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In a study completed at the University of Sassari in Italy, physicians addressed post-menopausal pelvic floor changes such as stress urinary incontinence (UI), urogenital atrophy, and recurrent urinary tract infections. Half of the 206 post-menopausal women in this study were treated with intravaginal estriol (1 mg treatment daily for 2 weeks then 2 treatments/week for a total of 6 months). The other half was treated with estriol in addition to pelvic floor rehabilitation. 

 

The outcomes measured at beginning and 6 months after start of treatment included urine cultures, urogenital symptomatology, and urethral pressure profiles, among other measures. At 6 months, urogenital atrophy was improved in both treatment groups. While in the control group (estriol only) patients reported a 9.71% improvement in urinary incontinence, 73.49% of the patients who were treated with estriol plus pelvic floor rehabilitation reported improvements in UI. Urethral closure pressures were also significantly improved in the estriol plus rehab group.

 

The authors conclude that pelvic floor rehabilitation in addition to estriol should be considered as first-line therapy for symptoms of urogenital aging in postmenopausal women. 


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Pelvic Floor Level 1 - Seattle, WA (SOLD OUT!)
Apr 03, 2015 - Apr 05, 2015
Location: Swedish Medical Center Seattle - Ballard Campus

Myofascial Release for Pelvic Dysfunction - Tampa, FL
Apr 10, 2015 - Apr 12, 2015
Location: Florida Hospital - Wesley Chapel

Lymphatic Drainage for Pelvic Pain - Scottsdale, AZ
Apr 11, 2015 - Apr 12, 2015
Location: Evolution Physical Therapy

Assessing and Treating Vulvodynia - Minneapolis, MN
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Pelvic Floor Level 2B - Columbus, OH (SOLD OUT)
Apr 17, 2015 - Apr 19, 2015
Location: Ohio Health

Athlete and the Pelvic Floor - New York City, NY
Apr 18, 2015 - Apr 19, 2015
Location: Kima - Center for Physiotherapy & Wellness

Pudendal Neuralgia Assessment and Treatment - Salt Lake City, UT
Apr 18, 2015 - Apr 19, 2015
Location: University of Utah Orthopedic Center

Finding the Driver in Pelvic Pain - Milwaukee, WI
Apr 23, 2015 - Apr 25, 2015
Location: Marquette University

Pelvic Floor Level 1 - Durham, NC (SOLD OUT!)
Apr 24, 2015 - Apr 26, 2015
Location: Duke University Medical Center

Sexual Medicine for Men and Women - Fairlawn, NJ
Apr 24, 2015 - Apr 26, 2015
Location: Bella Physical Therapy

Bowel Pathology and Function - Kansas City, MO
Apr 25, 2015 - Apr 26, 2015
Location: Saint Luke\'s Health System

Pelvic Floor Level 1 - Los Angeles, CA (SOLD OUT)
May 01, 2015 - May 03, 2015
Location: Mount Saint Mary’s University

Pelvic Floor Level 2A - Seattle, WA (Sold Out!)
May 01, 2015 - May 03, 2015
Location: Swedish Medical Center Seattle - Ballard Campus

Oncology and the Female Pelvic Floor - Torrance, CA
May 02, 2015 - May 03, 2015
Location: HealthCare Partners - Torrance

Care of the Postpartum Patient - Boston, MA
May 02, 2015 - May 03, 2015
Location: Marathon Physical Therapy