Female pelvic floor myofascial syndrome and its relationship with lower urinary tract storage symptoms

Background: Pelvic floor myofascial syndrome is defined as non-articular skeletal muscle pain, characterized by the presence of trigger points. Present in 14-23% of patients with chronic pelvic pain. It has an impact on urinary function. The prevalence of lower urinary tract symptoms is 15-67%, with...

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Published inInternational Journal of Reproduction, Contraception, Obstetrics and Gynecology Vol. 13; no. 4; pp. 826 - 829
Main Authors Vazquez, Jose I. Leyva, Reyes, Guadalupe Guerrero, Gonzalez, Adrian Gutierrez, Velazquez, Ricardo Hernandez, Maldonado, Karen M. Loya, Cavazos, Omar Trevino, Alcaraz, Jennifer E. Reyes, Torres, Alejandra Robledo, Cuevas, Sara Y. Saca, Morales, Juan C. Herrera
Format Journal Article
LanguageEnglish
Published International Journal of Reproduction, Contraception, Obstetrics and Gynecology 01.04.2024
Subjects
Bladder diseases
Complications and side effects
Health aspects
Myalgia
Pelvic floor
Pelvic pain
Risk factors
Urination disorders
Women
Mexico
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Summary:Background: Pelvic floor myofascial syndrome is defined as non-articular skeletal muscle pain, characterized by the presence of trigger points. Present in 14-23% of patients with chronic pelvic pain. It has an impact on urinary function. The prevalence of lower urinary tract symptoms is 15-67%, with storage symptoms predominating in patients with PFMS. Objective was to determine the relationship between female pelvic floor myofascial syndrome and lower urinary tract storage symptoms. Methods: This was a retrospective, observational, descriptive, cross-sectional, homodemic and single-center study at University Hospital Doctor Jose Eleuterio Gonzalez, Monterrey, Nuevo Leon, Mexico from period one from April 1 st to June 30th, 2022. Type of non-probabilistic convenience sampling. Database in Excel 2016, Pearson's [X.sup.2] statistical test in the SPSS V25[R] program. Results: 136 patients with PFMS and LUTS storage were evaluated. The most frequent age group was 46-55 years with 33.1% (N=45); the marital status was married with 74.3% (N=101). In relation to education 55.9% (N=76) with a bachelor's degree. The most frequent storage symptoms were nocturia 67.6% (N=92) p<0.05, frequency 60.3% (N=82) p=0.512, urgency 57.4% p<0.005. Conclusions: Knowing the correlation between PFMS and storage LUTS can guide specific pain treatment with review of urinary symptoms. In patients with nocturia, frequency, urgency, SUI and UUI, a physical examination should be performed and included trigger points in the pelvic floor. Nocturia is the most prevalent storage LUTS in PFMS. Keywords: Pelvic floor myofascial syndrome, Lower urinary tract symptoms, Frequency, Urgency, Nocturia, Incontinence
ISSN:2320-1770
2320-1789
DOI:10.18203/2320-1770.ijrcog20240772