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Exploring pelvic floor muscle function in men with and without pelvic floor symptoms: A population‐based study

BACKGROUND: Pelvic floor symptoms (PFS), such as lower urinary tract symptoms, defecation disorders, sexual problems, and genital‐pelvic pain, are prevalent in men. Thorough physical assessments of the external anal sphincter (EAS) and the puborectal muscle (PRM) are the keys to unraveling the role...

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Autores principales: Notenboom‐Nas, Françoise J. M., Knol‐de Vries, Grietje E., Beijer, Lotte, Tolsma, Yme, Slieker‐ten Hove, Marijke C. Ph., Dekker, Janny H., van Koeveringe, Gommert A., Blanker, Marco H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9795878/
https://www.ncbi.nlm.nih.gov/pubmed/35876473
http://dx.doi.org/10.1002/nau.24996
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author Notenboom‐Nas, Françoise J. M.
Knol‐de Vries, Grietje E.
Beijer, Lotte
Tolsma, Yme
Slieker‐ten Hove, Marijke C. Ph.
Dekker, Janny H.
van Koeveringe, Gommert A.
Blanker, Marco H.
author_facet Notenboom‐Nas, Françoise J. M.
Knol‐de Vries, Grietje E.
Beijer, Lotte
Tolsma, Yme
Slieker‐ten Hove, Marijke C. Ph.
Dekker, Janny H.
van Koeveringe, Gommert A.
Blanker, Marco H.
author_sort Notenboom‐Nas, Françoise J. M.
collection PubMed
description BACKGROUND: Pelvic floor symptoms (PFS), such as lower urinary tract symptoms, defecation disorders, sexual problems, and genital‐pelvic pain, are prevalent in men. Thorough physical assessments of the external anal sphincter (EAS) and the puborectal muscle (PRM) are the keys to unraveling the role of muscle dysfunction. OBJECTIVES: To explore associations within and between the EAS and PRM and between muscle (dys‐) function and the number of male PFS. METHODS: This cross‐sectional study purposively enrolled men aged ≥21 years with 0–4 symptoms from a larger study. After extensive external and internal digital pelvic floor assessment, we explored (1) agreement between muscle function of the EAS versus PRM (using cross tabulation), (2) associations within and between the EAS and PRM (using heatmaps), and (3) associations between muscle function and number of PFS (using a visual presentation [heatmaps] and χ (2) tests). RESULTS: Overall, 42 out of 199 men (21%) had completely normal muscle function. Sixty‐six (33.2%) had no symptoms, of which 53 (80%) had some degree of muscle dysfunction. No clear dose–response relationship existed between muscle (dys‐) function and the number of symptoms. The PRM showed both more dysfunction and severer dysfunction than the EAS. CONCLUSIONS: No clear association exists between muscle dysfunction and the number of symptoms, and the absence of PFS does not indicate normal muscle function for all men. Dysfunction levels are highest for the PRM. Further pelvic floor muscle research is warranted in men with PFS.
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spelling pubmed-97958782022-12-28 Exploring pelvic floor muscle function in men with and without pelvic floor symptoms: A population‐based study Notenboom‐Nas, Françoise J. M. Knol‐de Vries, Grietje E. Beijer, Lotte Tolsma, Yme Slieker‐ten Hove, Marijke C. Ph. Dekker, Janny H. van Koeveringe, Gommert A. Blanker, Marco H. Neurourol Urodyn Clinical Articles BACKGROUND: Pelvic floor symptoms (PFS), such as lower urinary tract symptoms, defecation disorders, sexual problems, and genital‐pelvic pain, are prevalent in men. Thorough physical assessments of the external anal sphincter (EAS) and the puborectal muscle (PRM) are the keys to unraveling the role of muscle dysfunction. OBJECTIVES: To explore associations within and between the EAS and PRM and between muscle (dys‐) function and the number of male PFS. METHODS: This cross‐sectional study purposively enrolled men aged ≥21 years with 0–4 symptoms from a larger study. After extensive external and internal digital pelvic floor assessment, we explored (1) agreement between muscle function of the EAS versus PRM (using cross tabulation), (2) associations within and between the EAS and PRM (using heatmaps), and (3) associations between muscle function and number of PFS (using a visual presentation [heatmaps] and χ (2) tests). RESULTS: Overall, 42 out of 199 men (21%) had completely normal muscle function. Sixty‐six (33.2%) had no symptoms, of which 53 (80%) had some degree of muscle dysfunction. No clear dose–response relationship existed between muscle (dys‐) function and the number of symptoms. The PRM showed both more dysfunction and severer dysfunction than the EAS. CONCLUSIONS: No clear association exists between muscle dysfunction and the number of symptoms, and the absence of PFS does not indicate normal muscle function for all men. Dysfunction levels are highest for the PRM. Further pelvic floor muscle research is warranted in men with PFS. John Wiley and Sons Inc. 2022-07-25 2022-11 /pmc/articles/PMC9795878/ /pubmed/35876473 http://dx.doi.org/10.1002/nau.24996 Text en © 2022 The Authors. Neurourology and Urodynamics published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Clinical Articles
Notenboom‐Nas, Françoise J. M.
Knol‐de Vries, Grietje E.
Beijer, Lotte
Tolsma, Yme
Slieker‐ten Hove, Marijke C. Ph.
Dekker, Janny H.
van Koeveringe, Gommert A.
Blanker, Marco H.
Exploring pelvic floor muscle function in men with and without pelvic floor symptoms: A population‐based study
title Exploring pelvic floor muscle function in men with and without pelvic floor symptoms: A population‐based study
title_full Exploring pelvic floor muscle function in men with and without pelvic floor symptoms: A population‐based study
title_fullStr Exploring pelvic floor muscle function in men with and without pelvic floor symptoms: A population‐based study
title_full_unstemmed Exploring pelvic floor muscle function in men with and without pelvic floor symptoms: A population‐based study
title_short Exploring pelvic floor muscle function in men with and without pelvic floor symptoms: A population‐based study
title_sort exploring pelvic floor muscle function in men with and without pelvic floor symptoms: a population‐based study
topic Clinical Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9795878/
https://www.ncbi.nlm.nih.gov/pubmed/35876473
http://dx.doi.org/10.1002/nau.24996
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