Le diagnostic se fait par examen clinique et imageries comme l'échographie ou l'IRM.
ProlapsusDiagnostic médical
#2
Quels tests sont utilisés pour évaluer un prolapsus ?
Des tests comme l'examen pelvien et des études urodynamiques peuvent être réalisés.
ProlapsusUrodynamique
#3
Quels signes cliniques indiquent un prolapsus ?
Des signes comme une sensation de pesanteur ou des douleurs pelviennes peuvent indiquer un prolapsus.
ProlapsusSymptômes
#4
Le prolapsus peut-il être confondu avec d'autres conditions ?
Oui, il peut être confondu avec des infections ou des tumeurs pelviennes.
ProlapsusDiagnostic différentiel
#5
Quelle est l'importance de l'examen physique ?
L'examen physique est crucial pour évaluer la gravité et le type de prolapsus.
ProlapsusExamen physique
Symptômes
5
#1
Quels sont les symptômes courants du prolapsus ?
Les symptômes incluent douleur pelvienne, incontinence et sensation de masse dans le vagin.
ProlapsusSymptômes
#2
Le prolapsus peut-il causer des problèmes urinaires ?
Oui, il peut entraîner des difficultés à uriner ou des fuites urinaires.
ProlapsusIncontinence urinaire
#3
Y a-t-il des symptômes digestifs associés ?
Oui, des symptômes comme la constipation ou des difficultés à déféquer peuvent survenir.
ProlapsusSymptômes digestifs
#4
Comment le prolapsus affecte-t-il la sexualité ?
Il peut causer des douleurs pendant les rapports sexuels et une diminution du désir.
ProlapsusSanté sexuelle
#5
Les symptômes varient-ils selon le type de prolapsus ?
Oui, les symptômes peuvent varier selon qu'il s'agit d'un prolapsus vaginal, rectal ou utérin.
ProlapsusTypes de prolapsus
Prévention
5
#1
Comment prévenir le prolapsus viscéral ?
Maintenir un poids santé, faire des exercices pelviens et éviter de soulever des charges lourdes.
ProlapsusPrévention
#2
Le tabagisme influence-t-il le prolapsus ?
Oui, le tabagisme peut affaiblir les tissus et augmenter le risque de prolapsus.
ProlapsusTabagisme
#3
Les grossesses multiples augmentent-elles le risque ?
Oui, les grossesses multiples peuvent affaiblir les muscles pelviens et favoriser le prolapsus.
ProlapsusGrossesse
#4
L'âge joue-t-il un rôle dans le prolapsus ?
Oui, le risque de prolapsus augmente avec l'âge en raison de la perte de tonus musculaire.
ProlapsusÂge
#5
Les activités physiques peuvent-elles aider ?
Certaines activités comme le yoga peuvent renforcer le plancher pelvien et prévenir le prolapsus.
ProlapsusActivité physique
Traitements
5
#1
Quels traitements sont disponibles pour le prolapsus ?
Les traitements incluent des exercices de renforcement, des pessaires et la chirurgie.
ProlapsusTraitement
#2
Quand la chirurgie est-elle recommandée ?
La chirurgie est recommandée lorsque les symptômes sont sévères et ne répondent pas aux autres traitements.
ProlapsusChirurgie
#3
Les pessaires sont-ils efficaces ?
Oui, les pessaires peuvent soutenir les organes et soulager les symptômes sans chirurgie.
ProlapsusPessaires
#4
Quels exercices aident à traiter le prolapsus ?
Les exercices de Kegel renforcent les muscles pelviens et peuvent aider à réduire les symptômes.
ProlapsusExercices de Kegel
#5
Y a-t-il des traitements médicaux non chirurgicaux ?
Oui, des traitements comme la physiothérapie pelvienne peuvent être bénéfiques.
ProlapsusPhysiothérapie
Complications
5
#1
Quelles complications peuvent survenir avec un prolapsus ?
Des complications incluent l'incontinence, des infections urinaires et des douleurs chroniques.
ProlapsusComplications
#2
Le prolapsus peut-il entraîner des problèmes psychologiques ?
Oui, il peut causer de l'anxiété, de la dépression et affecter la qualité de vie.
ProlapsusSanté mentale
#3
Y a-t-il un risque de récidive après traitement ?
Oui, le prolapsus peut récidiver même après un traitement chirurgical ou non chirurgical.
ProlapsusRécidive
#4
Comment les infections sont-elles liées au prolapsus ?
Les prolapsus peuvent augmenter le risque d'infections urinaires et vaginales.
ProlapsusInfections
#5
Le prolapsus peut-il affecter la fonction intestinale ?
Oui, il peut entraîner des problèmes de constipation et de défécation difficile.
ProlapsusFonction intestinale
Facteurs de risque
5
#1
Quels sont les principaux facteurs de risque du prolapsus ?
