Volume 19 Issue 6
Jun.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(6): 964-968
CUI Xia, WANG Wen-yan, LING Lin, ZHAN Lei, WEI Bing. Effect of pelvic floor rehabilitation on pelvic floor function after total laparoscopic hysterectomy[J]. Chinese Journal of General Practice, 2021, 19(6): 964-968. doi: 10.16766/j.cnki.issn.1674-4152.001961
Citation: CUI Xia, WANG Wen-yan, LING Lin, ZHAN Lei, WEI Bing. Effect of pelvic floor rehabilitation on pelvic floor function after total laparoscopic hysterectomy[J]. Chinese Journal of General Practice, 2021, 19(6): 964-968. doi: 10.16766/j.cnki.issn.1674-4152.001961
shu

Effect of pelvic floor rehabilitation on pelvic floor function after total laparoscopic hysterectomy

doi: 10.16766/j.cnki.issn.1674-4152.001961

  • Department of Obstetrics and Gynecology, the Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230601, China

Funds:

 5101ID04041

  • Received Date: 2020-10-24
    Available Online: 2022-02-16
    Abstract
  •   Objective  To investigate the effects of pelvic floor muscle exercise combined with biofeedback electrical stimulation on pelvic floor muscle function and quality of life after laparoscopic total hysterectomy.   Methods  A total of 60 patients who underwent laparoscopic total hysterectomy in the Second Affiliated Hospital of Anhui Medical University from January 2017 to December 2018 for non-prolapsed benign uterine diseases were randomly divided into the experimental and control groups. Each group had 30 patients. The control group was treated with PFMT, whereas the experimental group was treated with biofeedback electrical stimulation combined with PFMT. A perineal muscle testing method was used, and pelvic floor muscle electric parameter was measured 3 months after surgery and 6 months and 12 months after the postoperative evaluation of pelvic floor function. Treatment times for urinary and bowel symptoms were compared using pelvic floor functional impact survey questionnaire (PFIQ-7) with pelvic organ prolapse/incontinence sexual questionnaire (PISQ-12), and the quality of life of patients in both groups were evaluated.   Results  The OR values for muscle strength of class Ⅰ and class Ⅱ were 2.962 and 2.636, respectively. The P time/group/interaction values of slow and fast muscles were < 0.001/0.033/0.024, < 0.001/0.001/0.011 and < 0.001/0.003/0.001. The symptoms of lower urinary tract and intestinal tract in the two groups decreased 6 and 12 months after surgery, compared with those 3 months after surgery, and the improvement of symptoms and quality of life in the experimental group were better than those in the control group, and the differences were statistically significant (all P < 0.05).   Conclusion  Reasonable pelvic floor rehabilitation therapy after laparoscopic total hysterectomy can effectively prevent and improve the functional status of the pelvic floor muscle and enhance quality of life. Pelvic floor muscle exercise combined with biofeedback electrical stimulation has a good therapeutic effect, which is worthy of clinical promotion.

     

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