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    Complex pelvic floor failure and associated problems.
    Best Pract Res Clin Gastroenterol 2009 ;23(4):555-73
    University College London Hospital, London, UK.
    The pelvic floor is a highly complex structure made up of skeletal and striated muscles, support and suspensory ligaments, fascial coverings and an intricate neural network. Its dual role is to provide support for the pelvic viscera (bladder, bowel and uterus) and maintain functional integrity of these organs. In order to maintain good pelvic floor function, this elaborate system must work in a highly integrated manner. Read More
    Impact of pelvic floor disorders and prolapse on female sexual function and response.
    Urol Clin North Am 2002 Aug;29(3):677-83
    Obstetrics and Gynecology, Washington University in St. Louis, 4911 Barnes Jewish Hospital Plaza, Box 8064, St. Louis, MO 63110, USA.
    Pelvic floor disorders and FSD are prevalent and challenging problems. These disorders include prolapse of the uterus, cervix, vagina, bladder, and rectum and incontinence. These diseases likely affect women's sexual well-being through physical and emotional effects. Read More
    Responsiveness of the Pelvic Floor Distress Inventory (PFDI) and Pelvic Floor Impact Questionnaire (PFIQ) in women undergoing vaginal surgery and pessary treatment for pelvic organ prolapse.
    Am J Obstet Gynecol 2006 May;194(5):1492-8
    The Cleveland Clinic Foundation, Cleveland, OH, USA.
    Objective: This study was undertaken to evaluate the responsiveness of the Pelvic Floor Distress Inventory (PFDI) and Pelvic Floor Impact Questionnaire (PFIQ) in women with pelvic organ prolapse undergoing surgical and nonsurgical management.

    Study Design: The responsiveness of the prolapse, urinary and colorectal scales of the PFDI and PFIQ were assessed in 2 independent populations: (1) 42 women with stage II or greater prolapse enrolled in an ongoing multicenter randomized trial comparing 2 different pessaries (Pessary group) and (2) 64 women with stage III or greater prolapse who underwent vaginal reconstructive surgery (Surgery group). All subjects completed the PFDI and PFIQ at baseline and again either 3 months (Pessary group) or 6 months (Surgery group) after initiation of treatment. Read More