Pelvic floor health: a concept analysis

Pierce, Heather; Perry, Lin; Gallagher, Robyn; Chiarelli, Pauline

doi:10.1111/jan.12628

Cited by 13 publications

(13 citation statements)

References 59 publications

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“…This orientation presents a ‘pathological’ connotation of a key anatomic region in the vital reproductive-sexual process of the woman. Perce, Perry, Gallagher, and Chiarelli [46] defend the use of the “pelvic floor health” concept to eliminate negative connotations and promote both primary prevention and education.…”

Section: Discussionmentioning

confidence: 99%

Living with Urinary Incontinence: Potential Risks of Women’s Health? A Qualitative Study on the Perspectives of Female Patients Seeking Care for the First Time in a Specialized Center

Pintos-Díaz

Alonso‐Blanco

Parás‐Bravo

et al. 2019

IJERPH

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Background: Urinary incontinence (UI) represents a complex problem which commonly affects women and influences their physical, mental, and social wellbeing. The objective of this study was to explore the experiences of a group of women with urinary incontinence. Methods: A qualitative exploratory study. Purposeful sampling was used. Recruited patients were females aged >18 years old with positive symptoms, signs of urinary incontinence, and attending a specialized urinary incontinence center for the first time. We collected data using interviews and participants’ personal letters. A thematic analysis was performed. Results: 18 women participated with a mean age of 47.32 years. Four themes emerged: a) Experiencing uncontrolled urinary leakage, b) Information based on beliefs and myths regarding UI, c) Adapting to change and developing strategies, d) The role of education. Women’s experiences were accompanied by feelings of stress and shame. A lack of information regarding UI was found, together with numerous misconceptions. Urinary incontinence triggers many changes in women. Some women may develop feelings of rejection towards their own body. Family involvement during these times is essential for education and promoting healthy sexual practices. Conclusions: This study highlights the importance of developing educational programs that focus on women’s information and education regarding triggering factors and coping strategies.

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Section: Discussionmentioning

confidence: 99%

Living with Urinary Incontinence: Potential Risks of Women’s Health? A Qualitative Study on the Perspectives of Female Patients Seeking Care for the First Time in a Specialized Center

Pintos-Díaz

Alonso‐Blanco

Parás‐Bravo

et al. 2019

IJERPH

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“…Pelvic floor dysfunction (PFD) is a group of common disorders that adversely affect women’s quality of life. These include pelvic organ prolapse (POP), stress urinary incontinence (SUI) and sexual dysfunction [24,25]. POP is an extremely prevalent condition, with over 300,000 surgical procedures for prolapse repair performed annually in the United States [26].…”

Section: Introductionmentioning

confidence: 99%

Systemically transplanted mesenchymal stem cells induce vascular-like structure formation in a rat model of vaginal injury

Gropp

et al. 2019

PLoS ONE

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The beneficial effect of mesenchymal stem cells (MSCs) on wound healing is mostly attributed to a trophic effect that promotes angiogenesis. Whether MSCs can contribute to the formation of new blood vessels by direct differentiation is still controversial. Pelvic floor dysfunction (PFD) is a group of disorders that negatively affect the quality of women’s lives. Traditional vaginal surgical repair provides disappointing anatomical outcome. Stem cell transplantation may be used to supplement surgery and improve its outcome. Here we aimed to examine the engraftment, survival, differentiation and angiogenic effect of transplanted MSCs in a vaginal injury rat model. MSCs were obtained from the bone marrow of Sprague Drawley (SD) rats, expanded and characterized in vitro . The MSCs expressed CD90 and CD29, did not express CD45, CD34, CD11b and CD31 and could differentiate into osteogenic, chondrogenic and adipogenic lineages. Cells were labeled with either PKH-26 or GFP and transplanted systemically or locally to female SD rats, just after a standardized vaginal incision was made. Engraftment after local transplantation was less efficient at all-time points compared to systemic administration. In the systemically transplanted animal group, MSCs migrated to the injury site and were present in the healed vagina for at least 30 days. Both systemic and local MSCs transplantation promoted host angiogenesis. Systemically transplanted MSCs created new vascular-like structures by direct differentiation into endothelium. These findings pave the way to further studies of the potential role of MSCs transplantation in improving surgical outcome in women with PFD.

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“…‘Pelvic floor health’ has been defined as ‘the physical and functional integrity of the pelvic floor unit through the life stages of an individual (male or female), permitting an optimal quality of life through its multifunctional role, where the individual possesses or has access to knowledge, which empowers the ability to prevent or manage dysfunction’ (Pierce et al . , p 9). ‘Pelvic floor dysfunction’ refers to the symptoms of PF disorders, ‘…where there is a departure from the normal in structure, function or sensation experienced …’ by an individual (Haylen et al .…”

Section: Introductionmentioning

confidence: 99%

A systematic review of prevalence and impact of symptoms of pelvic floor dysfunction in identified workforce groups

Pierce

Perry

Chiarelli

et al. 2016

Journal of Advanced Nursing

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Pelvic floor health: a concept analysis

Cited by 13 publications

References 59 publications

Living with Urinary Incontinence: Potential Risks of Women’s Health? A Qualitative Study on the Perspectives of Female Patients Seeking Care for the First Time in a Specialized Center

Living with Urinary Incontinence: Potential Risks of Women’s Health? A Qualitative Study on the Perspectives of Female Patients Seeking Care for the First Time in a Specialized Center

Systemically transplanted mesenchymal stem cells induce vascular-like structure formation in a rat model of vaginal injury

A systematic review of prevalence and impact of symptoms of pelvic floor dysfunction in identified workforce groups

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