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( Daniel Balbachevsky ),( Robinson Esteves Pires ),( Rodrigo Guerra Sabongi ),( Theophilo Asfora Lins ),( Geiser De Souza Carvalho ),( Helio Jorge Alvachian Fernandes ),( Fernando Baldy Dos Reis ) 대한외상학회 2019 大韓外傷學會誌 Vol.32 No.1
Unstable pelvic ring lesions are usually treated with internal fixation. In patients presenting clinical instability or soft tissue complication risk, external fixation is a safe treatment option. However, pin tract infection, insufficient biomechanical properties, difficulty sitting and changing decubitus are important drawbacks related to the treatment. The present study reports the association of anterior and posterior subcutaneous internal fixation by applying spine-designed implants on the pelvic ring disruption: supra- acetabular pedicle screws with an interconnecting rod (Infix), plus posterior transiliac fixation with the same system, which the authors have named the “Hula Hoop Technique”.
Pelvic floor muscle strength is correlated with sexual function
Dulcegleika Vilas Boas Sartori,Paulo Roberto Kawano,Hamilto Akihissa Yamamoto,Rodrigo Guerra,Pedro Rochetti Pajolli,João Luiz Amaro 대한비뇨의학회 2021 Investigative and Clinical Urology Vol.62 No.1
Purpose: Sexual performance is related to proprioception and pelvic floor muscle strength (PFMS). The aim of this study was to correlate sexual activity and orgasm with PFMS. Materials and Methods: A total of 140 healthy continent female were prospectively distributed into 4 groups according to age: Group 1 (G1), 30–40; Group 2 (G2), 41–50; Group 3 (G3), 51–60; Group 4 (G4), over 60 years old. Evaluated parameters were: frequency of sexual activity and orgasm achievement; body mass index (BMI) and objective evaluation of PFMS using perineometer and surface electromyography. Results: BMI was higher in G4 compared to G1 (p=0.042). Women who reported sexual activity was significantly higher in G1 compared to G3 and G4 (94.1% vs. 66.7% and 37.5%, respectively; p=0.001). Orgasm was more frequently in G1 compared to G3 and G4 (91.2% vs. 63.9% and 28.1%, respectively; p=0.001), demonstrating that sexual activity and orgasm decrease after age 51. The duration of PFM contraction was significantly higher in women who had sexual intercourse (p=0.033) and orgasm (p=0.018). Conclusions: Although the frequency of sexual intercourse and orgasm may decrease with aging, a relationship between sexual activity and PFMS remains apparent, once both sexually active women and those who have orgasms showed better PFM endurance than non-sexually active ones.