Assessment of pelvic floor muscles in women with deep endometriosis

Assessment of pelvic floor muscles in women with deep endometriosis

Author Santos dos Bispo, Ana Paula Autor UNIFESP Google Scholar
Ploger, Christine Autor UNIFESP Google Scholar
Loureiro, Alessandra Fernandes Autor UNIFESP Google Scholar
Sato, Helio Autor UNIFESP Google Scholar
Kolpeman, Alexander Autor UNIFESP Google Scholar
Batista Castello Girao, Manoel Joao Autor UNIFESP Google Scholar
Schor, Eduardo Autor UNIFESP Google Scholar
Abstract Purpose To assess function and prevalence of spasms and trigger points of the pelvic floor muscles in women with deep endometriosis. Methods One hundred and four (104) patients were assessed. Group 1 (G1) was composed of 52 subjects diagnosed with deep endometriosis proven by magnetic resonance imaging (MRI)

Group 2 (G2) was composed of 52 women with no signs of endometriosis. Subjects fromboth G1 and G2 were seen at the Division of Pelvic Pain and Endometriosis and at Center for Prevention of Sexually Transmitted Diseases, both at Federal University of Sao Paulo (UNIFESP), respectively. A full physical therapy evaluation was carried out, including medical history, presence of dyspareunia and physical examination, which included detailed evaluation of pelvic floor muscles and occurrence of muscle spasm, trigger point and muscle function. Results The average age of the subjects in the study group was 36.4 and 30.9 years in the control group (p = 0.002). A greater prevalence of deep dyspareunia was found in the subjects in the endometriosis group when compared to the control group (p = 0.010). Women in G1 had higher prevalence of muscle spasms. In this group, 53.9 % had spasms-compared to only 17.3 % of women in G2 (p < 0.001). On the other hand, no significant difference between the groups (p = 0.153) was found while searching for the presence of trigger points. Conclusion Women with deep endometriosis have increased prevalence of pelvic floor muscle spasms when compared to the control group.
Keywords Deep endometriosis
Pelvic floor muscles
Physical therapy
Muscle spasm
Trigger point
Deep dyspareunia
Language English
Sponsor CAPES
Date 2016
Published in Archives Of Gynecology And Obstetrics. Heidelberg, v. 294, n. 3, p. 519-523, 2016.
ISSN 0932-0067 (Sherpa/Romeo, impact factor)
Publisher Springer Heidelberg
Extent 519-523
Access rights Closed access
Type Article
Web of Science ID WOS:000382922400011

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