ArticleInternational urogynecology journal2010
Prevalence of major levator abnormalities in symptomatic patients with an underactive pelvic floor contraction.
Article in International urogynecology journal, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pelvic Floor Muscle Training for Urinary Incontinence with or without Biofeedback or Electrostimulation in Women: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Postpartum pelvic floor muscle training, levator ani avulsion and levator hiatus area: a randomized trial.International urogynecology journal · 2023Trial
- Levator hiatus dimensions and pelvic floor function in women with and without major defects of the pubovisceral muscle.International urogynecology journal · 2012Trial
- The Evolution of Pelvic Floor Ultrasound: From Urinary Incontinence and Pelvic Organ Prolapse to Maternal Birth Trauma, Levator Avulsion and Anal Sphincter Tears.International urogynecology journal · 2026Review
- Levator plate function may be important in maintaining fecal continence after obstetric anal sphincter injury repair: a pilot perineal and endovaginal ultrasound analysis.Journal of ultrasound · 2025Article
- Can the inability to contract the pelvic floor muscles influence the severity of urinary incontinence symptoms in females?International urogynecology journal · 2022Article
- Three-Dimensional Pelvic Floor Ultrasound Assessment of Pelvic Organ Prolapse: Minimal Levator Hiatus and Levator Ani Deficiency Score.Annals of coloproctology · 2021Article
- Magnetic resonance imaging and 3-dimensional transperineal ultrasound evaluation of pelvic floor dysfunction in symptomatic women: a prospective comparative study.Ultrasonography (Seoul, Korea) · 2019Article
- Association of index finger palpatory assessment of pubovisceral muscle body integrity with MRI-documented tear.Neurourology and urodynamics · 2019Article
- Pelvic muscles' mechanical response to strains in the absence and presence of pregnancy-induced adaptations in a rat model.American journal of obstetrics and gynecology · 2018Article
- Prevalence of levator ani muscle avulsion and effect on quality of life in women with pelvic organ prolapse.International urogynecology journal · 2018Article
- Evaluation of isolated urinary stress incontinence according to the type of levator ani muscle lesion using 3/4D transperineal ultrasound 36 months post-partum.International urogynecology journal · 2017Observational
- Levator Plate Upward Lift on Dynamic Sonography and Levator Muscle Strength.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2015Article
- The investigation and treatment of female pelvic floor dysfunction.Deutsches Arzteblatt international · 2015Review
- Alteration of anal sphincter function in patients with levator avulsion: observational study.International urogynecology journal · 2015Observational
- How well can levator ani muscle morphology on 3D pelvic floor ultrasound predict the levator ani muscle function?International urogynecology journal · 2015Article
- Translabial ultrasound in the assessment of pelvic floor and anorectal function in women with defecatory disorders.Techniques in coloproctology · 2014Review
- Calculation of membrane tension in selected sections of the pelvic floor.International urogynecology journal · 2014Article
- Conservative chiropractic management of urinary incontinence using applied kinesiology: a retrospective case-series report.Journal of chiropractic medicine · 2012Article
- Pelvic floor ultrasound in prolapse: what's in it for the surgeon?International urogynecology journal · 2011Review
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisMajor levator ani abnormalities (LAA) may lead to abnormal pelvic floor muscle contraction (pfmC) and secondarily to stress urinary incontinence (SUI), prolapse, or fecal incontinence (FI).
methodsA retrospective observational study included 352 symptomatic patients to determine prevalence of LAA in underactive pfmC and the relationship with symptoms. On 2D/3D transperineal ultrasound, PfmC was subjectively assessed as underactive (UpfmC) or normal (NpfmC) and quantified. LAA, defined as a complete avulsion of the pubic bone, was analyzed using tomographic ultrasound imaging.
resultsLAA were found in 53.8% of women with UpfmC versus 16.1% in NpfmC (P < 0.001). Patients with UpfmC were less likely to reduce hiatal area on pfmC (mean 7% reduction vs 25% in NpfmC (P < 0.001)). An UpfmC was associated with FI (P = 0.002), not with SUI or prolapse of the anterior and central compartment.
conclusionAn underactive pfmC is associated with increased prevalence of LAA and FI.
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Registered trials
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