Pelvic Pain of Myofascial Origin in Women: Correlation with Lower Urinary Tract Symptoms

Introduction. Women with lower urinary tract symptoms (LUTS) and high-tone pelvic floor often experience pain and have positive trigger points upon pelvic floor examination. However, the correlation of these findings has not yet been systematically examined and sufficiently understood. The aim of th...

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Main Authors: Sabrina Einig, Esther Ruess, Andreas Schoetzau, Kerstin Ayllon Bartet, Viola Heinzelmann-Schwarz, Francesco Vigo, Tilemachos Kavvadias
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Advances in Urology
Online Access:http://dx.doi.org/10.1155/2024/5568010
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author Sabrina Einig
Esther Ruess
Andreas Schoetzau
Kerstin Ayllon Bartet
Viola Heinzelmann-Schwarz
Francesco Vigo
Tilemachos Kavvadias
author_facet Sabrina Einig
Esther Ruess
Andreas Schoetzau
Kerstin Ayllon Bartet
Viola Heinzelmann-Schwarz
Francesco Vigo
Tilemachos Kavvadias
author_sort Sabrina Einig
collection DOAJ
description Introduction. Women with lower urinary tract symptoms (LUTS) and high-tone pelvic floor often experience pain and have positive trigger points upon pelvic floor examination. However, the correlation of these findings has not yet been systematically examined and sufficiently understood. The aim of this cross-sectional study is to examine the correlation of pelvic myofascial pain with LUTS and pelvic floor tone. Materials and Methods. All participants filled a standardized pelvic floor questionnaire to assess LUTS, which consists of a total of 43 questions regarding bladder, bowel, and sexual function as well as prolapse symptoms. Myofascial trigger points in different muscle groups including pubococcygeus, iliococcygeus, and obturator as well as pelvic floor muscle tone were assessed using a standardized digital examination technique. Results. 110 women were included in the study. There was a significant correlation between pain in various muscle groups and LUTS as well as high-tone pelvic floor muscle. A significant correlation could also be found between high pelvic floor muscle tone and the overall questionnaire score (p<0.001) as well as the bladder function score (p<0.001) and various pain scores of the different groups. Individuals with high-tone pelvic floor were more likely to have more LUTS and higher pain scores. Conclusions. The existence of myofascial pelvic floor trigger points and high pelvic floor muscle tone seem to be reflective of pelvic floor symptoms, as assessed with a standardized pelvic floor questionnaire.
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spelling doaj-art-e956b5cae51a440f80e7c070b716e37c2025-08-20T02:22:15ZengWileyAdvances in Urology1687-63772024-01-01202410.1155/2024/5568010Pelvic Pain of Myofascial Origin in Women: Correlation with Lower Urinary Tract SymptomsSabrina Einig0Esther Ruess1Andreas Schoetzau2Kerstin Ayllon Bartet3Viola Heinzelmann-Schwarz4Francesco Vigo5Tilemachos Kavvadias6University Hospital of BaselUniversity Hospital of BaselUniversity Hospital of BaselUniversity of BaselUniversity Hospital of BaselUniversity Hospital of BaselUniversity Hospital of BaselIntroduction. Women with lower urinary tract symptoms (LUTS) and high-tone pelvic floor often experience pain and have positive trigger points upon pelvic floor examination. However, the correlation of these findings has not yet been systematically examined and sufficiently understood. The aim of this cross-sectional study is to examine the correlation of pelvic myofascial pain with LUTS and pelvic floor tone. Materials and Methods. All participants filled a standardized pelvic floor questionnaire to assess LUTS, which consists of a total of 43 questions regarding bladder, bowel, and sexual function as well as prolapse symptoms. Myofascial trigger points in different muscle groups including pubococcygeus, iliococcygeus, and obturator as well as pelvic floor muscle tone were assessed using a standardized digital examination technique. Results. 110 women were included in the study. There was a significant correlation between pain in various muscle groups and LUTS as well as high-tone pelvic floor muscle. A significant correlation could also be found between high pelvic floor muscle tone and the overall questionnaire score (p<0.001) as well as the bladder function score (p<0.001) and various pain scores of the different groups. Individuals with high-tone pelvic floor were more likely to have more LUTS and higher pain scores. Conclusions. The existence of myofascial pelvic floor trigger points and high pelvic floor muscle tone seem to be reflective of pelvic floor symptoms, as assessed with a standardized pelvic floor questionnaire.http://dx.doi.org/10.1155/2024/5568010
spellingShingle Sabrina Einig
Esther Ruess
Andreas Schoetzau
Kerstin Ayllon Bartet
Viola Heinzelmann-Schwarz
Francesco Vigo
Tilemachos Kavvadias
Pelvic Pain of Myofascial Origin in Women: Correlation with Lower Urinary Tract Symptoms
Advances in Urology
title Pelvic Pain of Myofascial Origin in Women: Correlation with Lower Urinary Tract Symptoms
title_full Pelvic Pain of Myofascial Origin in Women: Correlation with Lower Urinary Tract Symptoms
title_fullStr Pelvic Pain of Myofascial Origin in Women: Correlation with Lower Urinary Tract Symptoms
title_full_unstemmed Pelvic Pain of Myofascial Origin in Women: Correlation with Lower Urinary Tract Symptoms
title_short Pelvic Pain of Myofascial Origin in Women: Correlation with Lower Urinary Tract Symptoms
title_sort pelvic pain of myofascial origin in women correlation with lower urinary tract symptoms
url http://dx.doi.org/10.1155/2024/5568010
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