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Kalantar-Zadeh K, Susic D, Hyett J. Vaginal Sensors. ACS Sens 2024; 9:3810-3827. [PMID: 39024191 DOI: 10.1021/acssensors.4c00567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/20/2024]
Abstract
The development and market emergence of vaginal sensors have begun to demonstrate their impact on women's healthcare. Until recently, in limited cases, these sensors have exhibited their capabilities in diagnosing and monitoring disorders of the vaginal tract during different stages of women's lives. This Perspective is a compilation of what has been accomplished so far in the landscape of vaginal sensors. The text explores the diverse types of vaginal sensor technologies, their applications, and their potential impact on women's healthcare. The review introduces the anatomy of the vagina and cervix and categorizes vaginal sensors that have been developed, highlighting the technologies and potential applications. The paper covers biomarkers of the vaginal tract and discusses their importance in maintaining the overall characteristics of the vaginal system. The text also explores the clinical implications of vaginal sensors in pregnancy monitoring, disease detection, and sexual health management. In the final step, the manuscript provides future perspectives and possibilities that can be incorporated in the emerging field of vaginal sensors.
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Affiliation(s)
- Kourosh Kalantar-Zadeh
- School of Chemical and Biomolecular Engineering, The University of Sydney, Darlington, NSW 2008, Australia
| | - Daniella Susic
- School of Clinical Medicine, Discipline of Women's Health, University of New South Wales, Sydney, NSW 2052, Australia
- Department of Obstetrics and Gynaecology, Liverpool Hospital, Liverpool, NSW 2170, Australia
| | - Jon Hyett
- Department of Obstetrics and Gynaecology, Royal Prince Alfred Hospital, The University of Sydney, Camperdown, NSW 2050, Australia
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Förstl N, Adler I, Süß F, Dendorfer S. Technologies for Evaluation of Pelvic Floor Functionality: A Systematic Review. SENSORS (BASEL, SWITZERLAND) 2024; 24:4001. [PMID: 38931784 PMCID: PMC11207910 DOI: 10.3390/s24124001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/23/2024] [Revised: 06/14/2024] [Accepted: 06/18/2024] [Indexed: 06/28/2024]
Abstract
Pelvic floor dysfunction is a common problem in women and has a negative impact on their quality of life. The aim of this review was to provide a general overview of the current state of technology used to assess pelvic floor functionality. It also provides literature research of the physiological and anatomical factors that correlate with pelvic floor health. This systematic review was conducted according to the PRISMA guidelines. The PubMed, ScienceDirect, Cochrane Library, and IEEE databases were searched for publications on sensor technology for the assessment of pelvic floor functionality. Anatomical and physiological parameters were identified through a manual search. In the systematic review, 114 publications were included. Twelve different sensor technologies were identified. Information on the obtained parameters, sensor position, test activities, and subject characteristics was prepared in tabular form from each publication. A total of 16 anatomical and physiological parameters influencing pelvic floor health were identified in 17 published studies and ranked for their statistical significance. Taken together, this review could serve as a basis for the development of novel sensors which could allow for quantifiable prevention and diagnosis, as well as particularized documentation of rehabilitation processes related to pelvic floor dysfunctions.
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Affiliation(s)
- Nikolas Förstl
- OTH Regensburg—Ostbayerische Technische Hochschule Regensburg, Seybothstraße 2, 93053 Regensburg, Germany; (I.A.); (S.D.)
| | - Ina Adler
- OTH Regensburg—Ostbayerische Technische Hochschule Regensburg, Seybothstraße 2, 93053 Regensburg, Germany; (I.A.); (S.D.)
| | - Franz Süß
- OTH Regensburg—Ostbayerische Technische Hochschule Regensburg, Seybothstraße 2, 93053 Regensburg, Germany; (I.A.); (S.D.)
| | - Sebastian Dendorfer
- OTH Regensburg—Ostbayerische Technische Hochschule Regensburg, Seybothstraße 2, 93053 Regensburg, Germany; (I.A.); (S.D.)
