Erwann Le Rumeur - Pelvic Pain & Men’s Pelvic Health Physiotherapy

Erwann Le Rumeur - Pelvic Pain & Men’s Pelvic Health Physiotherapy French physiotherapist based in Paris, specialised in pelvic and perineal rehabilitation, pelvic pain, men’s pelvic health.

🎙️ **How Much Pelvic Floor Rehabilitation Is Enough?**A new episode of the **Weekly Pelvic Health Research Review — 25 J...
25/07/2026

🎙️ **How Much Pelvic Floor Rehabilitation Is Enough?**

A new episode of the **Weekly Pelvic Health Research Review — 25 July 2026**.

This week, **78 publications were a**lysed and 12 were classified as level A**.

The main feature asks a very practical question: does effective pelvic floor rehabilitation necessarily require more sessions?

Among the key findings:

• in neurogenic bladder, a structured four-week programme produced a clear reduction in post-void residual volume;

• before robot-assisted prostatectomy, **a single prehabilitation session**, combined with home training, was associated with better continence at six months;

• in endometriosis, supervised exercise including pelvic floor training improved some aspects of sexual function in the short term;

• in a Quebec survey, more than **95%** of women reported a persistent pelvic health condition during pregnancy or postpartum, yet only about **half** accessed pelvic health physiotherapy.

This week’s must-read papers also cover manual rotation for persistent occiput posterior position, gabapentin after anore**al surgery, five-year functional outcomes from the PACE-B prostate radiotherapy trial, urinary morbidity after pelvic mesh removal, and levator hiatus changes eight years after first delivery.

And for the unusual paper of the week: a **14 × 12 × 7 cm paediatric scrotal lipoma** extending towards the pelvic floor, initially mistaken for a hydrocele and then an omental hernia.

🎧 Watch / listen to the episode:

https://youtu.be/w-IvOD04yN4

https://spotifycreators-web.app.link/e/NywW9Eui44b

📚 Full references in the description.

Presented by Erwann Le Rumeur, physiotherapist in Paris.

BIBLIOGRAPHIEMaghalian M, Abdolalipour S, Ghassab-Abdollahi N, et al. Manual rotation and maternal positioning for occiput posterior position: network meta-a**lysis. J Obstet Gynaecol. 2026. PMID 42482313. DOI 10.1080/01443615.2026.2704339.Pompeu BF, Alves FHNN, Micherino BV, et al. Perioperative ga...

🎙️ **Combien de rééducation faut-il vraiment ?**Nouvel épisode de **La Veille Hebdo de Pelvi-Périnéologie — 25 juillet 2...
25/07/2026

🎙️ **Combien de rééducation faut-il vraiment ?**

Nouvel épisode de **La Veille Hebdo de Pelvi-Périnéologie — 25 juillet 2026**.

Cette semaine, **78 publications ont été a**lysées et 12 classées en niveau A**.

Le dossier principal pose une question très concrète : en rééducation périnéale, faut-il forcément multiplier les séances pour obtenir un effet utile ?

Parmi les résultats à retenir :

• dans la vessie neurologique, un programme structuré de quatre semaines réduit nettement le résidu post-mictionnel ;

• avant prostatectomie robotique, **une seule séance de préhabilitation**, associée à un programme à domicile, est liée à une meilleure continence à six mois ;

• dans l’endométriose, exercice supervisé et travail périnéal améliorent à court terme certains paramètres de la fonction sexuelle ;

• au Québec, plus de **95 %** des femmes interrogées rapportent un problème pelvien persistant pendant la grossesse ou le postpartum, mais seulement **une sur deux** consulte en physiothérapie pelvienne.

Les must-read de la semaine abordent aussi la rotation manuelle en présentation occipito-postérieure, la gabapentine après chirurgie anore**ale, les résultats fonctionnels à cinq ans de PACE-B après radiothérapie prostatique, les conséquences de l’explantation des meshes et l’évolution du hiatus des releveurs huit ans après le premier accouchement.

Et pour l’insolite : un **lipome scrotal pédiatrique de 14 × 12 × 7 cm**, avec extension jusqu’au plancher pelvien, initialement pris pour une hydrocèle puis pour une hernie.

🎧 Écouter / regarder l’épisode :

https://youtu.be/geTxICjsKVY

https://spotifycreators-web.app.link/e/k8Vw1Kwh44b

📚 Bibliographie complète dans la description.

Présenté par Erwann Le Rumeur, kinésithérapeute à Paris.

BIBLIOGRAPHIE 1. Maghalian M, Abdolalipour S, Gha...

Ajouter un traitement permet-il vraiment de faire mieux ? — Veille du 17 juillet 2026Nouvel épisode de La Veille Hebdo d...
17/07/2026

Ajouter un traitement permet-il vraiment de faire mieux ? — Veille du 17 juillet 2026

Nouvel épisode de La Veille Hebdo de Pelvi-Périnéologie.

