Friday, April 10, 2015

April 8, 2015 Pelvic PT Distance Journal Club


Outline is posted on the blog

Next call is May 6,2015

A pilot randomized controlled trial to evaluate pelvic floor muscle training for urinary incontinence among gynecological cancer survivors, Rutledge TL, et al, Gynecol Oncol 132(2014)154-158.

Cindy Neville
Pelvic PT Distance Journal Club, April 8, 2015


Same authors previously reports high rates of UI (67% of 200) and sexual dysfunction among gynecological cancer survivors

Rutledge TL, Heckman SR, Qualls C, Muller CY, Rogers RG. Pelvic floor disorders and sexual function in gynecologic cancer survivors: a cohort study. Am J Obstet Gynecol 2010;203(5):514e1–7 [Epub 2010/09/28].

·         effectiveness of PFMT and behavioral therapy, has not been evaluated in gynecologic cancer survivors.
·         effectiveness of these interventions may differ in cancer survivors since radiation, chemotherapy and radical pel-vic surgery can result in significant anatomical functional changes in the pelvis and lower urinary tract, including damage of nerve fibers and compromise of vascular supply with resultant fibrosis.