewer women with POP were capable of squeezing (77.8% vs. 58.3%, P < 0.001). Conclusion: Among women with LUTS, the presence of POP is associated with weaker resting, involuntary, and voluntary PFM functions.

Original languageEnglish
Pages (from-to)551-555
Number of pages5
JournalTaiwanese Journal of Obstetrics and Gynecology
Volume59
Issue number4
DOIs
Publication statusPublished - Jul 2020

Keywords

  • Bladder neck
  • Genital hiatus
  • Pelvic floor muscle
  • Pelvic organ prolapse
  • Ultrasound

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Fingerprint Dive into the research topics of 'The significance of pelvic floor support on the pelvic floor muscle functions of women with lower urinary tract symptoms'. Together they form a unique fingerprint.

Cite this