Les facteurs incluent l'accouchement, l'obésité, le vieillissement et les antécédents familiaux.
ProlapsusFacteurs de risque
#2
Le mode de vie influence-t-il le prolapsus ?
Oui, un mode de vie sédentaire et le surpoids augmentent le risque de prolapsus.
ProlapsusMode de vie
#3
Les antécédents chirurgicaux sont-ils un facteur ?
Oui, des interventions chirurgicales pelviennes antérieures peuvent augmenter le risque de prolapsus.
ProlapsusAntécédents chirurgicaux
#4
Les troubles du collagène sont-ils liés au prolapsus ?
Oui, des troubles du collagène peuvent affaiblir les tissus de soutien et favoriser le prolapsus.
ProlapsusTroubles du collagène
#5
Le stress physique a-t-il un impact ?
Oui, des efforts répétés ou un stress physique excessif peuvent contribuer au prolapsus.
ProlapsusStress physique
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}
Division of Urogynecology and Pelvic Floor Disorders, Department of Subspecialty Care for Women's Health, Women's Health Institute, Cleveland Clinic Foundation, Cleveland, OH. Electronic address: wallacs8@ccf.org.
Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, CA.
Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and reconstructive Surgery Northwestern University, Feinberg School of Medicine Chicago, 250 E. Superior, Chicago, IL 60611, USA. Electronic address: Christina.LewickyGaupp@nm.org.
Department of Gynecology and Obstetrics, Emory University School of Medicine, Emory Gyn/Ob Clinic, 1365 Clifton Road, Bldg A, 4th Floor, Attention Daphne Blow, Atlanta, GA, 30322, USA.
Department of Obstetrics and Gynecology, Tampere University Hospital, Tampere, Finland; Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN; Department of Urology, Mayo Clinic, Rochester, MN. Electronic address: Linder.Brian@mayo.edu.
Urogynecology/Department of Obstetrics and Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Urogynecology), Women's Health Institute, Cleveland, Ohio.
Department of Surgery, Stanford Pelvic Health Center, Stanford University, Stanford, California.
The discrete choice experiment (DCE) is conducted in this study to discuss Chinese cancer patients' risk-benefit preferences for rescue medications (RD) and their willingness to pay (WTP) in the treat...
Through literature reviews, specialist consultation, and patient surveys, this work finally included five attributes in the DCE questionnaire, i.e., the remission time of breakthrough pain, adverse re...
A total of 134 effective questionnaires were collected from January, 1 to April, 5 in 2022. Results show that the five attributes all have a significant impact on cancer patients' choice of "rescue me...
For Chinese cancer patients, especially those with moderate/severe cancer pain, the priority is to relieve the BTcP more rapidly and reduce adverse drug reactions more effectively. This study indicate...
Breakthrough pain (BP) is a complex phenomenon that has been reported to have a relevant role in the global management of cancer pain. Radiotherapy (RT) has a fundamental part in the treatment of many...
The literature regarding the phenomenon of BP in the radiotherapy setting was reviewed. Three areas were assessed, including epidemiology, pharmacokinetics, and clinical data....
Qualitative and quantitative data regarding BP in the RT setting are poor in terms of scientific evidence. Most papers assessed fentanyl products, particularly fentanyl pectin nasal spray, to resolve ...
Clinical evidence for the rapidity and effectiveness of fentanyl buccal soluble film (FBSF) in reducing pain intensity of breakthrough cancer pain (BTcP) remains inadequate. This study aimed to evalua...
The study procedure included a dose-finding period followed by a 14-day observation period. Pain intensity was recorded with a Numeric Rating Scale (NRS) at onset and 5, 10, 15, and 30 min after FBSF ...
A total of 63 BTcP episodes occurred in 30 cancer patients. Only one patient required rescue medication at first BTcP episode and then achieved meaningful pain relief after titrating FBSF by 200 µg. M...
FBSF can be administrated "on demand" by cancer patients at the onset of BTcP, providing rapid analgesia by achieving meaningful pain relief within 10 min....
This study was retrospectively registered 24 December, 2021 at Clinicaltrial.gov (NCT05209906): https://clinicaltrials.gov/study/NCT05209906 ....
Breakthrough cancer pain (BtCP) is a prevalent health issue which is difficult to manage. A plethora of quantitative research in this area exists. There is a paucity of research on the perspectives of...
A systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) approach was undertaken. The approach was registered with Prospero. MEDLINE, EMBASE, and W...
Three sources met the review criteria. One source explored nurse perspectives, while two sources explored patient perspectives. Study quality was moderate to high. Overlapping themes across the three ...
Given limited research investigating clinician and patient perspectives of BtCP, a rich understanding informed by exploratory qualitative methods around identification, best management strategies, pro...
Labor analgesia can be maintained with a continuous epidural infusion, supplemented by patient-controlled epidural boluses. patient-controlled epidural boluses use and timing require numeric understan...
