Pelvic Floor Hypertonic Disorders: Identification and Management

被引：58

作者：

Butrick, Charles W. ^{[1
,2
]}

机构：

[1] Urogynecol Ctr, Overland Pk, KS 66215 USA

[2] Univ Kansas, Med Ctr, Dept Obstet & Gynecol, Kansas City, KS 66160 USA

来源：

OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA | 2009年 / 36卷 / 03期

关键词：

Pelvic floor hypertonic disorder; Myofascial pain; Elimination disorder; Interstitial cystitis; Vaginismus; Vulvodynia; Trigger point; Botulinum toxin; TOXIN TYPE-A; BOTULINUM TOXIN; INTERSTITIAL CYSTITIS; PHYSICAL-THERAPY; SACRAL NEUROMODULATION; VOIDING DYSFUNCTION; URINARY RETENTION; PAIN; BLADDER; SYMPTOMS;

D O I：

10.1016/j.ogc.2009.08.011

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Patients with hypertonic pelvic floor disorders can present with pelvic pain or dysfunction. Each of the various syndromes will be discussed including elimination disorders, bladder pain syndrome/interstitial cystitis (BPS/IC), vulvodynia, vaginismus, and chronic pelvic pain. The symptoms and objective findings on physical examination and various diagnostic studies will be reviewed. Therapeutic options including physical therapy, pharmacologic management, and trigger point injections, as well as botulinum toxin injections will be reviewed in detail.

引用

页码：707 / +

页数：17

共 48 条

[1] Botulinum toxin type A for chronic pain and pelvic floor spasm in women - A randomized controlled trial [J].

Abbott, Jason A. ;

Jarvis, Sherin K. ;

Lyons, Stephen D. ;

Thomson, Angus ;

Vancaille, Thierry G. .

OBSTETRICS AND GYNECOLOGY, 2006, 108 (04) :915-923

[2] The standardisation of terminology of lower urinary tract function: Report from the Standardisation Sub-committee of the International Continence Society [J].

Abrams, P ;

Cardozo, L ;

Fall, M ;

Griffiths, D ;

Rosier, P ;

Ulmsten, U ;

van Kerrebroeck, P ;

Victor, A ;

Wein, A .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2002, 187 (01) :116-126

[3]

Aoki KR, 2003, HEADACHE, V43, pS9

[4]

AOKI R, 1998, PAIN DIGEST, V8, P337

[5]

APOSTOLIDIS A, 2008, EUR UROL

[6] Functional and chronic anorectal and pelvic pain disorders [J].

Bharucha, Adil E. ;

Trabuco, Emanuel .

GASTROENTEROLOGY CLINICS OF NORTH AMERICA, 2008, 37 (03) :685-+

[7] Chronic pelvic pain syndromes: clinical, urodynamic, and urothelial observations [J].

Butrick, Charles W. ;

Sanford, Dan ;

Hou, Qingijiang ;

Mahnken, Jonathan D. .

INTERNATIONAL UROGYNECOLOGY JOURNAL, 2009, 20 (09) :1047-1053

[8]

CARTER JE, 2000, ABDOMINAL WALL PELVI

[9] Sacral neuromodulation for treating the symptoms of overactive bladder syndrome and non-obstructive urinary retention:: >10 years of clinical experience [J].

Chartier-Kastler, Emmanuel .

BJU INTERNATIONAL, 2008, 101 (04) :417-423

[10] Biofeedback, pelvic floor re-education, and bladder training for male chronic pelvic pain syndrome [J].

Clemens, JQ ;

Nadler, RB ;

Schaeffer, AJ ;

Belani, J ;

Albaugh, J ;

Bushman, W .

UROLOGY, 2000, 56 (06) :951-955

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