Cette semaine, 89 publications ont été a**lysées et 45 retenues.

Le dossier principal pose une question essentielle en pratique clinique : lorsqu’on ajoute un médicament, une technologie ou une nouvelle modalité à un traitement déjà actif, obtient-on réellement un bénéfice supplémentaire ?

Au programme :

– toxine botulinique et douleur pelvienne chronique ;

– mirabégron associé à la solifénacine dans l’hyperactivité vésicale ;

– courant interférentiel ajouté aux exercices dans l’incontinence urinaire d’effort ;

– pression négative sur les plaies périnéales après chirurgie colore**ale ;

– exercices supervisés dans l’incontinence fécale ;

– célécoxib après énucléation prostatique au laser Holmium.

Les articles incontournables abordent également la chirurgie des malformations anore**ales, la fragilité avant chirurgie de l’incontinence masculine, le traitement conservateur de l’endométriose digestive profonde, la fonction sexuelle après radiothérapie prostatique et les différentes voies de suspension utérosacrée.

Et pour finir : des polypes pris pour des hémorroïdes… ainsi que deux perforations re**ales chez des chats après prélèvement de selles.

🎥 Voir l’épisode : https://youtu.be/hWjXaQWbD84

Ecouter sur Spotify : https://spotifycreators-web.app.link/e/G9y5Frz4Q4b

Présenté par Erwann Le Rumeur, kinésithérapeute à Paris spécialisé en pelvi-périnéologie.

BIBLIOGRAPHIE

Tran T, Dang CNT, Vuong CM. Single-stage Versus Staged Reconstruction for High and Intermediate Anore**al Malformations in Neonates: A Systematic Review and Meta-a**lysis. Pediatric Surgery International. 2026. PMID: 42455200. DOI: 10.1007/s00383-026-06545-w.
Nik-Ahd F, Dreyfuss LD, Wang L, et al. Frailty Is Associated With Postoperative Complications and Device Removal and Revision in Men Undergoing Surgery for Stress Urinary Incontinence. Journal of Urology. 2026. PMID: 42456160. DOI: 10.1097/JU.0000000000005102.
Schmidt GB, Kesmodel US, Seyer-Hansen M, Egekvist AG. Long-term Insights: Seven Years of Conservative Management for Deep Endometriosis in the Bowel. Acta Obstetricia et Gynecologica Scandinavica. 2026. PMID: 42466513. DOI: 10.1111/aogs.70290.
Massachi J, Jiang T, Neilsen BK, et al. Dosimetric A**lysis of Post-radiotherapy S*xual Dysfunction in Patients Receiving Definitive Stereotactic Body Radiotherapy for Prostate Cancer: A Secondary A**lysis of MIRAGE. Radiotherapy and Oncology. 2026. PMID: 42435817. DOI: 10.1016/j.radonc.2026.111683.
Zhang Y, Yan J, Yin R, et al. Mid-term Outcomes of Laparoscopic Versus Vaginal Uterosacral Ligament Suspension for Pelvic Organ Prolapse. International Urogynecology Journal. 2026. PMID: 42458041. DOI: 10.1007/s00192-026-06801-6.
Spruijt MA, Klerkx WM, Notten K, et al. Botulinum Toxin A Injection Treatment in Chronic Pelvic Pain Patients: Open-Label Extension Study and 12-Month Follow-Up After RCT. International Urogynecology Journal. 2026. PMID: 42461279. DOI: 10.1007/s00192-026-06814-1.
Chen W, Yoshida S, Yajima S, et al. Quantitative Assessment of Additive Effects of Mirabegron and Solifenacin in Overactive Bladder: Re-a**lysis of SYNERGY Study. Urology. 2026. PMID: 42456778. DOI: 10.1016/j.urology.2026.07.020.
Sekandari R, Pourali L, Sheikhi Z, et al. Adding Interferential Current to Pelvic Floor Exercises Reduces Weekly Frequency of Stress Urinary Incontinence. Scientific Reports. 2026. PMID: 42436225. DOI: 10.1038/s41598-026-61215-0.
Su X, Chen L, Xu X. Negative-pressure Wound Therapy for Perineal Wound Complications After Abdominoperineal Resection or Extralevator APR: Systematic Review and Meta-a**lysis. Techniques in Coloproctology. 2026. PMID: 42439992. DOI: 10.1007/s10151-026-03329-1.
Jeske P, Miedziarek C, Clarke D, et al. The Role of Pelvic Floor Muscle Training in the Management of Idiopathic F***l Incontinence. Techniques in Coloproctology. 2026. PMID: 42432385. DOI: 10.1007/s10151-026-03390-w.
Gopalakrishnan M, Useva A, Novak A, Wiener S. Postoperative Celecoxib Associated With Improved Early Continence and Flow Rates After Holmium Laser Enucleation of the Prostate. Urology Practice. 2026. PMID: 42429382. DOI: 10.1097/UPJ.0000000000001057.
Webb AJ, Harper E, Rattay T, et al. Circadian Genotypes in PER3 and Time of Prostate Cancer Radiotherapy Interact to Affect Risk of Late Side-effects. Clinical Cancer Research. 2026. PMID: 42440347. DOI: 10.1158/1078-0432.CCR-26-0268.
Bhatia R, Ahuja A, Siddique M. Pregnancy After Uterine-Preserving Prolapse Surgery. International Urogynecology Journal. 2026. PMID: 42467239. DOI: 10.1007/s00192-026-06812-3.
Martínez AS, Mercader PM, Cuquerella JT, et al. Impact of Inflammatory Activity on Anore**al Function in Patients With Ulcerative Colitis. Alimentary Pharmacology and Therapeutics. 2026. PMID: 42458231. DOI: 10.1111/apt.70855.
Sadek M, Almallouhi A, Darwish O, et al. Dyssynergic Defecation in Adolescents With Constipation: Anore**al Manometry Findings. Journal of Pediatric Gastroenterology and Nutrition. 2026. PMID: 42460694. DOI: 10.1002/jpn3.70513.
Lindert J, Erkel D, Kurzweil N, et al. Point-of-care Ultrasound Assessment of Transre**al Diameter to Evaluate F***l Load in Children With Anore**al Malformations. Pediatric Surgery International. 2026. PMID: 42467098. DOI: 10.1007/s00383-026-06520-5.
Campilongo C, Trovalusci E, Hartford L, et al. Outcomes and Revision Rates After Antegrade Continence E***a Appendicostomy. Pediatric Surgery International. 2026. PMID: 42437421. DOI: 10.1007/s00383-026-06533-0.
Liu Y, Pan Y, Tao X, et al. Hemorrhoids or Not? Inflammatory Cloacogenic Polyps Mimicking Pr*****ed Hemorrhoids. Revista Española de Enfermedades Digestivas. 2026. PMID: 42439421. DOI: 10.17235/reed.2026.12090/2026.
Cavanaugh LA, Ham KM, Williams RW. Iatrogenic Re**al Perforation in Two Cats Secondary to Use of a Faecal Loop. New Zealand Veterinary Journal. 2026. PMID: 42442925. DOI: 10.1080/00480169.2026.2694516.

