The Glazer Intrapelvic Surface Electromyography (SEMG) Protocol in a Case of Male Urinary Incontinence and a Case of Female Hypoactive Sexual Desire Disorder

This paper presents two cases of the clinical application of a valid and reliable method of pelvic floor muscle evaluation (Glazer Protocol) using a computerized surface electromyography (SEMG) device. The authors present a male patient with urinary incontinence post–radical retropubic prostatectomy (RRP) and a female patient with hypoactive sexual desire disorder (HSDD) and primary dyspareunia. Radical retropubic prostatectomy is a surgical removal of the prostate through the abdomen. Dyspareunia refers to painful sexual intercourse. Intrapelvic SEMG evaluations were conducted before and after pelvic floor muscle training (PFMT) with biofeedback. Intrapelvic sensors were used with a fixed sequence of voluntary pelvic floor activities and continuous real-time recorded SEMG measures to determine electrophysiological abnormalities and their potential role in the symptomatic presentation. This analysis lead to the development of an individualized pelvic floor muscle SEMG biofeedback program for each patient, aimed at symptomatic relief and functional restoration.