Apport du traitement conservateur dans la prise en charge du prolapsus urogénital de bas grade. Le devenir après deux ans
Abstract
Objective The objective of our study was to determine the respective effects of conservative treatment (pelvic muscle exercises plus advice on healthy living) and the absence of treatment in the management of urogenital prolapse.Materials and methods Forty-seven women (mean+/-S.D. age: 53.42+/-11.01 years) consulting for genital prolapse (grade I or II cystocele) were randomized into two groups: a conservative treatment group (CTG) and a nontreated group (NTG). The patients' outcomes were rated according to several parameters; a clinical examination, the "Measurement of Urinary Handicap" (MUH) scale, urodynamic tests, the Ditrovie quality of life scale and patient satisfaction on a visual analogue scale (VAS).Results The immediate post-treatment results showed that pelvic heaviness persisted in only five patients (18.51%) in the CTG compared with fourteen (70%) in the NTG (p<0.001). Furthermore, a significant improvement in the MUH scale score was noted in the CTG compared with the NTG. The Ditrovie score also improved. The maximum urethral closure pressure (MUCP) ranged from 54.4+/-13.23 to 57.81+/-12.8 cm H(2)O in the CTG versus 54.05+/-12.18 to 52.95+/-12.18 cm H(2)O in the NTG. Uroflowmetry revealed a significant improvement in the maximum flow rate. These benefits were maintained two years after cessation of the conservative treatment in 20 of the CTG patients.Conclusion Conservative treatment can be effective in the treatment of low-degree urogenital prolapse and enables the improvement of clinical symptoms and urodynamic parameters. The benefits were maintained two years after treatment cessation.
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Ghroubi et al. was an RCT of 47 women with mean age 53.4 (SD 11) and no information about blinding.
“RCT/ 47 women, mean age 53.4 (SD 11)No information about blinding”
From International urogynecology consultation chapter 3 committee 2; conservative treatment of patient with pelvic organ prolapse: Pelvic floor muscle training (2022) · cites this paper as [41]
Ghroubi et al. had a 0% drop-out rate.
“Drop-out: 0”
From International urogynecology consultation chapter 3 committee 2; conservative treatment of patient with pelvic organ prolapse: Pelvic floor muscle training (2022) · cites this paper as [41]
For short-term effect, RCTs showed PFMT to be effective in treating POP, demonstrating statistically significant improvement in POP symptoms and/or anatomical POP assessed by POP-Q stage compared to the comparison group.
“For short-term effect of PFMT, the RCTs showed PFMT to be effective in treating POP, demonstrating statistically significant improvement in POP symptoms [41–46, 48, 49] and/or anatomical POP, assessed by POP-Q stage [40, 42–44, 46, 48] compared to the comparison group.”
From International urogynecology consultation chapter 3 committee 2; conservative treatment of patient with pelvic organ prolapse: Pelvic floor muscle training (2022) · cites this paper as [41]
In Ghroubi et al., after treatment, heaviness was reported by 18.5% of the PFMT group versus 70% of the control group (p < 0.001).
“Heaviness after treatment: PFMT: 18.5%; Control: 70%, p < 0.001”
From International urogynecology consultation chapter 3 committee 2; conservative treatment of patient with pelvic organ prolapse: Pelvic floor muscle training (2022) · cites this paper as [41]
In Ghroubi et al., uroflowmetry showed significant improvement in maximum flow rate.
“Uroflowmetry showed significant improvement in maximum flow rate”
From International urogynecology consultation chapter 3 committee 2; conservative treatment of patient with pelvic organ prolapse: Pelvic floor muscle training (2022) · cites this paper as [41]
In Ghroubi et al., there was no information on the control group at two-year follow-up.
“No information on control group”
From International urogynecology consultation chapter 3 committee 2; conservative treatment of patient with pelvic organ prolapse: Pelvic floor muscle training (2022) · cites this paper as [41]
Ghroubi et al. did not report adherence.
“Adherence: not reported”
From International urogynecology consultation chapter 3 committee 2; conservative treatment of patient with pelvic organ prolapse: Pelvic floor muscle training (2022) · cites this paper as [41]
In Ghroubi et al., the PFMT group had significantly better report on the Measurement of Urinary handicap scale (MUH).
“Significantly better report on “MUH” in PFMT”
From International urogynecology consultation chapter 3 committee 2; conservative treatment of patient with pelvic organ prolapse: Pelvic floor muscle training (2022) · cites this paper as [41]
In Ghroubi et al., at two-year follow-up, benefits were maintained in 20 of 27 women in the PFMT group (only 20 assessed).
