Research in chronic pain often fails to distinguish the pain source: central vs peripheral. In this review, I lay out a case for a greater consideration of a peripheral pain source, namely myofascial trigger points. Find...
We begin this teaching module with a short summary of the mechanism of urethral closure as originally presented in the 1990 “Integral Theory of Female Urinary Incontinence”, the relative roles of muscles and ligaments, h...
Objective: To update the ongoing contribution of magnetic resonance imaging (MRI) in clinical practice
Materials and Methods: The imaging series of pelvic MRI examinations carried out in 580 consecutive patients (401 wo...
The video demonstrates that the current concept of total pelvic floor relaxation preceding micturition is only partly correct. It is only the anterior part of pelvic floor which relaxes. The posterior muscles stretch the...
Objective: Obstructed defecation syndrome (ODS) is a group of symptoms that are mainly caused by pelvic floor dysfunction concerning bowel symptoms. It is challenging in clinical practice. Acupuncture has advantages in t...
Distinguishing sources of pain: Central vs peripheral mediation
Research in chronic pain often fails to distinguish the pain source: central vs peripheral. In this review, I lay out a case for a greater consideration of a peripheral pain source, namely myofascial trigger points. Find...
Teaching module for three midurethral sling complications Knowledge of urethral closure/opening mechanisms and pathogenesis of SUI informs management of “difficult” cases
We begin this teaching module with a short summary of the mechanism of urethral closure as originally presented in the 1990 “Integral Theory of Female Urinary Incontinence”, the relative roles of muscles and ligaments, h...
Magnetic resonance imaging of pudendal nerve: technique and results
Objective: To update the ongoing contribution of magnetic resonance imaging (MRI) in clinical practice Materials and Methods: The imaging series of pelvic MRI examinations carried out in 580 consecutive patients (401 wo...
Micturition requires active opening of the posterior urethral wall by directional striated muscles
The video demonstrates that the current concept of total pelvic floor relaxation preceding micturition is only partly correct. It is only the anterior part of pelvic floor which relaxes. The posterior muscles stretch the...
Does acupuncture have any effect on obstructed defecation syndrome?
Objective: Obstructed defecation syndrome (ODS) is a group of symptoms that are mainly caused by pelvic floor dysfunction concerning bowel symptoms. It is challenging in clinical practice. Acupuncture has advantages in t...