BIBLIOGRAPHIE 1. Tran T, Dang...

Does Adding Another Treatment Really Improve Outcomes? — Weekly Review, 17 July 2026A new episode of the Weekly Pelvic H...
17/07/2026

Does Adding Another Treatment Really Improve Outcomes? — Weekly Review, 17 July 2026

A new episode of the Weekly Pelvic Health Research Review is now available.

This week, 89 publications were screened and 45 were retained.

The main feature asks a fundamental clinical question: when a drug, technology or additional treatment component is added to an intervention that already works, does it provide a genuine additional benefit?

This episode covers:

– botulinum toxin for chronic pelvic pain;

– mirabegron combined with solifenacin for overactive bladder;

– interferential current added to pelvic floor exercise for stress urinary incontinence;

– negative-pressure therapy for perineal wounds after colore**al surgery;

– supervised exercise for faecal incontinence;

– celecoxib after holmium laser enucleation of the prostate.

The must-read papers also examine neonatal anore**al malformation surgery, frailty before male incontinence surgery, long-term conservative management of deep bowel endometriosis, sexual function after prostate radiotherapy and different routes of uterosacral ligament suspension.

And to finish: inflammatory polyps mistaken for haemorrhoids… and two cases of re**al perforation in cats following faecal sampling.

🎥 Watch the episode on Youtube: https://youtu.be/A0KMGSn7B1k

Listen on Spotify;
https://spotifycreators-web.app.link/e/ltpyVvO5Q4b

Presented by Erwann Le Rumeur, a physiotherapist specialising in pelvic health in Paris.

