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Pelvic Health

Curated by clinicians: educational forums with videos, abstracts and conference information

Welcome to the Pelvic Health Center of Excellence

BBD Report Admin | June 05, 2023

Diane Newman welcomes viewers to the Pelvic health Center of Excellence on UroToday.com The leading location for state of the art lectures, original articles, research, current treatments and emerging clinical care in pelvic health and pelvic floor dysfunction. Diane encourages viewers to utilize this center as a resource for current research, clinical expertise and to stay up to date with current treatments and interventions.

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diane k newman

Diane K. Newman, DNP FAAN BCB-PMD is a Urologic Nurse Practitioner, Adjunct Professor of Urology in Surgery, Research Investigator Senior, Perelman School of Medicine, University of Pennsylvania, and Former Co-Director of the Penn Center for Continence and Pelvic Health. She is the author of several books. The most recent is as lead editor of the 1st edition of the SUNA Core Curriculum for Urologic Nursing and of Clinical Application of Urologic Catheters, Devices and Products.

Videos
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Clinical Conversations by Experts
Publications
Articles and Abstracts

Urinary incontinence seriously affects the daily ability of older males. This study compared the effect of different postures of Pilates combined with Kegel training on pelvic floor muscle strength in post-prostatectomy incontinence.

Urinary incontinence (UI) is one of the main complications of radical prostatectomy. Electrical pudendal nerve stimulation (EPNS) has been used to treat stress UI based on its mechanism of passive pelvic floor muscle contraction reported in the previous research.

Women frequently suffer from urinary incontinence due to atrophic changes in the urogenital tract. Recommended conservative treatment includes evaluation of pelvic-floor strength and the functional use of pelvic-floor-muscle (PFM) training.

To investigate the effectiveness of supervised remote rehabilitation programs comprising novel methods of pelvic floor muscle (PFM) training for women with urinary incontinence (UI).

A systematic review and meta-analysis including randomized controlled trials (RCTs), involving novel supervised PFM rehabilitation programs as intervention groups (e.

Excessive pelvic floor muscle activity has been suggested as a source of pain in chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). Our objective was to determine whether men with CP/CPPS have changes in neural drive that impair their ability to relax pelvic floor muscles.

Audio Education Resources
June 6, 2023
(MP3 Audio – Duration: 4:43)
  • Session of 10-second long muscle contractions

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June 6, 2023
(MP3 Audio – Duration: 8:49)
  • Overview on how to use the pelvic muscles to prevent urine leakage
  • Session of ten 2-second fast muscle squeezes
  • Session of ten 10-second slow muscle squeezes

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June 6, 2023
(MP3 Audio – Duration: 4:02)
  • How to use the pelvic muscles to prevent urine leakage
  • Session of 2-second fast muscle squeezes

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June 6, 2023
(MP3 Audio – Duration: 10:11)
  • Pelvic muscle training doing 10-second muscle squeezes

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June 6, 2023
(MP3 Audio – Duration: 4:26)
  • Pelvic muscle training doing 2-second muscle squeezes

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June 6, 2023
(MP3 Audio – Duration: 14:16)
  • Doing training sessions of 20 “quick flicks” 2-sec and 20 “slow” 10-sec slow squeezes

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Patient Education Resources
State of the Evidence Review Articles
June 6, 2023

Common Bladder Irritants Found in Foods and Drinks

Certain foods, liquids and beverages, medications and even herbs can “trigger” your bladder symptoms. Their effect on the bladder is not always understood and the same food or liquid may affect different people and their bladders in different ways. Check the lists found here to see if any of them are adding to your symptoms. If you find one, stop them for a few days to see if your bladder symptoms improve. Then introduce it back and see if you notice any changes.

June 6, 2023
Usually, the bladder can hold urine for 4 to 5 hours, then you feel the urge to pee (urinate) and you should be able to walk to the bathroom. But some people will have an overactive bladder and feel a sudden urge to pee that comes on quickly, they may have that “gotta-go” sensation. This is called bladder urgency.
June 6, 2023
WHAT ARE THE PELVIC FLOOR MUSCLES?
Your pelvic floor muscles provide support to your bladder, and rectum and, in women, the vagina and the uterus. These muscles are like a sling or hammock in the bottom of your pelvis which is why they are called pelvic floor muscles. If they weaken or are damaged, they do not support pelvic organs and may cause bladder control problems. Keeping the muscles strong by training them, can help prevent urine leakage. You can make these muscles stronger by doing exercises (often called Kegel exercises).

June 6, 2023
The “Knack” is a trick or a clever body skill of squeezing your pelvic muscles at the right time; before and during a bladder leak (urinary incontinence). If you learn the Knack, you can stop urine leaking from your bladder.
Bladder Control Strategies
August 8, 2023
Conference Coverage
Conference Highlights Written by Physician-Scientist
Reno, Nevada (UroToday.com) --  Would women suffering from pelvic floor disorder experience health benefits from a vibrator? Does the personal cost of incontinence products lead to additional health or socioeconomic issues? Can women with breast cancer benefit from vaginal estrogen?
Presented by Bruce D. Naliboff, James W. Griffith, Robert Moldwin, Kenneth Locke, Jr, Andrew D. Schrepf, Catherine S. Bradley, Siobhan Sutcliffe, David Williams, H. Henry Lai, John N. Krieger, J. Quentin Clemens, Michel A. Pontari, Larissa V. Rodriguez, Bayley J. Taple, J. Richard Landis, G.
(UroToday.com) Baseline data in the Multidisciplinary Approach to the Study of Chronic Pelvic Pain (MAPP) Research Network Symptom Patterns Study (SPS) were used to corroborate the use of two related, but separate primary symptom components of the Urologic Chronic Pelvic Pain Syndrome (UCPPS) using items from the Genitourinary Pain Index (GUPI) 
San Francisco, CA (UroToday.com) – Female pelvic health can impact a woman’s overall wellness, and conditions such as voiding dysfunction and sexual pain can have significant impacts on quality of life. Three new studies being presented during the American Urological Association (AUA) 2019 Annual Meeting in Chicago bring light to a need for a comprehensive approach to pelvic floor care, attention to symptoms and patients’ adherence to treatment. These abstracts will be presented to the media during a special session for media on Saturday, May 4 at 11 a.m. Dr. Brian Stork, Assistant Clinical Professor of Urology at the University of Michigan, will moderate the session.
Presented by Lisa K Low, PhD, CNM, FACNM, FAAN
Philadelphia, PA (UroToday.com) Lisa K. Low, PhD has presented current studies related to childbirth and pelvic floor injuries, which can lead to urinary incontinence. The PERL randomized clinical trial investigated if pre-delivery bladder health class would decrease urge incontinence (UI) episodes postpartum compared to women who received a usual care.
Boston, MA, May 14, 2017 (UroToday.com) Four studies examining female pelvic and sexual health, show promising results for women with hypoactive sexual desire disorder (HSDD), an association between low testosterone levels and incontinence and refutes theories linking synthetic mesh and autoimmune disease and cancer. All four studies will be presented at the 112th Annual Scientific Meeting of the American Urological Association (AUA) during a joint press conference at the Boston Convention and Exhibition Center, Boston, MA on Sunday, May 14 at 7:30 a.m.