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Ethicon Media Monitoring 07/21/16

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  1. Why Women Need to Be More Aware of Their Pelvic Floor Health

    Jul 20, 2016 | Empowher

    By Katelyn Greno

    Most of us are familiar with our pelvic regions, but many don’t realize how much this body part really impacts a woman’s health and wellness.
  2. Results, safety and patient satisfaction at 6 months of vaginal anterior wall prolapse surgery by transvaginal repair with mesh use

    Jul 20, 2016 | Uro Today

    To assess at 6 months the efficiency, the safety and the satisfaction of a lightweight polypropylene mesh used for the transvaginal repair of cystocele by bilateral anterior sacrospinous ligament fixation (NUVIA™ SI).

    Client Attorney Privileged/Attorney Work Product/At Request of Counsel

    Online Sources

  1. Why Women Need to Be More Aware of Their Pelvic Floor Health

    Jul 20, 2016 | Empowher

    By Katelyn Greno

    Most of us are familiar with our pelvic regions, but many don’t realize how much this body part really impacts a woman’s health and wellness.

    So, let’s get to the science of it. Your pelvic floor is a group of muscles that connect the front to the back of your pelvis forming a hammock. The muscles provide a sling of support to your vagina and bowel, as well as your bladder and uterus.

    Pelvic muscles are important for sexual function. Squeezing these muscles to strengthen them can help enhance sexual arousal. The pelvic floor also supports a woman’s baby during pregnancy and helps with the process of birth.This ArticleImproved My HealthChanged My LifeSaved My Life

    Did you know as you get older, your pelvic floor muscles weaken? This could cause several problems such as stress incontinence, urinary incontinence, as well as pelvic organ prolapse which occurs when a pelvic organ drops from its proper position.

    The good news is that there are ways a woman can strengthen her pelvic floor.

    Why Should Women Be More Aware of Their Pelvic Floor Health?

    Amy Stein, the founder of Beyond Basics Physical Therapy in New York City said, “a strong pelvic floor will help reduce your risk of incontinence, improve your sexual health, and boost your core strength and stability.” (1)

    According to an article on NHS Choices, women who have been pregnant have weaker pelvic muscles. Even though you can’t see them, these muscles are important to a woman’s overall health.

    There are several ways you can strengthen those muscles and avoid a weak pelvic floor.

    4 Exercises to Strengthen Your Pelvic Floor

    1) “Kegel” exercise

    When you go to the bathroom, if you squeeze the muscles you use to stop urinating, then you have found your pelvic muscles. So, an exercise can be sitting down and squeezing those muscles. Squeeze for about 10-15 times in a row.

    Don’t hold your breath or tighten your stomach at the same time. Keep doing this and hold the squeezes for a few seconds longer. Over time, you should see the results of your incontinence improving. Even if you feel good, continue doing these exercises for strong pelvic floor health.

    2) The Bridge technique

    Lay flat on your back on the floor with your knees bent and feet on the floor. Inhale, tighten your pelvic floor, and lift your hips.

    This works your pelvic floor muscles. When you lift, hold for 10 seconds, then lower your hips and repeat a few times.

    3) Wall Squat

    Put your back against the wall and have your feet hip-width apart. Inhale, and lower your body like you are about to sit in a chair, and hold for 10 seconds. Stand back up and exhale.

    Inhaling and tightening your pelvic floor while you squat down works your pelvic muscles. Rest and do a few reps.

    4) Jumping Jacks

    Stand straight with your legs together. Jump and move your legs apart and bring your arms above your head. When you inhale, tighten your pelvic floor muscles and jump out, to strengthen your pelvic floor.

    After you jump out, bring your legs and arms back in, to a normal standing position and relax your pelvic floor. Repeat for 30 seconds to a minute.

    Performing these exercises even for just a few minutes every day can boost your pelvic floor strength. They are quick and easy workouts that you can do anywhere.

    http://www.empowher.com/sexual-health/content/why-women-need-be-more-aware-their-pelvic-floor-health

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  2. Results, safety and patient satisfaction at 6 months of vaginal anterior wall prolapse surgery by transvaginal repair with mesh use

    Jul 20, 2016 | Uro Today

    To assess at 6 months the efficiency, the safety and the satisfaction of a lightweight polypropylene mesh used for the transvaginal repair of cystocele by bilateral anterior sacrospinous ligament fixation (NUVIA™ SI).

    A prospective cohort study was performed from January 2014 to June 2015. Preoperative assessment included an evaluation using the Pelvic Organ Prolapse Quantification system (POP-Q) and 3 questionnaires about symptoms, quality of life and quality of sex life (PFDI-20, PFIQ7, PISQ-12). Results were evaluated by a composite criteria: Ba≤0, absence of bulge sensation and absence of reoperation for cystocele recurrence. Secondary objectives were to assess the complications rates and patient's satisfaction.

    In 10 months, 16 patients, with a mean age of 61.9±8.8years, were included and evaluated by an independent observator at 6months. Four patients were sexually active before surgery and 5 at 6 months. Results were optimal in 93.75% cases (15/16) with one intraoperative injury (bladder injury) and one postoperative complication (increase of preoperative dyspareunia). Satisfaction rate was 93.75% (15/16) and questionnaires PFDI-20 and PFIQ-7 were statistically improved (P<0.0001 and P=0.0013). Three patients had a reintervention but not about anterior wall prolapse (section of a suburethral sling for urinary retention, suburethral sling exposure and cure of stress urinary incontinence).

    At short term, transvaginal mesh repair by anterior sacrospinous ligament fixation with NUVIA™ presents 93.75% optimal result with one case of increased dyspareunia and 3 reoperations which don't concern anterior wall (urinary outcomes).

    4.

    Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie. 2016 Jul 04 [Epub ahead of print]

    M Denancé, E Quiboeuf, C Hocké


    http://www.urotoday.com/categories/1165-pelvic-organ-prolapse/90155-results-safety-and-patient-satisfaction-at-6-months-of-vaginal-anterior-wall-prolapse-surgery-by-transvaginal-repair-with-mesh-use.html

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