4th Annual Mountain West
Biomedical Engineering Conference
September 5-6, 2008
Abstract Details
Presented By: | Johnson, Paul |
Affiliated with: | University of Utah, Biomedical Engineering |
Authors: | Paul Johnson, Evan Rosenbluth, Ingrid Nygaard, Robert Hitchcock |
From: | University of Utah |
Title
Abstract
Pelvic floor disorders among women have become increasingly prevalent. In 1997, an estimated US$1 billion was spent on surgical procedures treating pelvic organ prolapse in the USA, while the yearly cost of urinary incontinence treatment is approximately US$16.3 billion. Attempting to minimize incidence and recurrence of pelvic floor disorders, doctors commonly restrict post-surgical physical activities for women at risk based on the supposition that certain physical activities significantly raise intra-abdominal pressure and place excessive strain on the pelvic floor muscles. While it has been shown that physical activity raises pressure within the abdomen, activity restrictions vary from doctor to doctor because there is much uncertainty as to which activities truly increase pressures and forces on the pelvic floor to an extent that promotes pelvic floor dysfunction. Understanding the relationship between physical exertion and stresses placed on the pelvic floor is currently unattainable because state-of-the-art measuring systems are incapable of gathering “real-world†data. The project team has developed a vaginally implanted pressure-sensing capsule that is capable of determining forces applied to the pelvic floor during daily physical activity. Our newly designed, vaginally implanted pressure sensor has been used in the urodynamics clinic to overcome several limitations of the current state-of-the-art devices. The capsules are configured as single-use products that are tethered to a data acquisition instrument, similar to the standard clinical setup. Laboratory and clinical testing have demonstrated the sensor’s ability to accurately measure loadings applied to the pelvic floor with dynamic response superior to the current clinical standard. The device is a precursor to a wireless version that will provide information concerning pelvic floor stress during daily activities.