REFERENCES

Tran T, Dang CNT, Vuong CM. Single-stage Versus Staged Reconstruction for High and Intermediate Anore**al Malformations in Neonates: A Systematic Review and Meta-a**lysis. Pediatric Surgery International. 2026. PMID: 42455200. DOI: 10.1007/s00383-026-06545-w.
Nik-Ahd F, Dreyfuss LD, Wang L, et al. Frailty Is Associated With Postoperative Complications and Device Removal and Revision in Men Undergoing Surgery for Stress Urinary Incontinence. Journal of Urology. 2026. PMID: 42456160. DOI: 10.1097/JU.0000000000005102.
Schmidt GB, Kesmodel US, Seyer-Hansen M, Egekvist AG. Long-term Insights: Seven Years of Conservative Management for Deep Endometriosis in the Bowel. Acta Obstetricia et Gynecologica Scandinavica. 2026. PMID: 42466513. DOI: 10.1111/aogs.70290.
Massachi J, Jiang T, Neilsen BK, et al. Dosimetric A**lysis of Post-radiotherapy S*xual Dysfunction in Patients Receiving Definitive Stereotactic Body Radiotherapy for Prostate Cancer: A Secondary A**lysis of MIRAGE. Radiotherapy and Oncology. 2026. PMID: 42435817. DOI: 10.1016/j.radonc.2026.111683.
Zhang Y, Yan J, Yin R, et al. Mid-term Outcomes of Laparoscopic Versus Vaginal Uterosacral Ligament Suspension for Pelvic Organ Prolapse. International Urogynecology Journal. 2026. PMID: 42458041. DOI: 10.1007/s00192-026-06801-6.
Spruijt MA, Klerkx WM, Notten K, et al. Botulinum Toxin A Injection Treatment in Chronic Pelvic Pain Patients: Open-Label Extension Study and 12-Month Follow-Up After RCT. International Urogynecology Journal. 2026. PMID: 42461279. DOI: 10.1007/s00192-026-06814-1.
Chen W, Yoshida S, Yajima S, et al. Quantitative Assessment of Additive Effects of Mirabegron and Solifenacin in Overactive Bladder: Re-a**lysis of SYNERGY Study. Urology. 2026. PMID: 42456778. DOI: 10.1016/j.urology.2026.07.020.
Sekandari R, Pourali L, Sheikhi Z, et al. Adding Interferential Current to Pelvic Floor Exercises Reduces Weekly Frequency of Stress Urinary Incontinence. Scientific Reports. 2026. PMID: 42436225. DOI: 10.1038/s41598-026-61215-0.
Su X, Chen L, Xu X. Negative-pressure Wound Therapy for Perineal Wound Complications After Abdominoperineal Resection or Extralevator APR: Systematic Review and Meta-a**lysis. Techniques in Coloproctology. 2026. PMID: 42439992. DOI: 10.1007/s10151-026-03329-1.
Jeske P, Miedziarek C, Clarke D, et al. The Role of Pelvic Floor Muscle Training in the Management of Idiopathic F***l Incontinence. Techniques in Coloproctology. 2026. PMID: 42432385. DOI: 10.1007/s10151-026-03390-w.
Gopalakrishnan M, Useva A, Novak A, Wiener S. Postoperative Celecoxib Associated With Improved Early Continence and Flow Rates After Holmium Laser Enucleation of the Prostate. Urology Practice. 2026. PMID: 42429382. DOI: 10.1097/UPJ.0000000000001057.
Webb AJ, Harper E, Rattay T, et al. Circadian Genotypes in PER3 and Time of Prostate Cancer Radiotherapy Interact to Affect Risk of Late Side-effects. Clinical Cancer Research. 2026. PMID: 42440347. DOI: 10.1158/1078-0432.CCR-26-0268.
Bhatia R, Ahuja A, Siddique M. Pregnancy After Uterine-Preserving Prolapse Surgery. International Urogynecology Journal. 2026. PMID: 42467239. DOI: 10.1007/s00192-026-06812-3.
Martínez AS, Mercader PM, Cuquerella JT, et al. Impact of Inflammatory Activity on Anore**al Function in Patients With Ulcerative Colitis. Alimentary Pharmacology and Therapeutics. 2026. PMID: 42458231. DOI: 10.1111/apt.70855.
Sadek M, Almallouhi A, Darwish O, et al. Dyssynergic Defecation in Adolescents With Constipation: Anore**al Manometry Findings. Journal of Pediatric Gastroenterology and Nutrition. 2026. PMID: 42460694. DOI: 10.1002/jpn3.70513.
Lindert J, Erkel D, Kurzweil N, et al. Point-of-care Ultrasound Assessment of Transre**al Diameter to Evaluate F***l Load in Children With Anore**al Malformations. Pediatric Surgery International. 2026. PMID: 42467098. DOI: 10.1007/s00383-026-06520-5.
Campilongo C, Trovalusci E, Hartford L, et al. Outcomes and Revision Rates After Antegrade Continence E***a Appendicostomy. Pediatric Surgery International. 2026. PMID: 42437421. DOI: 10.1007/s00383-026-06533-0.
Liu Y, Pan Y, Tao X, et al. Hemorrhoids or Not? Inflammatory Cloacogenic Polyps Mimicking Pr*****ed Hemorrhoids. Revista Española de Enfermedades Digestivas. 2026. PMID: 42439421. DOI: 10.17235/reed.2026.12090/2026.
Cavanaugh LA, Ham KM, Williams RW. Iatrogenic Re**al Perforation in Two Cats Secondary to Use of a Faecal Loop. New Zealand Veterinary Journal. 2026. PMID: 42442925. DOI: 10.1080/00480169.2026.2694516.

