An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for the assessment of sexual health of women with pelvic floor dysfunction

Rogers, Rebecca G.; Pauls, Rachel N.; Thakar, Ranee; Morin, Mélanie; Kühn, Annette; Petri, E.; Fatton, B.; Whitmore, Kristene; Kinsberg, Sheryl; Lee, Joseph

doi:10.1002/nau.23508

Cited by 93 publications

(123 citation statements)

References 185 publications

(231 reference statements)

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“…In general population-based studies, the prevalence of constipation ranges from 2.6% to 26.9%, with the female gender and age highlighted as contributing factors. 38 Despite the low number of studies that investigated constipation in this review, its prevalence was found to be slightly higher in nurses than in the general population. However, considering that in all three studies, toileting behavior and liquid consumption were significant aspects associated with LUTS, it is possible that these habits may also play a role in the development of constipation.…”

Section: Iciqui-sfmentioning

confidence: 70%

A systematic review of the prevalence, risk factors, and impact of pelvic floor dysfunctions in nurses

Lopes

Vasconcelos

Neto

et al. 2019

Neurourology and Urodynamics

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Aim To investigate the prevalence, risk factors, and impact of pelvic floor dysfunctions in female nurses. Design A systematic review. Data Sources Searches were conducted in the following five electronic databases: PubMed/Medline, LILACS, SCIELO, Cochrane Library, and CINAHL. There were no period or language limitations. Review Methods Data extraction and synthesis were conducted and the appraisal of the quality of the studies was performed using the Joanna Briggs Institute critical appraisal tool checklist for prevalence data. Results A total of 15 studies were included. The symptoms investigated were lower urinary tract symptoms, including urinary incontinence and its subtypes, sexual dysfunctions, constipation, faecal incontinence, and dual incontinence. Overall, prevalence ranged from 9.9% to 89.6%. Associated factors related to occupational roles were lifting heavy weights and poor bladder habits. Quality of life was significantly worse for nurses with pelvic floor disorders. Conclusion Pelvic floor dysfunctions are very common among female nurses, considerably affecting their quality of life. Additional studies are needed to investigate the impact on work productivity, causal relationships with the occupation and the performance of prevention and treatment interventions directed toward this population.

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Section: Iciqui-sfmentioning

confidence: 70%

A systematic review of the prevalence, risk factors, and impact of pelvic floor dysfunctions in nurses

Lopes

Vasconcelos

Neto

et al. 2019

Neurourology and Urodynamics

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“…All these patients were symptomatic for dyspareunia and "hispareunia." 22,23 In these patients, we partially removed F I G U R E 1 Progress of patients across the study period. FU, follow-up; TVT-O, tension-free vaginal tape-obturator; USI, urodynamic stress incontinence the exposed sling and we resuture the vagina.…”

Section: Resultsmentioning

confidence: 99%

TVT‐O for treatment of pure urodynamic stress urinary incontinence: Efficacy and adverse effects at 13‐years follow‐up

Serati

Braga

Caccia

et al. 2020

Neurourology and Urodynamics

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Aim To assess the efficacy and safety of tension‐free vaginal tape‐obturator (TVT‐O) 13 years after implantation for the treatment of female pure stress urinary incontinence (SUI). This is the longest‐term evaluation available of TVT‐O outcomes. Methods A multicenter, prospective study was conducted in five tertiary referral centers in three countries. All consecutive women with urodynamically proven pure SUI treated by TVT‐O were included. Data regarding subjective outcomes (International Consultation on Incontinence Questionnaire‐Short Form, Patient Global Impression of Improvement, and patient satisfaction scores), objective cure (stress test) rates, and adverse events were collected during follow‐up. Univariable and multivariate analyses was performed to investigate outcomes. Results One hundred sixty‐eight women had TVT‐O implantation. At 13 year after surgery, 150 of 157 patients (95%) declared themselves cured (P = .8). Similarly, at 10‐year evaluation, 148 of 160 patients (92%) were objectively cured. No significant deterioration of objective cure rates was observed over time (P = .1). The multivariate analysis showed that previous anti‐incontinence procedures and obesity independently predicted the subjective (odd ratio [OR]: 6.2 [95% confidence interval [CI], 1.8‐13.6]; P = .02 and OR, 1.8 [95% CI, 1.3‐3.0]; P = .03, respectively) and objective failure of TVT‐O (OR, 5.8 [95% CI, 1.6‐13.2]; P = .02 and OR, 1.6 [95% CI, 1.2‐3.2]; P = .03, respectively). We found four cases of sling exposure; all of them occurred after the 10‐year follow‐up. Conclusions The 13‐year results of this study showed that TVT‐O is a highly effective and safe option for the treatment of SUI. We found that there is a significantly higher risk of having a sling exposure over 10 years after the procedure; however, the incidence is very low.

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“…The FSFI is a 19-item self-reported questionnaire that assesses multiple dimensions of sexual function. 69,70 The FSDS-R is a 13-item scale that assesses distress related to low sexual desire. 69,71 Treatment of FSD ranges from lifestyle modifications, nonpharmacologic and pharmacologic therapies ( Table 3).…”

Section: High Tone Pelvic Floor Dysfunctionmentioning

confidence: 99%

“…Estrogen can be administered orally, transdermally or vaginally (creams, tablets or rings), and it may improve sexual desire and arousal, and decrease dyspareunia. 8,70,84 Ospemifene (Osphena) is a selective estrogen receptor modulator that acts as an estrogen agonist in the vaginal epithelium. It can be used to treat dyspareunia associated with vaginal atrophy.…”

Section: High Tone Pelvic Floor Dysfunctionmentioning

confidence: 99%

Gynecological associated disorders and management

et al. 2019

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Background Chronic pelvic pain syndrome is complex and involves multiple organ systems. The gynecological aspects of chronic pelvic pain syndrome can be divided into four different areas: intra‐abdominal, vaginal, pelvic floor muscles and sexual pain. This article provides an overview of gynecological evaluation in patients with chronic pelvic pain and reviews the most common gynecological diagnoses and their management. Methods An extensive review of the literature including guidelines from the International Continence Society, the European Association of Urology, and the International Association for the Study of Pain was performed. Results Gynecological evaluation of patients with chronic pelvic pain begins with a thorough history and physical examination. Laboratory tests, imaging studies and diagnostic procedures can be used as adjuncts to make a diagnosis. Treatment modalities include physical therapy, medications, trigger points injections, and surgery. Conclusion Common gynecological diagnoses of chronic pelvic pain include endometriosis, adenomyosis, vulvodynia, high tone pelvic floor dysfunction, and genitopelvic pain/penetration disorder. Gynecology is one of the many systems that can be associated with chronic pelvic pain. Managing patients with chronic pelvic pain requires a multimodal and multidisciplinary approach.

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An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for the assessment of sexual health of women with pelvic floor dysfunction

Abstract: A consensus-based terminology report for female sexual health in women with pelvic floor dysfunction has been produced aimed at being a significant aid to clinical practice and a stimulus for research.

Cited by 93 publications

References 185 publications

A systematic review of the prevalence, risk factors, and impact of pelvic floor dysfunctions in nurses

A systematic review of the prevalence, risk factors, and impact of pelvic floor dysfunctions in nurses

TVT‐O for treatment of pure urodynamic stress urinary incontinence: Efficacy and adverse effects at 13‐years follow‐up

Gynecological associated disorders and management

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