title: Outcomes of a comprehensive nonsurgical approach to pelvic floor rehabilitation for urinary symptoms, defecatory dysfunction, and pelvic pain.
abstract: OBJECTIVE
  The authors' intent was to determine the clinical efficacy of comprehensive pelvic floor rehabilitation among women with symptoms of pelvic floor dysfunction (PFD).
  
  
  METHODS
  We performed a retrospective analysis of women referred to an academic female pelvic medicine and reconstructive surgery practice for PFD. Data were gathered from the records of 778 women referred for pelvic floor therapy for urinary, bowel, pelvic pain, and sexual symptoms over the course of 4 years.
  
  
  RESULTS
  Patients who completed at least 5 therapy sessions reported a mean symptom improvement of 80% in each of the 3 main categories analyzed, namely, urinary incontinence, defecatory dysfunction, and pelvic pain.
  
  
  CONCLUSIONS
  Comprehensive, nonoperative management of PFD including pelvic floor muscle training, biofeedback, electrogalvanic stimulation, constipation management, behavioral modification, incontinence devices, and pharmacotherapy including vaginal estrogen is effective in the treatment of women with PFD.
authors: Department of Obstetrics, Gynecology, and Women's Health, University of Missouri School of Medicine, Columbia, MO, USA. starrja@health.missouri.edu
authors: Julie A
authors: JA
authors: Starr
authors: Erma Z
authors: EZ
authors: Drobnis
authors: Stacy
authors: S
authors: Lenger
authors: Jessica
authors: J
authors: Parrot
authors: Breton
authors: B
authors: Barrier
authors: Raymond
authors: R
authors: Foster
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001003:Anal Canal / Q000503:physiopathology; D001676:Biofeedback, Psychology; D003131:Combined Modality Therapy; D003248:Constipation / Q000209:etiology / Q000534:rehabilitation; D003376:Counseling; D004599:Electric Stimulation Therapy; D004576:Electromyography; D004967:Estrogens / Q000627:therapeutic use; D005081:Exercise Therapy; D005242:Fecal Incontinence / Q000209:etiology / Q000534:rehabilitation; D005260:Female; D006801:Humans; D008365:Manometry; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000503:physiopathology; D059952:Pelvic Floor Disorders / Q000150:complications / Q000503:physiopathology / Q000534:rehabilitation*; D017699:Pelvic Pain / Q000209:etiology / Q000534:rehabilitation; D010808:Physical Examination; D012189:Retrospective Studies; D057566:Self Report; D014549:Urinary Incontinence / Q000209:etiology / Q000534:rehabilitation; D014622:Vaginal Creams, Foams, and Jellies / Q000627:therapeutic use; D055815:Young Adult
chemical_list: D004967:Estrogens; D014622:Vaginal Creams, Foams, and Jellies