BLIOGRAPHIETran T, Dang CNT, Vuong CM. Single-stage versus staged reconstruction for anore**al malformations. Pediatr Surg Int. 2026. PMID: 42455200.Nik-Ahd F, Dreyfuss LD, Wang L, et al. Frailty and complications after male stress incontinence surgery. J Urol. 2026. PMID: 42456160.Schmidt GB, Kesmo...

Obstetric Perineal Injuries and Pelvic Floor Assessment — Weekly Review, 10 July 2026A new episode of The Weekly Pelvic ...
11/07/2026

Obstetric Perineal Injuries and Pelvic Floor Assessment — Weekly Review, 10 July 2026

A new episode of The Weekly Pelvic Health Research Review is now available.

This week, 68 publications were screened and 35 were retained.
The first feature focuses on obstetric perineal injuries: new international guidelines on obstetric a**l sphincter injuries, OASI prevention, Episcissors 60, antenatal pelvic floor muscle training and the experience of the second stage of labour.
The second asks a practical question: what do pelvic floor ultrasound, anore**al manometry and functional questionnaires actually measure?
The episode also covers pelvic floor muscle training for prolapse, vaginal radiofrequency for overactive bladder, continence after post-prostatectomy radiotherapy, kinesiophobia in dyssynergic defecation and early urinary catheter removal after urogynecological surgery.
🎥 Watch this week’s video: [YOUTUBE LINK]
Presented by Erwann Le Rumeur, a physiotherapist specialising in pelvic health in Paris.
REFERENCES
Sultan AH, Okeahialam NA, De Leeuw J, et al. IUGA International Guidelines on Obstetric A**l Sphincter Injuries. International Urogynecology Journal. 2026. PMID: 42429937. DOI: 10.1007/s00192-026-06642-3.
Hammouri W, Kershaw V, Khunda A, et al. Episcissors-60 in Obstetrics A**l Sphincter Injury (OASI): A Systematic Review and Meta-A**lysis. International Urogynecology Journal. 2026. PMID: 42412133. DOI: 10.1007/s00192-026-06797-z.
Dalton R, Buchinsky D, Cohen J, et al. Preventing Postpartum Pelvic Floor Dysfunction: Clinical Evidence and Policy Gaps in U.S. Coverage of Pelvic Floor Muscle Therapy. Urology. 2026. PMID: 42398784. DOI: 10.1016/j.urology.2026.06.041.
Häggsgård C, Ängeby K. The Second Stage of Labor Questionnaire (SOL-Q): Development and Psychometric Testing. Birth. 2026. PMID: 42415486. DOI: 10.1111/birt.70093.
Nesbitt-Hawes EM, Dietz HP, Ledger WL, Abbott JA. Differences in Pelvic Floor Morphometry for Women with Persistent Pelvic Pain and Deep Infiltrating Endometriosis: A Cross-Sectional Study. International Urogynecology Journal. 2026. PMID: 42417869. DOI: 10.1007/s00192-026-06752-y.
Van Oostendorp JY, Van Hagen P, Veldkamp R, et al. Value of 3D-High Resolution Anore**al Manometry Before and After Fistulotomy for Simple Peria**l Fistulas: A Prospective Cohort Study. ANZ Journal of Surgery. 2026. PMID: 42421171. DOI: 10.1111/ans.70845.
Beaudry-Bellefeuille I, Belo-Almeida AI, Fernandes-de-Sousa D, et al. Preliminary Reliability and Validity of the Toileting Habit Profile Questionnaire—Second Revision. Occupational Therapy in Health Care. 2026. PMID: 42424183. DOI: 10.1080/07380577.2026.2698125.
Cong Z, Wang Z, Sun J, et al. Pelvic Floor Muscle Training for Pelvic Organ Prolapse: A Systematic Review and Meta-A**lysis of Randomized Controlled Trials. BMC Urology. 2026. PMID: 42420951. DOI: 10.1186/s12894-026-02230-1.
Microablative Radiofrequency Versus Sham for Overactive Bladder: A Randomized Controlled Trial With 6 Months Follow-up. 2026. PMID: 42403115.
Smith J, Duchesne GM, Kneebone A, et al. Quality of Life After Postprostatectomy Radiotherapy: A TROG 08.03 RAVES Randomized Controlled Trial Substudy. European Urology Oncology. 2026. PMID: 42425869. DOI: 10.1016/j.euo.2026.06.014.
Büyüktaş N, Zeren M. Pain Perception Patterns Are Strongly Associated with Kinesiophobia in Patients with Dyssynergic Defecation: A Cross-Sectional Study. Disability and Rehabilitation. 2026. PMID: 42400495. DOI: 10.1080/09638288.2026.2697907.
Tholemeier L, Vanukuru T, Geng B, et al. Early Patient Removal of Urinary Catheters After Urogynecologic Surgery: A Randomized Trial. American Journal of Obstetrics and Gynecology. 2026. PMID: 42409155. DOI: 10.1016/j.ajog.2026.07.001.
Hirtsiefer C, Kümmel E, Vogelgesang A, et al. Function Drives 1-Year Decision Regret in Radical Prostatectomy: A Multicentre Prospective Study. BJU International. 2026. PMID: 42429300. DOI: 10.1111/bju.70382.
Akavian I, Reuveni-Salzman A, Zilberman T, et al. Long-Term Outcomes After Native Tissue Hysteropexy Compared With Hysterectomy for Treatment of Pelvic Organ Prolapse. Obstetrics and Gynecology. 2026. PMID: 42424621. DOI: 10.1097/AOG.0000000000006371.
Teilmann-Jørgensen D, Klarskov N, Gommesen D, et al. Long-Term Comparison of Patient-Reported Outcomes Following Six Surgical Procedures for Apical Suspension. International Urogynecology Journal. 2026. PMID: 42423705. DOI: 10.1007/s00192-026-06795-1.
Kadowaki M, Fukutani S, Ushio K, Uchio Y. Trajectory of Urinary Incontinence Symptoms Following Total Hip Arthroplasty for Hip Osteoarthritis. Archives of Orthopaedic and Trauma Surgery. 2026. PMID: 42412232. DOI: 10.1007/s00402-026-06410-4.

