geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Levator plate movement during voluntary pelvic floor muscle contraction in subjects with incontinence and prolapse: a cross-sectional study and review


, : Levator plate movement during voluntary pelvic floor muscle contraction in subjects with incontinence and prolapse: a cross-sectional study and review. International Urogynecology Journal and Pelvic Floor Dysfunction 14(2): 84-88

Transabdominal ultrasound was used to assess 104 women with incontinence and prolapse. The bladder was used as a marker of levator plate (LP) movement. The women were asked to draw in and lift the pelvic floor muscles (PFM) and a change in position of the LP in a cranial or caudal direction during contraction was documented. Three different patterns of movement of the LP were identified, with 38% of subjects elevating and 43% of subjects depressing the LP; 19% had no change in LP movement. In the stress incontinence group there was a higher than expected number that elevated the LP. In the urgency and prolapse groups there was a higher than expected number of subjects that depressed the LP ( P=0.008).The results highlight three different subgroups based on the patients' attempt to initiate elevation of the LP. Subjects who depressed the LP when instructed to elevate it appeared to adopt straining strategies via the generation of intra-abdominal pressure. Depression of the LP may have long-term negative implications for prolapse and incontinence.

US$19.90

PMID: 12851748

DOI: 10.1007/s00192-003-1036-5


Other references

Fan, J.; Ji, Z.S.; Huang, Y.; de Silva, H.; Sanan, D.; Mahley, R.W.; Innerarity, T.L.; Taylor, J.M., 1998: Increased expression of apolipoprotein E in transgenic rabbits results in reduced levels of very low density lipoproteins and an accumulation of low density lipoproteins in plasma. Transgenic rabbits expressing human apo E3 were generated to investigate mechanisms by which apo E modulates plasma lipoprotein metabolism. Compared with nontransgenic littermates expressing approximately 3 mg/dl of endogenous rabbit apo E, male t...

Gomez, F.; Nagahama, Y.; Fukuyo, Y.; Furuya, K., 2004: Observations on Ceratoperidinium (Dinophyceae). Until now, the rare dinoflagellate genus Ceratoperidinium Margalef has been recorded only from the Mediterranean Sea. For the first time, photomicrographs (bright field, Nomarski and epifluorescence) are reported from Lugol-fixed samples collected...

Baratti-Mayer, D.; Gayet-Ageron, Aèle.; Hugonnet, Séphane.; François, P.; Pittet-Cuenod, B.; Huyghe, A.; Bornand, J-Etienne.; Gervaix, A.; Montandon, D.; Schrenzel, J.; Mombelli, A.; Pittet, D.; Baratti-Mayer, D.; Bolivar, I.; Bornand, J-Etienne.; Gayet-Ageron, Aèle.; Gervaix, A.; Mombelli, A.; Montandon, D.; Pittet-Cuenod, B.; Pittet, D.; Rusconi, M.; Schrenzel, J.; Wamba, Aé., 2015: Risk factors for noma disease: a 6-year, prospective, matched case-control study in Niger. Noma is a poorly studied disease that leads to severe facial tissue destruction in children in developing countries, but the cause remains unknown. We aimed to identify the epidemiological and microbiological risk factors associated with noma dise...

Bondarenko A.T., 1973: Nature of anomalous electric conductivity of the crust in the Vilyuy syneclise, as determined experimentally in samples. International Geology Review: , Pages 615. 1973.

Cai, H.; Stearns, S.D., 2013: Pulsed discharge helium ionization detector with multiple combined bias/collecting electrodes for gas chromatography. A pulsed discharge ionization detector (PDHID) with multiple combined bias/collecting electrodes (MC-PDHID) has been developed. Unlike most ionization detector designs with only one collecting electrode, the MC-PDHID builds multiple electrodes ins...

Stanton, D.J., 1958: Some factors regulating yield, quality and physiological disorders of tomatoes. Six treatments, involving 3 levels of water and 2 levels of N + K gave the following, among other results: The total yield per plant was much greater at the highest rates of watering (51-53 gal. per year) than at the low rate (20-26 gal. per year)...

Solomon M., 1984: The dissolution of sulphides in Tasmanian massive sulphide deposits - two contrasting examples. Pages 99-102 1984

Albrecht, D.C.; Ottersbach, A., 2016: Retrospective 5-Year Analysis of Revision Rate and Functional Outcome of TKA With and Without Patella Implant. The aim of this study was to compare a patient cohort after total knee arthroplasty (TKA) in terms of the revision rate and the functional outcome, with and without patella resurfacing. Sixty-six patients (71 TKAs) were implanted with the mobile-b...

Jencks, W.P., 1965: Water Structure And Proteins Denaturation. Federation Proceedings 24: S50-S52

Tang, D.C.; Zhu, J.; Liu, W.; Chin, K.; Sun, J.; Chen, L.; Hanover, J.A.; Rodgers, G.P., 2005: The hydroxyurea-induced small GTP-binding protein SAR modulates gamma-globin gene expression in human erythroid cells. Hydroxyurea (HU), a drug effective in the treatment of sickle cell disease, is thought to indirectly promote fetal hemoglobin (Hb F) production by perturbing the maturation of erythroid precursors. The molecular mechanisms involved in HU-mediated...