Pilot observational study SETTING: Labor and Delivery Suite PARTICIPANTS: Nulliparous, English-speaking patients with singleton, vertex pregnancies admitted for postdates (gestational age ≥ 41 weeks) ...
Combined spinal-epidural labor analgesia was initiated with intrathecal fentanyl and epidural analgesia was maintained using continuous epidural infusion with patient-controlled epidural boluses....
Numeric literacy was assessed using the Lipkus 7-item expanded numeracy test. Patients were stratified by whether or not they required supplemental provider-administered analgesia and patient-controll...
Patients who required treatment of breakthrough pain had higher patient-controlled epidural boluses demands-to-delivery ratio. Numeric literacy was not correlated with the need for provider-administer...
Easy to understand scripts on how to use patient-controlled epidural boluses allows for understanding of patient-controlled epidural boluses use....
Breakthrough cancer pain should be properly assessed for better-personalized treatment plan. The Breakthrough Pain Assessment Tool is a 14-item tool validated in English developed for this purpose; no...
First, translation and cross-cultural adaptation of the 14 items (9 ordinal and 5 nominal) of the original BAT tool in French language was made. Second, assessments of validity (convergent, divergent ...
The 14 items had good content and face validity. Convergent and divergent validity, discriminant validity and test-retest reliability of the ordinal items were acceptable. Test-retest reliability and ...
The BAT-FR has shown acceptable validity, reliability and responsiveness supporting its use for assessing breakthrough cancer pain in French-speaking populations. Its structure needs nevertheless furt...
In this randomized, blinded study, we evaluated the effects of different programmed intermittent epidural bolus (PIEB) volumes for labor analgesia on the incidence of breakthrough pain and other analg...
Nulliparous women with term cephalic singleton pregnancies who requested labor analgesia had epidural analgesia initiated with 10 mL 0.1% ropivacaine with sufentanil 0.3 μg/mL. The pump was programmed...
Among 210 women randomly allocated the incidence of breakthrough pain was 34.9%, 19.7%, and 13.1%, for groups 4, 6 and 8, respectively (P=0.011). The incidence of breakthrough pain in group 8 was lowe...
The larger PIEB volumes were preferred for epidural labor analgesia compared with a smaller volume because of improved analgesia without clinically significant increases in adverse effects....
Breakthrough cancer pain (BTcP) has a negative impact on patients' quality of life, general activities, and is related to worse clinical outcomes. Fentanyl inhalant is a hand-held combination drug-dev...
The trial was conducted in opioid-tolerant cancer patients with 1 ~ 4 BTcP outbursts per day. Each patient was treated and observed for 6 episodes of BTcP (4 with fentanyl inhalant, 2 with placebo). D...
A total of 335 BTcP episodes in 59 patients were treated. The mean SPID30 was -97.4 ± 48.43 for fentanyl inhalant-treated episodes, and -64.6 ± 40.25 for placebo-treated episodes (p < 0.001). Signific...
Treatment with fentanyl inhalant was shown to be a promising therapeutic option for BTcP, with significant pain relief starting very soon after dosing. Confirmation of effectiveness requires a larger ...
ClinicalTrials.gov: NCT05531422 registered on 6 September 2022 after major amendment, NCT04713189 registered on 14 January 2021....
This study examined knowledge and practice of breakthrough cancer pain (BTcP) management among general practitioners (GPs) providing palliative care in Shanghai....
Cross-sectional study using a self-administered questionnaire....
A total of 393 GPs providing palliative care in 32 community health service centres in Shanghai were recruited by stratified cluster random sampling between 1 May and 30 June 2022....
Knowledge and practice concerning BTcP management....
A total of 375 questionnaires were collected and declared valid. The median knowledge score was 11 out of 21 points. Only 36.3% (n=136) of the participating GPs scored 11 points or more, which was cat...
Insufficient knowledge and inappropriate behaviours in BTcP diagnosis, assessment and treatment were identified. There is an urgent need to improve BTcP management among GPs providing palliative care ...
Rapid-acting fentanyl formulations are superior to oral morphine (OM) syrup in controlling breakthrough pain among patients with cancer, but they are expensive and unavailable in many countries....
To evaluate the efficacy of reconstituted intravenous fentanyl to sublingual solution (IFS) in relieving breakthrough pain as compared with OM....
In this randomized, double-blind, double-dummy, placebo-controlled trial, patients with gynecologic cancer aged ≥18 years experiencing chronic cancer pain with breakthrough pain were enrolled. Patient...
Between June 15, 2021 and December 30, 2021, 40 participants were equally and randomly assigned to receive IFS or OM. The primary outcome was significantly higher in the IFS group (4.25 vs. 1.05, p < ...
IFS can reduce early breakthrough pain. IFS may be considered for breakthrough pain when rapid-acting fentanyl formulations are unavailable....