YouTube :
https://youtu.be/4Vr6gqgr0fU?is=VHcAteEIVJjmK2C8

Spoty :
https://open.spotify.com/episode/2FSHw92jUh0NVgucPg6yfu?si=K8gVWQIDRDGNbyKOvu0RHQ&utm_source=copy-link

Sultan AH, Okeahialam NA, De Leeuw J, et al. IUGA International Gui...

2026-07-03 : Lésions périnéales postpartum : suivre sans ba**liser, sans catastrophiserCette semaine, la veille hebdomad...
04/07/2026

2026-07-03 : Lésions périnéales postpartum : suivre sans ba**liser, sans catastrophiser

Cette semaine, la veille hebdomadaire de pelvi-périnéologie s’intéresse aux lésions périnéales du postpartum : complications de plaies, accouchement instrumenté, lésions du sphincter a**l, incontinence fécale, symptômes urinaires, douleur de ceinture pelvienne et récupération fonctionnelle.

Le fil secondaire porte sur la rééducation périnéale : apprendre à contracter, vérifier la qualité du geste, puis entraîner.

Bibliographie

40836418 — Man R et al. Prognostic factors for wound complications after childbirth-related perineal trauma: A systematic review and meta-a**lysis. Acta Obstet Gynecol Scand. 2026. DOI: 10.1111/aogs.70041

42027115 — Edqvist M et al. Pelvic floor symptoms and quality of life 1 year postpartum in Swedish primiparous women: A follow-up of a randomized controlled trial. Acta Obstet Gynecol Scand. 2026. DOI: 10.1111/aogs.70216

42265907 — Ferrari A et al. F***l incontinence from early pregnancy to 12 months postpartum: A longitudinal cohort study from Tuscany. Acta Obstet Gynecol Scand. 2026. DOI: 10.1111/aogs.70279

42148784 — Nilsson IEK et al. Age-related long-term effects of vaginal delivery, pregnancy, and sphincter injury on a**l continence: A matched cohort study. Acta Obstet Gynecol Scand. 2026. DOI: 10.1111/aogs.70226

41588849 — Jain S et al. Evaluation of lower urinary tract symptoms in postpartum women: A nested case-control study. Int J Gynaecol Obstet. 2026. DOI: 10.1002/ijgo.70811

42264795 — Lee KB et al. Psychosocial predictors of persistent postpartum pelvic girdle pain: A systematic review of prospective cohort studies. J Bodyw Mov Ther. 2026. DOI: 10.1016/j.jbmt.2026.04.001

42077139 — Waheed A et al. The use of topical vaginal estrogens in postpartum women: A systematic review. Acta Obstet Gynecol Scand. 2026. DOI: 10.1111/aogs.70241

42190320 — Lamberti G et al. Pelvic muscle training and electrostimulation to treat weak pelvic floor: a multicentre-randomised parallel group trial. Eur J Obstet Gynecol Reprod Biol. 2026. DOI: 10.1016/j.ejogrb.2026.115199

42360487 — De Azevedo Ferreira L et al. Effect of vaginal palpation on voluntary pelvic floor muscle performance during early motor learning in women with stress urinary incontinence: A randomized controlled trial. Int Urogynecol J. 2026. DOI: 10.1007/s00192-026-06775-5

41036563 — Lin Y et al. Transperineal ultrasound versus digital palpation: Identifying key parameters for objective pelvic floor muscle contraction assessment. Acta Obstet Gynecol Scand. 2026. DOI: 10.1111/aogs.70065

