Two‐year effects and cost‐effectiveness of pelvic floor muscle training in mild pelvic organ prolapse: a randomised controlled trial in primary care

Panman, Chantal; Wiegersma, Marian; Kollen, Boudewijn J.; Berger, Marjolein Y.; Leeuwen, Yvonne Lisman-van; Vermeulen, Karin M.; Dekker, Janny H.

doi:10.1111/1471-0528.13992

Cited by 47 publications

(43 citation statements)

References 32 publications

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“…POP is a serious public health problem that affects sexual function, quality of life, and psychological state; however, it is generally ignored by women. It was reported in that POP affected sexual function and life quality of women negatively ( 8 , 9 , 10 , 11 ) . However, a limited number of studies have contributed data regarding how women are affected by POP in relation to the prolapse compartment ( 12 , 13 ) .…”

Section: Introductionmentioning

confidence: 99%

The effect of pelvic organ prolapse type on sexual function, muscle strength, and pelvic floor symptoms in women: A retrospective study

Özengın¹,

Duygu²,

Uysal³

et al. 2017

tjod

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Objective:This retrospective research was planned to investigate the effect of pelvic organ prolapse (POP) type on sexual function, muscle strength, and pelvic floor symptoms in symptomatic women.Materials and Methods:Data on POP type and stages as assessed using the Pelvic Organ Prolapse-Quantification system of 721 women who presented to the women’s health unit between 2009 and 2016 were collected retrospectively. POP types were recorded as asymptomatic, anterior, apical, and posterior compartment prolapses. Sexual function was assessed using the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire short-form (PISQ-12), pelvic floor muscle strength was assessed through vaginal pressure measurement, and pelvic floor symptoms and quality of life were assessed using the Pelvic Floor Distress Inventory-20 (PFDI-20).Results:Among 168 women who met the inclusion criteria, 96 had anterior compartment prolapses, 20 had apical compartment prolapses, 16 had posterior compartment prolapses, and 36 women were asymptomatic. There was no difference between the groups in their PISQ-12 total and subscales scores, PFDI-20 total and two subscale (colorectal/anal, urinary) scores, and muscle strength (p>0.05). In the Pelvic Organ Prolapse Distress Inventory-6, another subscale of PFDI-20, it was determined that there was a difference between asymptomatic women and those with anterior compartment prolapses (p=0.044) and apical compartment prolapses (p=0.011).Conclusion:This research found that POP type did not affect sexual function, muscle strength, and colorectal and urinary symptoms in our cohort. There were more prolapse symptoms and complaints in women with anterior and apical compartment prolapses.

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Section: Introductionmentioning

confidence: 99%

The effect of pelvic organ prolapse type on sexual function, muscle strength, and pelvic floor symptoms in women: A retrospective study

Özengın¹,

Duygu²,

Uysal³

et al. 2017

tjod

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“…Hierbei Eine Beckenboden-Rehabilitation durch die Behandlung mittels Physiotherapie sowie eine Biofeedback-und Elektrostimu-lationstherapie können helfen, die Symptome zu lindern, das Prolapsstadium zu reduzieren bzw. die Progression der Senkung verhindern [9,10].…”

Section: Discussionunclassified

Chirurgische Therapie des urogenitalen Deszensus

et al. 2018

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Female pelvic organ prolapse is a widely prevalent condition and is associated with variable morbidity. It encompasses a number of clinical conditions, including subvesical obstruction, overactive bladder symptoms, sexual dysfunction and urinary und fecal incontinence. The prevalence of pelvic insufficiency is estimated to be between 30 and 50 %. As life expectancy is increasing and the elderly population is growing, there will be an increased incidence of the condition and growing demand for pelvic floor treatment in the future. The incidence of recurrent pelvic floor prolapse is also growing. The goal of surgical management is the restoration of pelvic anatomy and bladder, vaginal and bowel function, resolution of patient symptoms and improvement in quality of life. The objective of this review is to present the main surgical procedures for different subtypes of genital prolapse and to evaluate their outcomes and complications. During the last ten years, technologies for the minimally invasive approach have advanced and robotic assisted sacrocolpopexy is now equivalent to classical vaginal and transabdominal procedures.

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“…The randomized trial by Panman et al found that PFPT was superior to expectant management in that women who underwent PFPT had a 12.2‐point increase (95% CI, 7.2‐17.2; P < .001) in the score on the validated Pelvic Floor Distress Inventory . In one randomized controlled trial, 39% of women with pelvic organ prolapse receiving PFPT reported improved sexual function compared with 5% of women in the control group ( P < .01).…”

Section: Pelvic Organ Prolapsementioning

confidence: 99%

Pelvic Floor Physical Therapy and Women's Health Promotion

Lawson¹,

Sacks²

2018

J Midwife Womens Health

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Pelvic floor dysfunction is defined as abnormal function of the pelvic floor and includes conditions that can have significant adverse impacts on a woman's quality of life, including urinary incontinence (stress, urge, and mixed), fecal incontinence, pelvic organ prolapse, sexual dysfunction, diastasis recti abdominis, pelvic girdle pain, and chronic pain syndromes. Women's health care providers can screen for, identify, and treat pelvic floor dysfunction. This article examines the case of a woman with multiple pelvic-floor-related problems and presents the evidence for the use of pelvic floor physical therapy (PFPT) for pregnancy-related pelvic floor dysfunction. PFPT is an evidence-based, low-risk, and minimally invasive intervention, and women's health care providers can counsel women about the role that PFPT may play in the prevention, treatment, and/or management of pelvic floor dysfunction.

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Two‐year effects and cost‐effectiveness of pelvic floor muscle training in mild pelvic organ prolapse: a randomised controlled trial in primary care

Abstract: Pelvic floor muscle training can be effective in women with bothersome symptoms of mild prolapse.

Cited by 47 publications

References 32 publications

The effect of pelvic organ prolapse type on sexual function, muscle strength, and pelvic floor symptoms in women: A retrospective study

The effect of pelvic organ prolapse type on sexual function, muscle strength, and pelvic floor symptoms in women: A retrospective study

Chirurgische Therapie des urogenitalen Deszensus

Pelvic Floor Physical Therapy and Women's Health Promotion

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