{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T15:18:02Z","timestamp":1701443882188},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,9,25]],"date-time":"2018-09-25T00:00:00Z","timestamp":1537833600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To assess the correlation between hormonal status and pelvic floor muscle strength.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 140 continent women were prospectively evaluated, and divided into four groups according to age: group\u00a01 (<jats:italic>n<\/jats:italic>\u00a0=\u00a034) aged 30\u201340\u00a0years; group\u00a02 (<jats:italic>n<\/jats:italic>\u00a0=\u00a038) aged 41\u201350\u00a0years; group\u00a03 (<jats:italic>n<\/jats:italic>\u00a0=\u00a035) aged 51\u201360; and group\u00a04 (<jats:italic>n<\/jats:italic>\u00a0=\u00a033) aged &gt;60\u00a0years. The following parameters were evaluated: demographic data using clinical questionnaire; hypermobility of the bladder neck using swab test; vaginal trophism by gynecological examination; hormonal status of the vagina by cytology; and pelvic floor muscle strength using a perineometer and electromyography.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no statistical differences between pelvic floor muscle strength, demographic characteristics, vaginal trophism and hypermobility of the bladder neck between groups (<jats:italic>P<\/jats:italic>\u00a0&gt;\u00a00.05). There was a larger number of women with vaginal atrophy among those aged &gt;60\u00a0years. Vaginal trophism assessed by pelvic examination was highly consistent with the findings of colpocytology (kappa test\u00a0=\u00a00.888). Electromyography showed that women with hypermobility had lower muscle resistance (endurance) when compared with those without hypermobility.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although vaginal atrophy is more intense in women aged &gt;60\u00a0years, no difference can be found in the pelvic floor muscle strength during the physiological aging process in continent women. As a consequence, trophism is not the only factor related to pelvic floor muscle strength, and it should not preclude the selection of patients who are referred to prophylaxis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/iju.13788","type":"journal-article","created":{"date-parts":[[2018,9,25]],"date-time":"2018-09-25T23:46:52Z","timestamp":1537919212000},"page":"57-61","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Impact of vulvovaginal atrophy on pelvic floor muscle strength in healthy continent women"],"prefix":"10.1111","volume":"26","author":[{"given":"Dulcegleika VB","family":"Sartori","sequence":"first","affiliation":[{"name":"Department of Urology Medical School of Botucatu Sao Paulo State University Botucatu Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monica O","family":"Gameiro","sequence":"additional","affiliation":[{"name":"Department of Urology Medical School of Botucatu Sao Paulo State University Botucatu Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paulo R","family":"Kawano","sequence":"additional","affiliation":[{"name":"Department of Urology Medical School of Botucatu Sao Paulo State University Botucatu Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamilto A","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Urology Medical School of Botucatu Sao Paulo State University Botucatu Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodrigo","family":"Guerra","sequence":"additional","affiliation":[{"name":"Department of Urology Medical School of Botucatu Sao Paulo State University Botucatu Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria AC","family":"Domingues","sequence":"additional","affiliation":[{"name":"Department of Urology Medical School of Botucatu Sao Paulo State University Botucatu Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor ASS","family":"Leit\u00e3o","sequence":"additional","affiliation":[{"name":"Department of Urology Medical School of Botucatu Sao Paulo State University Botucatu Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo\u00e3o L","family":"Amaro","sequence":"additional","affiliation":[{"name":"Department of Urology Medical School of Botucatu Sao Paulo State University Botucatu Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,9,25]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-010-1150-0"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000257074.98122.69"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-200434070-00004"},{"key":"e_1_2_7_5_1","first-page":"124","volume-title":"Disfun\u00e7\u00f5es sexuais femininas: a fisioterapia como recurso fisioterap\u00eautico","author":"Sim\u00f5es RD","year":"2006"},{"key":"e_1_2_7_6_1","volume-title":"Impacto do hipoestrogenismo sobre a for\u00e7a muscular do assoalho p\u00e9lvico em mulheres p\u00f3s\u2010menop\u00e1usicas [tese de mestrado]","author":"Ribeiro MC","year":"2010"},{"key":"e_1_2_7_7_1","volume-title":"Reprodutibilidade da avalia\u00e7\u00e3o funcional do assoalho p\u00e9lvico em mulheres mult\u00edparas continentes [tese de mestrado]","author":"Sartori DVB","year":"2010"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-009-0978-7"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20870"},{"key":"e_1_2_7_10_1","first-page":"374","article-title":"Evaluation of female pelvic\u2010floor muscle function and strength","volume":"24","author":"International Continence Society","year":"2005","journal-title":"Neurourol. 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