- RCBE—Regensburg Center of Biomedical Engineering, Seybothstraße 2, 93053 Regensburg, Germany
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Parkinson LA, Karjalainen PK, Mukherjee S, Papageorgiou AW, Kulkarni M, Arkwright JW, Young N, Werkmeister JA, Davies‐Tuck M, Gargett CE, Rosamilia A. Vaginal pressure sensor measurement during maximal voluntary pelvic floor contraction correlates with vaginal birth and pelvic organ prolapse—A pilot study. Neurourol Urodyn 2022; 41:592-600. [DOI: 10.1002/nau.24882] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Revised: 12/02/2021] [Accepted: 12/19/2021] [Indexed: 11/07/2022]
Affiliation(s)
- Luke A. Parkinson
- Parkki Pty Ltd Kensington Park South Australia Australia
- College of Science and Engineering Flinders University Bedford Park South Australia Australia
| | | | - Shayanti Mukherjee
- The Ritchie Centre Hudson Institute of Medical Research Clayton Victoria Australia
- Department of Obstetrics and Gynaecology Monash University Clayton Victoria Australia
| | - Anthony W. Papageorgiou
- College of Science and Engineering Flinders University Bedford Park South Australia Australia
| | - Mugdha Kulkarni
- Pelvic Floor Unit Monash Health Moorabbin Victoria Australia
| | - John W. Arkwright
- College of Science and Engineering Flinders University Bedford Park South Australia Australia
- Arkwright Technologies Pty. Ltd. Hawthorndene South Australia Australia
| | - Natharnia Young
- Pelvic Floor Unit Monash Health Moorabbin Victoria Australia
| | - Jerome A. Werkmeister
- The Ritchie Centre Hudson Institute of Medical Research Clayton Victoria Australia
- Department of Obstetrics and Gynaecology Monash University Clayton Victoria Australia
| | - Miranda Davies‐Tuck
- The Ritchie Centre Hudson Institute of Medical Research Clayton Victoria Australia
| | - Caroline E. Gargett
- The Ritchie Centre Hudson Institute of Medical Research Clayton Victoria Australia
- Department of Obstetrics and Gynaecology Monash University Clayton Victoria Australia
| | - Anna Rosamilia
- Pelvic Floor Unit Monash Health Moorabbin Victoria Australia
- The Ritchie Centre Hudson Institute of Medical Research Clayton Victoria Australia
- Department of Obstetrics and Gynaecology Monash University Clayton Victoria Australia
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Amarenco G, Turmel N, Chesnel C, Mezzadri M, Le Breton F, Charlanes A, Hentzen C. [Vaginal gas: Review]. Prog Urol 2019; 29:1035-1040. [PMID: 31759885 DOI: 10.1016/j.purol.2019.10.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2019] [Accepted: 10/22/2019] [Indexed: 10/25/2022]
Abstract
OBJECTIVE The aim of this article was to review the literature about vaginal winds (VW). METHODS A literature review (Medline database, Cochrane Library and Google scholar) with no time limit was performed using keywords "vaginal winds", "vaginal noise", "vaginal gaz", "flatus vaginalis", "vaginal flatus", "colpophony", "Garrulitas vulvae", "vaginal laxity". RESULTS From 412 articles about VW, 15 have been selected and 99 from 110 about vaginal laxity. VW occurs during physical exercises but also during and just after coïtus. The prevalence is about 20%. The pathophyiology of VW is probably a vaginal hyperlaxity itself secondary to pelvic floor muscles weakness and thus increased diameter of vaginal hiatus. VW alter sexual function in female patients but this sexual function seems not influenced in male partners. Tampons or pessaries are currently the most commonly proposed treatment (but naturally impossible to use during sexual intercourse), but some results from vaginal laser therapy are encouraging. CONCLUSION Data from the literature suggest that vaginal winds are frequent and seriously impact quality of life of female patients. Childbirth and more generally vaginal laxity are the main causes. Pelvic-floor exercises, tampons, pessaries, surgery and laser can be proposed in order to improve sexual function in patients seeking treatment.
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Affiliation(s)
- G Amarenco
- GREEN GRC-01 UPMC (Group of Clinical Research in Neuro-urology), Sorbonne university, 75005 Paris, France; Department of neuro-urology, Tenon hospital, AP-HP, 4, rue de la Chine, 75020 Paris, France.
| | - N Turmel
- GREEN GRC-01 UPMC (Group of Clinical Research in Neuro-urology), Sorbonne university, 75005 Paris, France; Department of neuro-urology, Tenon hospital, AP-HP, 4, rue de la Chine, 75020 Paris, France
| | - C Chesnel
- GREEN GRC-01 UPMC (Group of Clinical Research in Neuro-urology), Sorbonne university, 75005 Paris, France; Department of neuro-urology, Tenon hospital, AP-HP, 4, rue de la Chine, 75020 Paris, France
| | - M Mezzadri
- GREEN GRC-01 UPMC (Group of Clinical Research in Neuro-urology), Sorbonne university, 75005 Paris, France; Department of neuro-urology, Tenon hospital, AP-HP, 4, rue de la Chine, 75020 Paris, France
| | - F Le Breton
- GREEN GRC-01 UPMC (Group of Clinical Research in Neuro-urology), Sorbonne university, 75005 Paris, France; Department of neuro-urology, Tenon hospital, AP-HP, 4, rue de la Chine, 75020 Paris, France
| | - A Charlanes
- GREEN GRC-01 UPMC (Group of Clinical Research in Neuro-urology), Sorbonne university, 75005 Paris, France; Department of neuro-urology, Tenon hospital, AP-HP, 4, rue de la Chine, 75020 Paris, France
| | - C Hentzen
- GREEN GRC-01 UPMC (Group of Clinical Research in Neuro-urology), Sorbonne university, 75005 Paris, France; Department of neuro-urology, Tenon hospital, AP-HP, 4, rue de la Chine, 75020 Paris, France
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