Most Read Articles
3 years ago

Over the past few decades, there has been widespread concern about the increasing proportion of births born by caesarean delivery. The rising rate of primary caesarean section has led to the increased number of obstetric population with a history of prior caesarean delivery. Although this group of women may be offered planned vaginal birth after previous caesarean section (VBAC) or elective repeat caesarean section (ERCS), the VBAC rate is generally low particularly in well-developed countries. In the United States, the VBAC rate has decreased to 8.5% by 2006, while the total caesarean rate has increased to 31.1%.1

one year ago
Kidney and bladder stones (urinary tract stones) are not risk factors for osteoporosis in postmenopausal women, according to the women’s health initiative.
Kavitha G. Shekar, 2 years ago
Current guidelines for the management of gestational hypertension (GH) need to be revised, say researchers. This is based on the results of a cross-sectional comparative study which showed that dydrogesterone supplementation during the first trimester of pregnancy significantly reduced the incidence of GH in primigravidae.
Kavitha G. Shekar, 2 years ago

Doppler measurement of cerebroplacental ratio (CPR) can detect chronic placental insufficiency and failure to reach growth potential (FRGP) in appropriate-for-gestational age (AGA) pregnancies. This allows to time delivery of pregnancies, except monochorionic pregnancy, says Dr Tony Tan from the Department of Obstetrics and Gynaecology, Raffles Hospital, Singapore.

Outcomes in female idiopathic UUI better with EPNS than with transvaginal stimulation

4 months ago

Electrical pudendal nerve stimulation (EPNS) may be a better treatment approach than transvaginal electrical stimulation (TES) for drug-refractory female idiopathic urgency urinary incontinence (UUI), a study suggests.

A total of 120 patients with UUI were randomized to receive either EPNS (n=80) or TES (n=40). The EPNS intervention was delivered by deeply inserting electrified acupuncture needles into four sacrococcygeal points to stimulate the pudendal nerves.

The outcomes of interest included a 24-hour pad test and a questionnaire to measure the severity of symptoms and quality of life (UUI total score).

The UUI total score decreased from 13 at baseline to 2 at treatment conclusion in the EPNS group and from 11 to 6.5 in the TES group. The between-group difference in post-treatment UUI total score achieved significance (p<0.01).

Complete symptom resolution occurred in 42.5 percent of EPNS-treated patients vs 2.5 percent of TES-treated patients. The 50 percent symptom improvement rates were 70.1 and 45 percent, respectively.

Overall, the therapeutic effect was better with EPNS than with TES (p<0.01).

The pudendal nerve stems from sacral S2-4 nerve roots and divides into three terminal branches: the inferior rectal, perineal and dorsal nerves. It provides sensory innervation to the anal, perineal and genital regions, as well as supplies motor control to the external anal and external urethral sphincters and the pelvic floor muscles. [Pain Physician 2014;17:E645-E650]

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Most Read Articles
3 years ago

Over the past few decades, there has been widespread concern about the increasing proportion of births born by caesarean delivery. The rising rate of primary caesarean section has led to the increased number of obstetric population with a history of prior caesarean delivery. Although this group of women may be offered planned vaginal birth after previous caesarean section (VBAC) or elective repeat caesarean section (ERCS), the VBAC rate is generally low particularly in well-developed countries. In the United States, the VBAC rate has decreased to 8.5% by 2006, while the total caesarean rate has increased to 31.1%.1

one year ago
Kidney and bladder stones (urinary tract stones) are not risk factors for osteoporosis in postmenopausal women, according to the women’s health initiative.
Kavitha G. Shekar, 2 years ago
Current guidelines for the management of gestational hypertension (GH) need to be revised, say researchers. This is based on the results of a cross-sectional comparative study which showed that dydrogesterone supplementation during the first trimester of pregnancy significantly reduced the incidence of GH in primigravidae.
Kavitha G. Shekar, 2 years ago

Doppler measurement of cerebroplacental ratio (CPR) can detect chronic placental insufficiency and failure to reach growth potential (FRGP) in appropriate-for-gestational age (AGA) pregnancies. This allows to time delivery of pregnancies, except monochorionic pregnancy, says Dr Tony Tan from the Department of Obstetrics and Gynaecology, Raffles Hospital, Singapore.