Thursday, December 29, 2011

Pelvic PT Blog 2011

Saturday February 5, 2011 the first post was placed on this blog.  It has been a busy year in research and I hope this blog has helped you stay on top.  Joining this blog will help as alerts on new posts will be sent to your email.  Look forward to more updates and summaries this year. 

72 posts
14 members
4,372 page views
10 countries
·         US – 2,393
·         Germany – 212
·         UK - 164
·         India – 149
·         Russia – 139
·         Australia – 114
·         Netherlands – 68
·         South Korea – 49
·         France – 47
·         Canada - 44

The Pelvic Physiotherapy Distance Journal club has been very successful and we have a busy year ahead.  Check out the year end summary  Email me at if you would like to join.

There is also a LinkedIn group associated with the journal club.

Also remember the IOPTWH list serv.  As a member of the SOWH you can join any (or all) of the IOPTWH list servs.  There you can post patient questions or comment on others.  Check out the members only section of the web site
Keep in touch and post comments or share new info.  Keep the journal going and always be joyful.  God Bless to you and yours.

Wednesday, December 14, 2011

Radical prostatectomy versus watchful waiting in early prostate cancer

Might be a game changer for urologists. - Longest-Running Trial of Watchful Waiting -
The study shows that, at 15 years, the cumulative incidence of death from prostate cancer was 14.6% among 347 men randomized to prostatectomy and 20.7% among 348 men being observed without treatment.
However, the survival benefit was confined to men younger than 65 years of age.  For men older than 65 years, survival was highly similar in the 2 groups. The new data from the ongoing Scandinavian Prostate Cancer Group Study Number 4 (SPCG-4) appear in the May 5 issue of the New England Journal of Medicine. It has been conducted in men with predominantly symptom-detected early prostate cancer. All the men had clinical stage T1 or T2 disease, well or moderately well differentiated histologic findings, and a prostate-specific antigen (PSA) level of below 50 ng/mL.  Worth reading.

Monday, December 12, 2011

Hung H, Hsiao S, Chih S, Lin H, Tsauo J. Effect of Pelvic-Floor Muscle Strengthening on Bladder Neck Mobility: A Clinic al Trial

Pelvic Physiotherapy Think Tank
December 7, 2011
Michelle Spicka
Objective:  The aim of the study was to investigate the effect of PFM strengthening on bladder neck mobility for women with stress UI or mixed UI.

Subjects: 23 patients between 18 and 65 who had at least one episode of SUI or MUI during the previous month.  .

Study Design/Method:  Each participant underwent a PFM strengthening program for 4 months.  Participants were asked to perform 3-5 sets of 6 near-maximal contractions daily (hold for 10 seconds and relax for at least 10 seconds).  Fast contractions (1 second contraction with 1 second relaxation) were added after the sustained contractions, with a target of 10 reps in every set.  Bladder neck position at rest and during a cough, the Valsalva maneuver, and a PFM contraction was assessed by transperineal ultrasonography before and after the intervention.  There was no blinding of subjects or evaluators in this study.

Oxford Levels of Evidence: This study was a single-group pretest-posttest design - Level 3

Adibi P, Mazdak H, Derakhshandeh A, Toghiani A. Change in functional bowel symptoms after prostatectomy: a case-control study. J Res Med Sci. 2011 February; 16(2):130-135.

Pelvic Physiotherapy Think Tank
December 7, 2011
Michelle Spicka
Objective:  The goal of this study was to compare the relative frequency changes in IBS symptoms in the patients who underwent prostate surgery.

Subjects: 126 patients (66 in a case group and 66 in a control group) were involved.  66 patients (33 with a TURP and 33 with an open prostatectomy) were interviewed from 3-12 months postop.  66 patients (a control group who had the same prostate symptoms but were waiting for surgery in that time period) were interviewed also.  Both case and control groups were selected using convenience time-based sequential sampling from a single academic center under treatment by one urologic surgeon.

Study Design/Method:  A structured interview was designed for data gathering and patients were interviewed during follow up in the clinic.

Oxford Levels of Evidence: case-control study design - Level 4

Thursday, December 8, 2011

2011 Pelvic Physiotherapy Distance Journal Club Summary

The Pelvic Physiotherapy Distance Journal Club started meeting this year with the intent to share research and information on the rehabilitation of patients with disorders of the pelvis, urogenital, and colorectal systems.  We have had 10 meetings with the first meeting March.  Meetings have covered a wide variety of topics.  Outlines of December meeting will be posted soon.

I now have 91 PTs on the journal club email list.  In addition, I have heard from many PTs that they have listened to the meeting on pod cast at a later time.  All meeting are still available for download or you can listen right from the computer (September meeting was not recorded due to technical issues).  I have collected all outlines and pod casts on one CD. Please email me at if you are interested in the back issues of the meetings.