42385024 — Cicek Ozdemir S et al. Transtheoretical model-based education supported by motivational interviews for urinary incontinence: A randomized controlled trial. J Wound Ostomy Continence Nurs. 2026. DOI: 10.1097/won.0000000000001299

41297739 — Butt MF et al. Cluster a**lysis of f***l incontinence symptoms: Associations with anore**al physiology and quality of life. Clin Gastroenterol Hepatol. 2026. DOI: 10.1016/j.cgh.2025.11.015

41982027 — Quick A et al. American Brachytherapy Society Working Group Report on cancer surveillance, sexual health, and pelvic toxicity management in gynecologic malignancies. Brachytherapy. 2026. DOI: 10.1016/j.brachy.2026.03.010

41589851 — Lemos MJ et al. Intravaginal dehydroepiandrosterone for the treatment of vulvovaginal atrophy: A systematic review and meta-a**lysis. Menopause. 2026. DOI: 10.1097/gme.0000000000002736

41729618 — Johnson CM et al. Preoperative gabapentin for vaginal prolapse procedures: A randomized trial. Urogynecology. 2026. DOI: 10.1097/spv.0000000000001746

41830178 — Ferrari A et al. Laparoscopic versus robot-assisted sacrocolpopexy: A systematic review and meta-a**lysis. BJOG. 2026. DOI: 10.1111/1471-0528.70218

42392439 — Garg P et al. Beyond incontinence: A systematic review and meta-a**lysis of sexual dysfunction after a**l fistula surgery. J Gastrointest Surg. 2026. DOI: 10.1016/j.gassur.2026.102504

42360508 — Chan KYC et al. The experiences of a structured pelvic floor rehabilitation program in colore**al cancer survivors with low anterior resection syndrome: A qualitative study. Support Care Cancer. 2026. DOI: 10.1007/s00520-026-10892-8

42011892 — Falletto E et al. Transa**l irrigation in functional constipation: Long-term results from an Italian national study. Dis Colon Re**um. 2026. DOI: 10.1097/dcr.0000000000004224

42386033 — Fritel X et al. Patient-reported health and quality of life after midurethral sling: A comparative a**lysis from VIGI-MESH registry. French J Urol. 2026. DOI: 10.1016/j.fjurol.2026.103158

42365867 — Raimondo D et al. Central sensitization and hormonal therapy failure for endometriosis-related pain symptoms: A prospective study. J Minim Invasive Gynecol. 2026. DOI: 10.1016/j.jmig.2026.06.028

41021895 — Merola M et al. Psychological factors mediate the relationship between trauma exposure and pain intensity in women with endometriosis: A cross-sectional study. Psychol Health Med. 2026. DOI: 10.1080/13548506.2025.2564309

42375471 — Wojniusz S et al. Tampon test measurement properties in women with provoked vestibulodynia: Baseline data from a pragmatic randomized clinical trial. S*x Med. 2026. DOI: 10.1093/sexmed/qfag051

Youtube:
https://youtu.be/_vVqODZLelI

Soptify :
https://spotifycreators-web.app.link/e/vzbLXYK8u4b

40836418 — Man R et al. Prognostic factors for wound complications after childbirth-related perineal trauma. Acta Obstet Gynecol Scand. 2026. DOI: 10.1111/aogs.7004142027115 — Edqvist M et al. Pelvic floor symptoms and quality of life 1 year postpartum in Swedish primiparous women. Acta Obstet G...

2026-07-03 Postpartum perineal trauma: follow carefully, without catastrophizingThis week’s pelvic health review focuses...
04/07/2026

2026-07-03 Postpartum perineal trauma: follow carefully, without catastrophizing

This week’s pelvic health review focuses on postpartum perineal trauma: wound complications, assisted vaginal birth, obstetric a**l sphincter injury, f***l incontinence, urinary symptoms, pelvic girdle pain and functional recovery.

The secondary thread discusses pelvic floor rehabilitation: learning how to contract, checking movement quality, and then training.

# Bibliographie

40836418 — Man R et al. Prognostic factors for wound complications after childbirth-related perineal trauma: A systematic review and meta-a**lysis. Acta Obstet Gynecol Scand. 2026. DOI: 10.1111/aogs.70041

42027115 — Edqvist M et al. Pelvic floor symptoms and quality of life 1 year postpartum in Swedish primiparous women: A follow-up of a randomized controlled trial. Acta Obstet Gynecol Scand. 2026. DOI: 10.1111/aogs.70216

42265907 — Ferrari A et al. F***l incontinence from early pregnancy to 12 months postpartum: A longitudinal cohort study from Tuscany. Acta Obstet Gynecol Scand. 2026. DOI: 10.1111/aogs.70279

42148784 — Nilsson IEK et al. Age-related long-term effects of vaginal delivery, pregnancy, and sphincter injury on a**l continence: A matched cohort study. Acta Obstet Gynecol Scand. 2026. DOI: 10.1111/aogs.70226

