One session involved a standard “Brink” PFM test (Graded 0-5) and a subsequent perinometer-based objective assessment of “squeezing pressure”, both via a per rectal approach. Session 2 involved a “rapid response test” (RRT), where 10 maximal PFM contractions were performed as rapidly as possible under trans-abdominal RTUS imaging of the pelvic floor, with elapsed time recorded. A subsequent “sustained endurance test” (SET) required subjects to sustain a maximal PFM contraction, with task failure visually confirmed on RTUS and elapsed time recorded.
Between-observer reproducibility in 80 male subjects (68±7yrs) was subsequently determined for both the RRT and SET tests, in supine and standing postures. A modest but significant correlation was observed between manual DRE and perinometer measures (r=0.51, P<0.05), but DRE scores did not correlate with either RRT (r=0.02, P=0.91) or SET results (r=0.11, P=0.58). Similarly, perinometer scores did not correlate with either RRT (r=0.06, P=0.78) or SET (r=0.14, P=0.49). Both RRT (r=0.97, P<0.05) and SET (r=1.0, P<0.05) tests were highly reproducible with low coefficients of variation (5-12%).
We introduce two new tests of PFM function. Neither the RRT, devised to assess fast twitch fibre function, nor the SET, a test of slow twitch muscle endurance, correlated with the traditional DRE/Brink score. This suggests that our novel tests and the traditional DRE/Brink approach assess distinct functional parameters of the pelvic floor.
However, our tests are ecologically valid in terms of muscle fibre composition of the pelvic floor, highly reproducible irrespective of posture, non-invasive, objective, sensitive in terms of continuous timed assessment, provide real-time visual feedback to define task failure and can be quickly and easily adopted in the clinical setting. Results from the RRT and SET tests provide a baseline of PFM function, essential for devising individualised treatment plans for ED and UI in men.
The commonest male ejaculation disorder is Premature Ejaculation (PE). Inhibited or Delayed Ejaculation can be a more challenging condition to assess and treat. This discussion will focus on the diagnosis, investigations and management of ejaculation problems including an overview of the first medication specifically approved for the treatment of PE, dapoxetine, released under the trade name of Priligy™.
Unmarried women have not been a target group for cervical cancer prevention in Korea. This study was performed to identify the awareness of Pap testing in unmarried university students in Korea, and to investigate the factors associated with the intention to undergo Pap testing.
Spinal Cord Injury (SCI) is a traumatic event that results in a sudden life change that is difficult to conceptualise. No one can truly be prepared for such a huge shock. It impacts a person not just physically and neurologically, but also socially, emotionally and psychologically. Recovering from SCI has been likened to a “rebirth”. A person needs to reconstruct even the most basic activities of daily living. Sexuality, being an integral part of every person’s life, is also part of this reconstruction process.
According to previous studies, lesbian, gay, and bisexual (LGB) people report lower levels of mental health relative to heterosexuals. Young LGB people especially suffer from poorer psychological adjustment. However, it remains unclear whether different developmental identity patterns have implications for the psychological adjustment of LGB youths. There is a possibility that the development of sexual orientation identity is related to the better mental health among young LGB people. This study examines whether different patterns of LGB identity formation and integration are associated with psychological adjustment.
In this presentation, Dr Redelman reviews some strategies to improving therapeutic outcomes by considering partner characteristics, such as personality and coping style, and relationship dynamics.
Dr Anita Elias will present a practical assessment and management tool that helps patients understand the connection between their thoughts, emotions and physical sexual responses. This model considers
This presentation aims to discuss two well-known sexuality phenomena in Japan from the clinical and cultural perspective. The celibacy syndrome in young people and sexless marriages are becoming widely discussed issues, raising more and more concerns over the future of Japanese society.
This presentation, "Responding to the needs of consumers with complex trauma histories a consumer perspective" focuses on the needs of adult survivors of child abuse, highlighting the frequent