Abstract
The Effect of Aging on Pelvic Floor Pressure Measurements in Nulliparous Women
Highlights
Age is an established risk factor for both pelvic organ prolapse (POP) and urinary incontinence [1] [2] [3] [4]
While sexual activity was higher in the younger group (89% versus 60%), sexual function assessed through the Female Sexual Function Index (FSFI)-19, was not significantly different between the two groups
Post-menopausal women have higher pelvic floor and urinary symptoms associated with increased Valsalva pressures as measured by vaginal manometry
Summary
Age is an established risk factor for both pelvic organ prolapse (POP) and urinary incontinence [1] [2] [3] [4]. Both of these onerous ailments are linked to pelvic floor muscles’ (PFM) function: PFM strength negatively correlates with risk of POP [1] and its strengthening is found to improve symptoms of urinary incontinence [5]. The levator ani muscles co-activate with the abdominal muscles and the diaphragm to resist the rise in intra-abdominal pressure (Valsalva maneuver) which may lead to vaginal prolapse, urinary and fecal incontinence [12]
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