“Two-year long-term follow-up: benefits maintained in 20 of 27 (only 20 assessed) women in the PFMT group.”
From International urogynecology consultation chapter 3 committee 2; conservative treatment of patient with pelvic organ prolapse: Pelvic floor muscle training (2022) · cites this paper as [41]
Cites
Pelvic Symptoms in Women With Pelvic Organ Prolapse
Burrows, L. J., Meyn, L. A., Walters, M. D., & Weber, A. M. (2004) · Obstetrics and Gynecology · doi:10.1097/01.aog.0000142708.61298.be · Cited by 207 · see citing works
Management of genital prolapse
Thakar, R., & Stanton, S. (2002) · BMJ · doi:10.1136/bmj.324.7348.1258 · Cited by 142 · see citing works
(2003) · PubMed · Cited by 61 · see citing works
Amarenco, G., Marquis, P., Leriche, B., Richard, F., Zerbib, M., & Jacquetin, B. (1997) · Annales de Réadaptation et de Médecine Physique · doi:10.1016/s0168-6054(97)85882-5 · Cited by 31 · see citing works
A clinical and urodynamic study of patients with varying degrees of cystocele
Oliva, C., Paparella, P., Angelo, Z. M., Santa, U., Falconi, G., & Mancuso, S. (1997) · Maturitas · doi:10.1016/s0378-5122(97)00033-9 · Cited by 11 · see citing works
Analyse comparative des échelles d’évaluation de l’incontinence urinaire chez la femme
Deruelle, P., Houfflin‐Debarge, V., Nayama, M., Vinatier, D., Crépin, G., & Cosson, M. (2003) · Gynécologie Obstétrique & Fertilité · doi:10.1016/s1297-9589(03)00126-7 · Cited by 6 · see citing works
Chaliha, C., & Khullar, V. (2005) · Reviews in Gynaecological Practice · doi:10.1016/j.rigp.2005.02.001 · Cited by 5 · see citing works
(2000) · Time to knit · doi:10.1016/s0246-1064(19)30106-9 · Cited by 2 · see citing works
Giroudeau, F., Schultz, G., Jurascheck, F., & Grosse, D. (1996) · Annales de Réadaptation et de Médecine Physique · doi:10.1016/0168-6054(96)81237-2 · Cited by 1 · see citing works
Delepeleer, A., Roman, F., & Piera, J. (1995) · Annales de Réadaptation et de Médecine Physique · doi:10.1016/0168-6054(96)89295-6 · Cited by 1 · see citing works
Jurascheck, F., Grosse, D., Jurascheck, E., Sengler, J., & Fernandez, R. (1996) · Annales de Réadaptation et de Médecine Physique · doi:10.1016/0168-6054(96)88045-7 · Cited by 1 · see citing works
Incontinence urinaire et cystocèle: intérêt et apport d'un modèle mathématique de la miction
Valentini, F. A., Saby, M.-A., Besson, G. R., & Nelson, P. (1998) · Annales de Réadaptation et de Médecine Physique · doi:10.1016/s0168-6054(98)80004-4 · Cited by 1 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Conservative prevention and management of pelvic organ prolapse in women
Hagen, S., & Stark, D. (2011) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003882.pub4 · Cited by 326 · see citing works
Hagen, S., Stark, D., Glazener, C., Dickson, S., Barry, S., Elders, A., Frawley, H., Galea, M. P., Logan, J., McDonald, A., et al. (2014) · The Lancet · doi:10.1016/s0140-6736(13)61977-7 · Cited by 258 · see citing works
Brækken, I. H., Majida, M., Engh, M. E., & Bø, K. (2010) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2010.02.037 · Cited by 241 · see citing works
Bø, K. (2012) · World Journal of Urology · doi:10.1007/s00345-011-0779-8 · Cited by 214 · see citing works
Li, C., Gong, Y., & Wang, B. (2016) · International Urogynecology Journal · doi:10.1007/s00192-015-2846-y · Cited by 154 · see citing works
Wiegersma, M., Panman, C. M. C. R., Kollen, B. J., Berger, M. Y., Lisman-Van Leeuwen, Y., & Dekker, J. H. (2014) · BMJ · doi:10.1136/bmj.g7378 · Cited by 122 · see citing works