41588849 — Jain S et al. Evaluation of lower urinary tract symptoms in postpartum women: A nested case-control study. Int J Gynaecol Obstet. 2026. DOI: 10.1002/ijgo.70811

42264795 — Lee KB et al. Psychosocial predictors of persistent postpartum pelvic girdle pain: A systematic review of prospective cohort studies. J Bodyw Mov Ther. 2026. DOI: 10.1016/j.jbmt.2026.04.001

42077139 — Waheed A et al. The use of topical vaginal estrogens in postpartum women: A systematic review. Acta Obstet Gynecol Scand. 2026. DOI: 10.1111/aogs.70241

42190320 — Lamberti G et al. Pelvic muscle training and electrostimulation to treat weak pelvic floor: a multicentre-randomised parallel group trial. Eur J Obstet Gynecol Reprod Biol. 2026. DOI: 10.1016/j.ejogrb.2026.115199

42360487 — De Azevedo Ferreira L et al. Effect of vaginal palpation on voluntary pelvic floor muscle performance during early motor learning in women with stress urinary incontinence: A randomized controlled trial. Int Urogynecol J. 2026. DOI: 10.1007/s00192-026-06775-5

41036563 — Lin Y et al. Transperineal ultrasound versus digital palpation: Identifying key parameters for objective pelvic floor muscle contraction assessment. Acta Obstet Gynecol Scand. 2026. DOI: 10.1111/aogs.70065

42385024 — Cicek Ozdemir S et al. Transtheoretical model-based education supported by motivational interviews for urinary incontinence: A randomized controlled trial. J Wound Ostomy Continence Nurs. 2026. DOI: 10.1097/won.0000000000001299

41297739 — Butt MF et al. Cluster a**lysis of f***l incontinence symptoms: Associations with anore**al physiology and quality of life. Clin Gastroenterol Hepatol. 2026. DOI: 10.1016/j.cgh.2025.11.015

41982027 — Quick A et al. American Brachytherapy Society Working Group Report on cancer surveillance, sexual health, and pelvic toxicity management in gynecologic malignancies. Brachytherapy. 2026. DOI: 10.1016/j.brachy.2026.03.010

41589851 — Lemos MJ et al. Intravaginal dehydroepiandrosterone for the treatment of vulvovaginal atrophy: A systematic review and meta-a**lysis. Menopause. 2026. DOI: 10.1097/gme.0000000000002736

41729618 — Johnson CM et al. Preoperative gabapentin for vaginal prolapse procedures: A randomized trial. Urogynecology. 2026. DOI: 10.1097/spv.0000000000001746

41830178 — Ferrari A et al. Laparoscopic versus robot-assisted sacrocolpopexy: A systematic review and meta-a**lysis. BJOG. 2026. DOI: 10.1111/1471-0528.70218

42392439 — Garg P et al. Beyond incontinence: A systematic review and meta-a**lysis of sexual dysfunction after a**l fistula surgery. J Gastrointest Surg. 2026. DOI: 10.1016/j.gassur.2026.102504

42360508 — Chan KYC et al. The experiences of a structured pelvic floor rehabilitation program in colore**al cancer survivors with low anterior resection syndrome: A qualitative study. Support Care Cancer. 2026. DOI: 10.1007/s00520-026-10892-8

42011892 — Falletto E et al. Transa**l irrigation in functional constipation: Long-term results from an Italian national study. Dis Colon Re**um. 2026. DOI: 10.1097/dcr.0000000000004224

42386033 — Fritel X et al. Patient-reported health and quality of life after midurethral sling: A comparative a**lysis from VIGI-MESH registry. French J Urol. 2026. DOI: 10.1016/j.fjurol.2026.103158

42365867 — Raimondo D et al. Central sensitization and hormonal therapy failure for endometriosis-related pain symptoms: A prospective study. J Minim Invasive Gynecol. 2026. DOI: 10.1016/j.jmig.2026.06.028

41021895 — Merola M et al. Psychological factors mediate the relationship between trauma exposure and pain intensity in women with endometriosis: A cross-sectional study. Psychol Health Med. 2026. DOI: 10.1080/13548506.2025.2564309

42375471 — Wojniusz S et al. Tampon test measurement properties in women with provoked vestibulodynia: Baseline data from a pragmatic randomized clinical trial. S*x Med. 2026. DOI: 10.1093/sexmed/qfag051

Youtube :
https://youtu.be/kEGjwYJdMfc

Spotify :
https://spotifycreators-web.app.link/e/ymbv2d87u4b

40836418 — Man R et al. Prognostic factors for wound complications after childbirth-related perineal trauma. Acta Obstet Gynecol Scand. 2026. DOI: 10.1111/aogs.7004142027115 — Edqvist M et al. Pelvic floor symptoms and quality of life 1 year postpartum in Swedish primiparous women. Acta Obstet G...

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