{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T12:54:07Z","timestamp":1777294447415,"version":"3.51.4"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,10,19]],"date-time":"2017-10-19T00:00:00Z","timestamp":1508371200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002811","name":"Cathay General Hospital","doi-asserted-by":"publisher","award":["CGH\u2010MR\u2010A10505"],"award-info":[{"award-number":["CGH\u2010MR\u2010A10505"]}],"id":[{"id":"10.13039\/501100002811","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005762","name":"National Taiwan University Hospital","doi-asserted-by":"publisher","award":["105\u2010CGN07"],"award-info":[{"award-number":["105\u2010CGN07"]}],"id":[{"id":"10.13039\/501100005762","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004663","name":"Ministry of Science and Technology, Taiwan","doi-asserted-by":"publisher","award":["MOST 105\u20102314\u2010B\u2010038\u2010062"],"award-info":[{"award-number":["MOST 105\u20102314\u2010B\u2010038\u2010062"]}],"id":[{"id":"10.13039\/501100004663","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p>To explore the effect of menopause on the movements of the bladder neck and genital hiatus during involuntary and voluntary pelvic floor muscle (PFM) contractions among women with pelvic floor symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The data of 162 premenopausal and 215 postmenopausal women were retrospectively analyzed. The investigation encompassed clinical interview, pelvic examination, and four\u2010dimensional ultrasound. The ultrasound manifestations of the bladder neck and genital hiatus during involuntary and voluntary PFM contractions were assessed during coughing and maximal squeezing. The bladder neck location, genitohiatal size, and genitohiatal location were evaluated with bladder neck distance (BND) and bladder neck angle (BNA), genitohiatal dimension (GHD) and genitohiatal area (GHAR), as well as genitohiatal angle (GHA), respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From resting to coughing, postmenopausal women exhibited a more caudodorsal bladder neck movement (changes in BND\/BNA, premenopausal vs. postmenopausal women: \u22120.91\u2009\u00b1\u20091.22\u2009cm\/\u201312\u2009\u00b1\u200947\u00b0 vs. \u22120.48\u2009\u00b1\u20090.83\u2009cm\/11\u2009\u00b1\u200938\u00b0, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), less genitohiatal size reduction (changes in GHD\/GHAR, premenopausal vs. postmenopausal women: \u22121.38\u2009\u00b1\u20092.15\u2009cm\/\u22125.5\u2009\u00b1\u20098.4\u2009cm<jats:sup>2<\/jats:sup> vs. \u22120.46\u2009\u00b1\u20091.68\u2009cm\/\u22121.9\u2009\u00b1\u20097.6\u2009cm<jats:sup>2<\/jats:sup>, <jats:italic>P\u2009<\/jats:italic>&lt;\u20090.001), and less cranioventral genitohiatal movement (changes in GHA, premenopausal vs. postmenopausal women: \u221233\u2009\u00b1\u200963\u00b0 vs. \u221211\u2009\u00b1\u200943\u00b0, <jats:italic>P\u2009<\/jats:italic>&lt;\u20090.001) than premenopausal women. Premenopausal and postmenopausal women demonstrated comparable ultrasound manifestations of the bladder neck and genital hiatus during maximal squeezing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>For women with pelvic floor symptoms, menopause is associated with impaired responsiveness of involuntary PFM contractions to sudden intra\u2010abdominal pressure rise but not with voluntary PFM contractions.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.23433","type":"journal-article","created":{"date-parts":[[2017,10,19]],"date-time":"2017-10-19T14:32:42Z","timestamp":1508423562000},"page":"1128-1136","source":"Crossref","is-referenced-by-count":9,"title":["Menopause is associated with impaired responsiveness of involuntary pelvic floor muscle contractions to sudden intra\u2010abdominal pressure rise in women with pelvic floor symptoms: A retrospective study"],"prefix":"10.1002","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5796-3498","authenticated-orcid":false,"given":"Wen\u2010Chen","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Cathay General Hospital Taipei Taiwan"},{"name":"Department of Obstetrics and Gynecology School of Medicine College of Medicine Taipei Medical University Taipei Taiwan"},{"name":"Graduate Institute of Clinical Medicine College of Medicine National Taiwan University Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jenn\u2010Ming","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology School of Medicine College of Medicine Taipei Medical University Taipei Taiwan"},{"name":"Department of Obstetrics and Gynecology Taipei Medical University\u2010Shuan Ho Hospital, New Taipei New Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,10,19]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410x.2000.00724.x"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0028-2243(93)90169-D"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-011-1615-9"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2013.08.008"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/GME.0000000000000278"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2013.06.012"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-015-2700-2"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20144"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22937"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20798"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1520-6777(2000)19:2<137::AID-NAU4>3.0.CO;2-G"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01902383"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.3825"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.6338"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12133"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-014-2382-1"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22781"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2008.06.008"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2011.01.014"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-006-0278-4"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuroscience.2006.03.010"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22703"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-002-6584-1"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001920200026"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1089\/15246090152636541"}],"container-title":["Neurourology 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