Hagen, S., Stark, D., Glazener, C., Sinclair, L., & Ramsay, I. (2009) · International Urogynecology Journal · doi:10.1007/s00192-008-0726-4 · Cited by 116 · see citing works
Management of pelvic organ prolapse and quality of life: a systematic review and meta-analysis
Doaee, M., Moradi-Lakeh, M., Nourmohammadi, A., Razavi-Ratki, S. K., & Nojomi, M. (2014) · International Urogynecology Journal · doi:10.1007/s00192-013-2141-8 · Cited by 88 · see citing works
Stüpp, L., Resende, A. P. M., Oliveira, E., Castro, R. A., Girão, M. J. B. C., & Sartori, M. G. F. (2011) · International Urogynecology Journal · doi:10.1007/s00192-011-1428-x · Cited by 85 · see citing works
Nonsurgical Management of Pelvic Organ Prolapse
Culligan, P. J. (2012) · Obstetrics and Gynecology · doi:10.1097/aog.0b013e31824c0806 · Cited by 82 · see citing works
Brækken, I. H., Majida, M., Ellström Engh, M., & Bø, K. (2015) · The Journal of Sexual Medicine · doi:10.1111/jsm.12746 · Cited by 75 · see citing works
Bø, K., Anglès-Acedo, S., Batra, A., Brækken, I. H., Chan, Y. L., Jorge, C. H., Kruger, J., Yadav, M., & Dumoulin, C. (2022) · International Urogynecology Journal · doi:10.1007/s00192-022-05324-0 · Cited by 64 · see citing works
“Four studies compared PFMT with no treatment [40, 41, 44, 48].”
BackgroundPanman, C. M. C. R., Wiegersma, M., Kollen, B. J., Berger, M. Y., Lisman-van Leeuwen, Y., Vermeulen, K. M., & Dekker, J. H. (2016) · Menopause · doi:10.1097/gme.0000000000000706 · Cited by 61 · see citing works
Baeßler, K., Aigmüller, T., Albrich, S. B., Anthuber, C. J., Finas, D., Fink, T., Fünfgeld, C., Gabriel, B., Henscher, U., Hetzer, F. H., et al. (2016) · Geburtshilfe und Frauenheilkunde · doi:10.1055/s-0042-119648 · Cited by 58 · see citing works
Panman, C., Wiegersma, M., Kollen, B., Berger, M., Lisman‐Van Leeuwen, Y., Vermeulen, K., & Dekker, J. (2017) · BJOG: An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.13992 · Cited by 57 · see citing works
Dumoulin, C., Alewijnse, D., Bo, K., Hagen, S., Stark, D., Van Kampen, M., Herbert, J., Hay‐Smith, J., Frawley, H., McClurg, D., et al. (2015) · Neurourology and Urodynamics · doi:10.1002/nau.22794 · Cited by 57 · see citing works
Complex pelvic floor failure and associated problems
Elneil, S. (2009) · Best Practice & Research Clinical Gastroenterology · doi:10.1016/j.bpg.2009.04.011 · Cited by 57 · see citing works
Kashyap, R., Jain, V., & Singh, A. (2013) · International Journal of Gynecology & Obstetrics · doi:10.1016/j.ijgo.2012.11.012 · Cited by 53 · see citing works
Bø, K., Brækken, I. H., Majida, M., & Engh, M. E. (2008) · International Urogynecology Journal · doi:10.1007/s00192-008-0719-3 · Cited by 45 · see citing works
Efficacy of biofeedback on quality of life in stages I and II pelvic organ prolapse: A Pilot study
Ahadi, T., Taghvadoost, N., Aminimoghaddam, S., Forogh, B., Bazazbehbahani, R., & Raissi, G. R. (2017) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2017.06.023 · Cited by 17 · see citing works
Knorst, M. R., Cavazzotto, K., Henrique, M., & Resende, T. D. L. (2012) · Brazilian Journal of Physical Therapy · doi:10.1590/s1413-35552012000200004 · Cited by 16 · see citing works
Impact of pelvic floor muscle training in pelvic organ prolapse
Basnet, R. (2021) · International Urogynecology Journal · doi:10.1007/s00192-020-04613-w · Cited by 15 · see citing works
Özengın, N., Yıldırım, N. Ü., & Duran, B. (2015) · Journal of Turkish Society of Obstetric and Gynecology · doi:10.4274/tjod.74317 · Cited by 12 · see citing works
