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In a cross-sectional study in The Netherlands, standardized surveys of 1380 women between the ages of 45-85 years were completed for urinary and bowel distress. The women also answered questions about prior pelvic floor surgery.

 

Prior pelvic floor surgery was recorded by approximately 8.6% of the participants. The likelihood of surgery taking place increased with age, and there was identified greater than 20% chance of prior pelvic floor surgery in the women aged 76-85 years. Higher rates of urinary and defaecatory distress were noted in women who had gone through prior surgery as well.

 

The factors associated with previous surgery were age, higher body mass index (BMI), pelvic organ prolapse symptoms during pregnancy and prior hernia surgery. The lifetime risk for pelvic organ prolapse surgery is estimated at 20% in The Netherlands. 


 In the US by the year 2050, research has estimated that pelvic organ prolapse will increase in women by 46% (WU JM 09). Rehabilitation efforts must continue to advance so that women can avoid surgery when possible, and so that women can be offered pre-surgery rehabilitation as well as follow-up post-surgically. 


Upcoming Continuing Education Courses

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

Pediatric Incontinence - Minneapolis, MN
May 16, 2015 - May 17, 2015
Location: Mercy Hospital

Biomechanical Assessment of The Hip & Pelvis - Durham, NC
May 16, 2015 - May 17, 2015
Location: Duke University Medical Center

Special Topics in Women's Health - Maywood, IL
May 30, 2015 - May 31, 2015
Location: Loyola University Stritch School of Medicine

Sacroiliac Joint Evaluation and Treatment - Middletown, CT
May 30, 2015 - May 31, 2015
Location: Middlesex Hospital

Pelvic Floor Level 2B - Seattle, WA (Sold Out!)
Jun 05, 2015 - Jun 07, 2015
Location: Swedish Medical Center Seattle - Ballard Campus

Pelvic Floor Level 3 - Atlanta, GA
Jun 05, 2015 - Jun 07, 2015
Location: One on One Physical Therapy

Visceral Mobilization of the Urologic System - Madison, WI
Jun 05, 2015 - Jun 07, 2015
Location: Meriter Hospital

Nutritional Perspectives for the Pelvic Rehab Therapist - Seattle, WA
Jun 06, 2015 - Jun 07, 2015
Location: Pacific Medical Center