Female pelvic floor myofascial syndrome and its relationship with lower urinary tract storage symptoms

José I. Leyva Vazquez; Guadalupe Guerrero Reyes; Adrián  Gutiérrez González; Ricardo Hernández Velázquez; Karen M. Loya Maldonado; Omar Treviño Cavazos; Jennifer E. Reyes Alcaraz; Alejandra Robledo Torres; Sara Y. Saca Cuevas; Juan C. Herrera Morales

doi:10.18203/2320-1770.ijrcog20240772

Authors

José I. Leyva Vazquez Department of Gynecological Urology, 20 de Noviembre National Medical Center, Mexico City, Mexico https://orcid.org/0009-0004-4079-6653
Guadalupe Guerrero Reyes Department of Gynecological Urology, 20 de Noviembre National Medical Center, Mexico City, Mexico https://orcid.org/0000-0001-7225-1659
Adrián Gutiérrez González Department of Urology, University Hospital Doctor José Eleuterio González, Monterrey, Nuevo Leon, Mexico https://orcid.org/0009-0001-0779-2392
Ricardo Hernández Velázquez Department of Gynecological Urology, 20 de Noviembre National Medical Center, Mexico City, Mexico https://orcid.org/0000-0002-0452-0105
Karen M. Loya Maldonado Department of Gynecological Urology, 20 de Noviembre National Medical Center, Mexico City, Mexico https://orcid.org/0009-0004-2685-7894
Omar Treviño Cavazos Department of Gynecological Urology, 20 de Noviembre National Medical Center, Mexico City, Mexico https://orcid.org/0009-0009-7554-9966
Jennifer E. Reyes Alcaraz Department of Urology, University Hospital Doctor José Eleuterio González, Monterrey, Nuevo Leon, Mexico https://orcid.org/0009-0002-4970-6066
Alejandra Robledo Torres Department of Gynecological Urology, 20 de Noviembre National Medical Center, Mexico City, Mexico https://orcid.org/0009-0007-3529-508X
Sara Y. Saca Cuevas Department of Gynecological Urology, 20 de Noviembre National Medical Center, Mexico City, Mexico https://orcid.org/0009-0005-4887-6970
Juan C. Herrera Morales Department of Gynecological Urology, 20 de Noviembre National Medical Center, Mexico City, Mexico https://orcid.org/0000-0002-5294-3954

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20240772

Keywords:

Pelvic floor myofascial syndrome, Lower urinary tract symptoms, Frequency, Incontinence, Nocturia, Urgency

Abstract

Background: Pelvic floor myofascial syndrome is defined as non-articular skeletal muscle pain, characterized by the presence of trigger points. Present in 14-23% of patients with chronic pelvic pain. It has an impact on urinary function. The prevalence of lower urinary tract symptoms is 15-67%, with storage symptoms predominating in patients with PFMS. Objective was to determine the relationship between female pelvic floor myofascial syndrome and lower urinary tract storage symptoms.

Methods: This was a retrospective, observational, descriptive, cross-sectional, homodemic and single-center study at University Hospital Doctor José Eleuterio González, Monterrey, Nuevo Leon, Mexico from period one from April 1^st to June 30^th, 2022. Type of non-probabilistic convenience sampling. Database in Excel 2016, Pearson's Х² statistical test in the SPSS V25® program.

Results: 136 patients with PFMS and LUTS storage were evaluated. The most frequent age group was 46-55 years with 33.1% (N=45); the marital status was married with 74.3% (N=101). In relation to education 55.9% (N=76) with a bachelor's degree. The most frequent storage symptoms were nocturia 67.6% (N=92) p<0.05, frequency 60.3% (N=82) p=0.512, urgency 57.4% p<0.005.

Conclusions: Knowing the correlation between PFMS and storage LUTS can guide specific pain treatment with review of urinary symptoms. In patients with nocturia, frequency, urgency, SUI and UUI, a physical examination should be performed and included trigger points in the pelvic floor. Nocturia is the most prevalent storage LUTS in PFMS.

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