Pelvic floor parameters in women with gynecological endocrinopathies: a systematic review
Open Access
- 1 December 2020
- journal article
- review article
- Published by FapUNIFESP (SciELO) in Revista da Associação Médica Brasileira
- Vol. 66 (12), 1742-1749
- https://doi.org/10.1590/1806-9282.66.12.1742
Abstract
There is no pooled information about pelvic floor parameters (muscle assessment, disorders) of women with gynecologicaL endocrinopathies (eg. polycystic ovary syndrome, congenital adrenal hyperplasia, premature ovarian insufficiency). Given that, a systematic review was performed on the Pubmed, Scopus, Google Scholar, Scielo and PEDro databases regarding the main gynecological endocrinopathies [polycystic ovary syndrome (PCOS), premature ovarian insufficiency (POI), congenital adrenal hyperplasia (CAH) and hyperprolactinemia (HPL)] since their inception to April 2020. Data quality assessment was made by the Newcastle-Ottawa Scale (NOS) adapted for cross-sectional studies. A total of 4,272 results were retrieved from all databases. After excluding duplicate results and screening by title and abstract, nine studies were selected for quantitative analysis. Seven studies were performed with women with PCOS and two studies with POI. Women with PCOS presented a higher prevalence of urinary incontinence (UI) among obese women, a higher thickness of the levator ani muscle, and higher levels of muscle activity measured by surface electromyograph when compared to the control women. Regarding POI, there was no association with UI, FI, and POP. NOS found that the quality assessment for these selected studies ranged from 5 to 8. We concluded that higher pelvic muscle activity and volume were found in women with PCOS, with further studies needed to confirm this data. Literature was scant about POI, CAH, and HPL.Keywords
This publication has 27 references indexed in Scilit:
- Pelvic floor muscle strength and urinary incontinence in hyperandrogenic women with polycystic ovary syndromeInternational Urogynecology Journal, 2013
- Are healthcare workers’ intentions to vaccinate related to their knowledge, beliefs and attitudes? a systematic reviewBMC Public Health, 2013
- Oestrogen therapy for urinary incontinence in post-menopausal womenEmergencias, 2012
- Selective estrogen receptor‐β activation stimulates skeletal muscle growth and regenerationThe FASEB Journal, 2012
- Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analysesEuropean Journal of Epidemiology, 2010
- The Menstrual CycleAnnals of the New York Academy of Sciences, 2008
- Drug Insight: testosterone and selective androgen receptor modulators as anabolic therapies for chronic illness and agingNature Clinical Practice Endocrinology & Metabolism, 2006
- Estrogen increases collagen I and III mRNA expression in the pelvic support tissues of the rhesus macaqueAmerican Journal of Obstetrics and Gynecology, 2005
- Uterine prolapse in a young nulligravida with scleroderma and premature ovarian failureInternational Urogynecology Journal, 2005
- Estrogen Receptor Alpha mRNA in Human Skeletal MusclesMedicine & Science in Sports & Exercise, 2003