E-Posters-10195

10195_Meister

Pdf Summary

This study aimed to estimate the prevalence of pelvic floor and obturator internus (OI) myofascial pain in patients presenting with pelvic floor symptoms. The researchers performed a retrospective cross-sectional study of 912 new patients who visited a female pelvic medicine and reconstructive surgery (FPMRS) practice between January 2014 and April 2016. These patients were evaluated for urinary symptoms, prolapse, and pain. The average age of the patients was 55 years, and most were white, obese, parous, and postmenopausal.<br /><br />A standardized pelvic floor and OI myofascial examination was conducted on all patients, which involved transvaginal palpation of the OI and levator ani (LA) muscles. Pain was recorded using an 11-point verbal pain rating scale. The results showed that 93% of patients had some degree of pelvic floor and OI myofascial pain. Most patients rated their pain as severe, while moderate and mild pain scores were less common. Furthermore, those who presented with a chief complaint of pain had significantly higher pain scores than those who did not report pain.<br /><br />The authors concluded that pelvic floor and OI myofascial pain is common in patients with pelvic floor symptoms, even when pain is not the primary complaint. This suggests that pelvic floor and OI myofascial pain may be under-assessed and under-diagnosed in these patients. The study highlights the need for further research to explore the relationship between myofascial pain and pelvic floor disorders and the role of myofascial pain in symptoms and bother experienced by patients.

Keywords

prevalence

pelvic floor

obturator internus

myofascial pain

patients

symptoms

retrospective study

female pelvic medicine and reconstructive surgery

urinary symptoms

prolapse