The Role of Pelvic Floor Muscle Training in the Conservative and Surgical Management of Female Stress Urinary Incontinence: Does the Strength of the Pelvic Floor Muscles Matter?

Lasak Anna Maria; Jean-Michel Marjorie; Phuong Uyen Le; Durgam Roshni; Harroche Jessica

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The Role of Pelvic Floor Muscle Training in the Conservative and Surgical Management of Female Stress Urinary Incontinence: Does the Strength of the Pelvic Floor Muscles Matter?

机译：骨盆底肌肉训练在女性压力尿失禁的保守和手术管理中的作用：骨盆底肌肉的实力吗？

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The purpose of this review is to provide an in-depth overview of the role of pelvic floor muscle (PFM) training in the management of stress urinary incontinence (SUI). The definition, epidemiology, and pathogenesis of SUI are described. We review the anatomy of the PFM and the importance of PFM strength in maintaining urinary continence and establishing normal voiding function. A brief description of the surgical options currently available for SUI and the existing data regarding the role of perioperative PFM training for SUI are included. Critical research questions to better evaluate and assess PFM training during the perioperative period are proposed. Promising novel approaches in the treatment of SUI are also presented. This review is useful for physiatrists, urogynecologists, female urologists, and nurse practitioners who specialize in the management and treatment of women with SUI.

机译：本综述的目的是提供骨盆地板肌肉（PFM）培训在压力尿失禁（SUI）管理中的作用的深入概述。描述了SUI的定义，流行病学和发病机制。我们审查了PFM的解剖和PFM强度在维持泌尿急别和建立正常排尿功能方面的重要性。包括简要说明目前可用于SUI的外科选择和关于SUI围手术期PFM培训的作用的现有数据。提出了提出了在围手术期间更好地评估和评估PFM培训的关键研究问题。还提出了有前途的新药在治疗SUI的方法。该审查对于专门管理和治疗隋，妇女泌尿科医生和护士从业者可用于专门管理和治疗隋。

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《PM & R: the journal of injury, function, and rehabilitation》 |2018年第11期|共13页
作者
Lasak Anna Maria; Jean-Michel Marjorie; Phuong Uyen Le; Durgam Roshni; Harroche Jessica;
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Albert Einstein Coll Med Univ Hosp Montefiore Med Ctr Dept Rehabil Med 150 East 210th St 2nd;

Bronx Lebanon Hosp Ctr Obstet &

Gynecol Bronx NY 10456 USA;

Albert Einstein Coll Med Univ Hosp Montefiore Med Ctr Dept Rehabil Med 150 East 210th St 2nd;

Albert Einstein Coll Med Univ Hosp Montefiore Med Ctr Dept Rehabil Med 150 East 210th St 2nd;

Albert Einstein Coll Med Univ Hosp Montefiore Med Ctr Bronx NY 10467 USA;

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正文语种 eng
中图分类临床医学;
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1. The Role of Pelvic Floor Muscle Training in the Conservative and Surgical Management of Female Stress Urinary Incontinence: Does the Strength of the Pelvic Floor Muscles Matter? [J] . Lasak Anna Maria, Jean-Michel Marjorie, Phuong Uyen Le, PM & R: the journal of injury, function, and rehabilitation . 2018,第11期

机译：骨盆底肌肉训练在女性压力尿失禁的保守和手术管理中的作用：骨盆底肌肉的实力吗？
2. Rectal balloon training as an adjunctive method for pelvic floor muscle training in conservative management of stress urinary incontinence: a pilot study. [J] . Sujira Roongsirisangrat, Sarissa Rangkla, Tarinee Manchana, Journal of the Medical Association of Thailand =: Chotmaihet thangphaet . 2012,第9期

机译：直肠球囊训练作为保守治疗压力性尿失禁的骨盆底肌肉训练的辅助方法：一项试点研究。
3. Evaluation of the effect of pelvic floor muscle training (PFMT or Kegel exercise) and assisted pelvic floor muscle training (APFMT) by a resistance device (Kegelmaster device) on the urinary incontinence in women "comparison between them: a randomized trial". [J] . Kashanian M, Ali SS, Nazemi M, European Journal of Obstetrics, Gynecology and Reproductive Biology: An International Journal . 2011,第1期

机译：通过抵抗装置（Kegelmaster装置）评估骨盆底肌肉训练（PFMT或Kegel锻炼）和辅助骨盆底肌肉训练（APFMT）对女性尿失禁的效果“他们之间的比较：一项随机试验”。
4. A novel scheme for studying pelvic floor stability in women with and without Stress Urinary Incontinence: An ultrasonic investigation [C] . Manshadi Farideh Dehghan, Parnianpour Mohammad, Ghanbari Zinat, 2011 1st Middle East Conference on Biomedical Engineering . 2011

机译：一种用于研究有无压力性尿失禁和无压力性尿失禁的妇女的骨盆底稳定性的新方案：超声检查
5. Does One Session of Pre-Operative Pelvic Floor Muscle Training Aid in Improving Urinary Incontinence Immediately Following Robotic Assisted Radical Prostatectomy? A Retrospective and Pilot Study [D] . Noel-Ford, Francine. 2020

机译：一系列会议的术前骨盆底肌训练有助于改善机器人辅助自由基前列腺切除术后立即改善尿失禁吗？回顾和试点研究
6. Effectiveness and cost-effectiveness randomised controlled trial of basic versus biofeedback-mediated intensive pelvic floor muscle training for female stress or mixed urinary incontinence: protocol for the OPAL (optimising pelvic floor exercises to achieve long-term benefits) trial mixed methods longitudinal qualitative case study and process evaluation [O] . Aileen Grant, Sarah Dean, Jean Hay-Smith, 2019

机译：基本和生物反馈介导的强化骨盆底肌肉训练对女性压力或混合性尿失禁的有效性和成本效益随机对照试验：OPAL方案（优化骨盆底锻炼以取得长期收益）试验混合方法纵向定性案例研究和过程评估
7. Pelvic floor muscle training in treatment of female stress urinary incontinence, pelvic organ prolapse and sexual dysfunction [O] . Bø Kari 2011

机译：骨盆底肌肉训练治疗女性压力性尿失禁，盆腔器官脱垂和性功能障碍

The Role of Pelvic Floor Muscle Training in the Conservative and Surgical Management of Female Stress Urinary Incontinence: Does the Strength of the Pelvic Floor Muscles Matter?

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