Tuesday, April 30, 2013

Interesting articles

Minimum amount of physical activity for reduced mortality and extended life expectancy: a prospective cohort study.   The Lancet, Volume 378, Issue 9798, Pages 1244 - 1253, 1 October 2011

15 min per day or 90 min per week of moderate exercise had a 14% reduced risk of morality.  This was true across all ages, sexes, and even when cardiovascular risks were present. 

Etiological, Diagnostic and Therapeutic Consideration of the Myofascial Component in Chronic Pelvic Pain. Díaz-Mohedo E, Barón-López FJ, Pineda-Galán C.  Actas Urol Esp. 2011 Sep 12. [Epub ahead of print]  [Article in English, Spanish]

Too bad my Spanish is not better.  Full article is available but only the abstract is in English.  Very interesting. 

Effect of increasing doses of saw palmetto extract on lower urinary tract symptoms: a randomized trial. JAMA 2011 Sep 28;306(12):1344-1351. Barry MJ et al.  

Study is not in support benefit of saw palmetto use.

Management of nocturia. Faisal Rauf Khan et al. Trends in urology and men’s health. Vol 2, issue 5, 4-43, sept/ oct 2011

Wells done summary.  Full article available free. 

The Effects of Fibromyalgia Syndrome on Female Sexuality: A Controlled Study Halim Yilmaz, Sema Dereli Yilmaz, Halime Almula Demir Polat, Ali Salli, Gulten Erkin and Hatice Ugurlu, J of Sex Med 2012;9(3):779-785.
Evaluation of Sexual Function in Brazilian Women with Recurrent Vulvovaginal Candidiasis and Localized Provoked Vulvodynia Paulo César Giraldo, Nádia Cristina Polpeta, Cássia Raquel Teatin Juliato, Laura Pagotto Yoshida, Rose Luce Gomes do Amaral and José Eleutério Junior, Journal of Sexual Medicine 2012 Mar;9(3):805-11

Effectiveness of internet-based cognitive behavioural treatment for adolescents with chronic fatigue syndrome (FITNET): a randomised controlled trial, Dr Sanne L Nijhof MD a , Prof Gijs Bleijenberg PhD c, Cuno SPM Uiterwaal PhD b, Prof Jan LL Kimpen PhD a, Elise M van de Putte PhD a. The Lancet 2012;379(9824):1412-1418.

The Bar Sinister: Does Handlebar Level Damage the Pelvic Floor in Female Cyclists? Sarah N. Partin MSPH1,†, Kathleen A. Connell MD2,†, Steven Schrader PhD3, Julie LaCombe MD4, Brian Lowe PhD3, Anne Sweeney PhD1, Susan Reutman PhD3, Andrea Wang MD5, Christine Toennis BS3, Arnold Melman MD6, Madgy Mikhail MD7, Marsha K. Guess MD2,*The Journal of Sexual Medicine 2012;9(5):1365-1373.

Wednesday, April 24, 2013

Randomized controlled trial of physiotherapy for postpartum stress incontinence: 7-year follow-up

Chantale Dumoulin1,2,*, Claudine Martin1, Valérie Elliott1,2, Daniel Bourbonnais1,3, Mélanie Morin4, Marie-Claude Lemieux5, Robert Gauthier6
    Neurourol Urodyn. 2013 Mar 28. doi: 10.1002/nau.22330. [Epub ahead of print]
This is a follow up to the original RCT in which post partum women with persistent SUI participated in either PFM exercises plus transversus abdominus training or PFM exercises alone.  The original study concluded that addition of tranversus exercises did not significantly increase results as both groups had similar outcomes.  This seven year follow up has the same conclusion and reports on pad test 53% of those tested where still continent seven years after  treatment.  Long term studies provide evidence of the impact of our treatments. 

Saturday, April 20, 2013

Screening for Prostate Cancer: U.S. Preventive Services Task Force Recommendation Statement

It's final. The US Preventive Services Task Force (USPSTF) now officially recommends against routine prostate-specific antigen (PSA)–based prostate cancer screening for healthy men, regardless of age. WOW, wonder how long it will take the general urologist to get this message. 

Monday, April 8, 2013

The automatic pelvic floor muscle response to the active straight leg raise in cases with pelvic girdle pain and matched controls.

Stuge G, Saetre K, Hoff BI: Manual Therapy (2013),

Ann Dunbar PT, DPT, MS, WCS

Primary Aim:  (1) To compare the automatic PFM contraction (PFMC) to rest;  (2) To compare voluntary and automatic PFMC during the Active Straight Leg Raise (ASLR) with and without compression; (3) To examine whether there are differences in PFMC between women with and without clinically diagnosed pelvic girdle pain (PGP) during ASLR

 Subjects: 49 pairs of women ages 34.9 ± 4.8 for cases and 35.0 ± 4.8 for controls

Study Design: Cross-sectional study with one-to-one matched cases to control (matched by age ±5 yrs, no. of vaginal deliveries, and age of children ±5 years for those > 1 yr and  ± 1 mo. for those < than 1 yr)

Sunday, April 7, 2013

Vitamin D and Pelvic Floor Disorders in Women

Badalian SS, Rosenbaum PF: Obstet & Gyneoc (2010) 115(4): 795-803.

April 3, 2013

 Ann Dunbar PT, DPT, MS, WCS

Primary Aim:  (1) To estimate the prevalence of vitamin D insufficiency or deficiency in women with pelvic floor disorders (2) To evaluate possible associations between vitamin D levels and pelvic organ prolapse (vaginal bulge) (POP), female urinary incontinence and fecal incontinence.

 Subjects: Using data from the National Health and Nutrition Examination Survey (NHANES) collected 2005-2006.  Had data on 3 pelvic floor outcomes and vitamin D levels on 1,881 non-pregnant women.

 Study Design: Descriptive