Physical, Complementary, and Alternative Medicine in the Treatment of Pelvic Floor Disorders

AbstractPurpose of ReviewThe purpose of the study was to catalog the most recent available literature regarding the use of conservative measures in treatment of pelvic floor disorders.Recent FindingsPelvic floor disorders encompass abnormalities of urination, defecation, sexual function, pelvic organ prolapse, and chronic pain, and can have significant quality of life implications for patients. Current guidelines recommend behavioral modifications and conservative treatments as first-line therapy for pelvic floor disorders. We have reviewed the literature for articles published on physical, complementary, and alternative treatments for pelvic floor disorders over the past 5  years. Review of pelvic floor muscle physiotherapy (PFMT) and biofeedback (BF) shows a benefit for patients suffering from bladder dysfunction (incontinence, overactive bladder), bowel dysfunction (constipation, fecal incontinence), pelvic organ prolapse, and sexual dysfunction (pelvic pain). Comb ination of PFMT and BF has shown improved results compared to PFMT alone, and some studies find that electrical stimulation can augment the benefit of BF and PFMT. Additionally, acupuncture and cognitive behavioral therapy has shown to be an effective treatment for pelvic floor disorders, particular ly with respect to pelvic pain.SummaryThis update highlights beneficial conservative treatments available for pelvic floor dysfunction, and supplements the current literature on treatment options for patients su...
Source: Current Urology Reports - Category: Urology & Nephrology Source Type: research

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Source: Journal of Orthopaedic Translation - Category: Orthopaedics Source Type: research
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Source: Daily Express - Health - Category: Consumer Health News Source Type: news
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Source: Ophthalmologica - Category: Opthalmology Source Type: research
Authors: Muzii L, Di Tucci C, Di Feliciantonio M, Galati G, Marchetti C, Perniola G, Pecorini F, Benedetti Panici P Abstract Endometriosis, in spite of decades of research on the topic, remains a mysterious and elusive disease. Both in the fields of diagnosis and treatment, many issues remain unresolved, and the scientific community strives in trying to find universal criteria for diagnosis, and algorithms of treatment that may be universally applied. Recently, there has been a shift away from the view of the need of invasive diagnosis and therapy with the universal use of laparoscopy. Today the diagnosis of endome...
Source: Minerva Ginecologica - Category: OBGYN Tags: Minerva Ginecol Source Type: research
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Source: BPS RESEARCH DIGEST - Category: Psychiatry & Psychology Authors: Tags: Health Source Type: blogs
We present the case of a patient with colic pain in the epigastrium and right hypochondrium, which was accompanied by choluria and acholia and slightly elevated levels of bilirubin and eosinophilia. Abdominal echography and magnetic resonance imaging identified a biliary obstruction and endoscopic retrograde cholangiopancreatography was used to extract 3 adult worms identified as Fasciola hepatica. This case highlights the need to consider the suspicion of biliary obstruction caused by Fasciola hepatica in the presence of obstructive jaundice, with or without eosinophilia. PMID: 30318892 [PubMed - as supplied by publisher]
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