Prevalence of Pelvic Floor Dysfunction in Patients with Interstitial Cystitis

IF 2.1 3区 医学 Q2 UROLOGY & NEPHROLOGY Urology Pub Date : 2007-07-01 DOI:10.1016/j.urology.2007.02.067
Kenneth M. Peters , Donna J. Carrico, Scott E. Kalinowski, Ibrahim A. Ibrahim, Ananias C. Diokno
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引用次数: 144

Abstract

Objectives

To evaluate the prevalence of pelvic floor dysfunction in women with interstitial cystitis (IC).

Methods

Women with IC and pelvic pain were referred to the Beaumont Women’s Initiative for Pelvic Pain and Sexual Health program. A comprehensive patient history and pelvic examination were completed by a certified women’s health nurse practitioner.

Results

Seventy women with a mean age of 45 years were evaluated. Of these 70 women 87% had levator pain consistent with pelvic floor dysfunction. The mean levator pain score was 4.48 out of 10. Nearly two thirds of these women (64%) had their pain for 5 years or more, whereas one quarter (24%) had their pain for 1 to 3 years. Half of the women reported irritable bowel syndrome, and more than one third (36%) reported urge urinary incontinence.

Conclusions

Women with IC may have pelvic floor dysfunction, as noted in this population in which 87% had levator pain upon examination. If pelvic floor dysfunction is diagnosed in IC patients, then therapy targeting the pelvic floor musculature may be considered as part of a multimodality approach to treating IC.

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间质性膀胱炎患者盆底功能障碍的患病率
目的探讨间质性膀胱炎(IC)患者盆底功能障碍的发生率。方法有盆腔疼痛和盆腔疼痛的妇女被转介到博蒙特妇女倡议盆腔疼痛和性健康项目。全面的病史和盆腔检查由持证妇女保健护士完成。结果70例女性,平均年龄45岁。在这70名女性中,87%的人有与盆底功能障碍一致的提上肌疼痛。平均提肌疼痛评分为4.48分(满分10分)。这些妇女中近三分之二(64%)的疼痛持续5年或更长时间,而四分之一(24%)的疼痛持续1至3年。一半的妇女报告肠易激综合征,超过三分之一(36%)报告急迫性尿失禁。结论:IC女性可能有盆底功能障碍,在这个人群中,87%的人在检查时有提肌疼痛。如果在IC患者中诊断出盆底功能障碍,那么针对盆底肌肉组织的治疗可能被认为是治疗IC的多模式方法的一部分。
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来源期刊
Urology
Urology 医学-泌尿学与肾脏学
CiteScore
3.30
自引率
9.50%
发文量
716
审稿时长
59 days
期刊介绍: Urology is a monthly, peer–reviewed journal primarily for urologists, residents, interns, nephrologists, and other specialists interested in urology The mission of Urology®, the "Gold Journal," is to provide practical, timely, and relevant clinical and basic science information to physicians and researchers practicing the art of urology worldwide. Urology® publishes original articles relating to adult and pediatric clinical urology as well as to clinical and basic science research. Topics in Urology® include pediatrics, surgical oncology, radiology, pathology, erectile dysfunction, infertility, incontinence, transplantation, endourology, andrology, female urology, reconstructive surgery, and medical oncology, as well as relevant basic science issues. Special features include rapid communication of important timely issues, surgeon''s workshops, interesting case reports, surgical techniques, clinical and basic science review articles, guest editorials, letters to the editor, book reviews, and historical articles in urology.
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