Female pelvic floor dysfunctions and evidence-based physical therapy
(2014) · Elsevier eBooks · doi:10.1016/b978-0-7020-4443-4.00007-8 · Cited by 10 · see citing works
Knorst, M. R., Royer, C. D. S., Basso, D. M. D. S., Russo, J. D. S., Guedes, R. G., & Resende, T. D. L. (2013) · Fisioterapia e Pesquisa · doi:10.1590/s1809-29502013000300002 · Cited by 7 · see citing works
Rzepka, J. K., Brocker, K. A., Alt, C. D., Corteville, C., Sohn, C., & Lenz, F. (2010) · Journal of Obstetrics and Gynaecology · doi:10.3109/01443615.2010.518257 · Cited by 6 · see citing works
Traitement non chirurgical du prolapsus
Conquy, S., Costa, P., Haab, F., & Delmas, V. (2009) · The French Journal of Urology · doi:10.1016/j.purol.2009.09.028 · Cited by 6 · see citing works
Bø, K., Majida, M., & Engh, M. E. (2011) · International Urogynecology Journal · doi:10.1007/s00192-011-1598-6 · Cited by 4 · see citing works
Motion estimation in ultrasound imaging applied to the diagnostic of pelvic floor disorders
Basarab, A., Vidal, F., Abbal, R., Delachartre, P., Vayssière, C., Lèguevaque, P., & Kouamé, D. (2011) · Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) · doi:10.1109/iembs.2011.6091987 · Cited by 3 · see citing works
Pelvic organ prolapse in women: how is it diagnosed and treated currently?
Milart, P., Woźniakowska, E., Czuczwar, P., & Woźniak, S. (2015) · Menopause Review/Przegląd Menopauzalny · doi:10.5114/pm.2015.54338 · Cited by 3 · see citing works
More research is needed before we regard POP-Q stage 1 prolapse as normal
Wiegersma, M., Panman, C. M. C. R., van Leeuwen, Y., & Dekker, J. H. (2014) · International Urogynecology Journal · doi:10.1007/s00192-014-2371-4 · Cited by 3 · see citing works
van Markus-Floor, S., Eekhof, J. A., Neven, A. K.-T., & Glansdorp, A. (2012) · Huisarts en Wetenschap · doi:10.1007/s12445-012-0126-3 · Cited by 2 · see citing works
Pelvic floor muscle training under ultrasound guidance is helpful to improve training effect
Ying, T., Li, Q., & Hu, B. Q. (2009) · Medical Hypotheses · doi:10.1016/j.mehy.2009.05.015 · Cited by 2 · see citing works
Pelvic Floor Muscle Training in Prevention and Treatment of Pelvic Organ Prolapse
Bø, K., & Brækken, I. H. (2010) · Springer eBooks · doi:10.1007/978-88-470-1542-5_73 · Cited by 1 · see citing works
Impact of Pelvic Organ Prolapse on Sexual Function
Srikrishna, S., & Rantell, A. (2021) · Springer eBooks · doi:10.1007/978-3-030-63843-6_5 · Cited by 1 · see citing works
Pelvic Floor Muscle Training and Prolapse: Prevention or Treatment?
Biroli, A., & Lamberti, G. (2018) · Urodynamics, neurourology and pelvic floor dysfunctions · doi:10.1007/978-3-319-59195-7_6 · Cited by 1 · see citing works
Panman, C. M. C. R., Wiegersma, M., & Dekker, J. H. (2015) · Bijblijven · doi:10.1007/s12414-015-0087-0 · Cited by 1 · see citing works
Genitaldeszensus und Belastungsinkontinenz
Baeßler, K., & Maher, C. (2013) · Der Gynäkologe · doi:10.1007/s00129-012-3122-6
Stres Tipi İdrar Kaçırması Olan Kadınlarda Optimal Pelvik Taban Kas Eğitim Programları
Yıldız, N. (2014) · Kadın ve İşlevsel Üroloji Bülteni · doi:10.4274/kiud.06
Elbiaa, A. A. M. (2014) · Obstetrics & Gynecology International Journal · doi:10.15406/ogij.2014.01.00015
Nonsurgical vs. Surgical Treatment Options for Pelvic Organ Prolapse: Review of the Current Evidence
Kow, N., Siff, L. N., & Ferzandi, T. R. (2016) · Current Obstetrics and Gynecology Reports · doi:10.1007/s13669-016-0157-z
Bekkenbodemfysiotherapie bij urogenitale prolaps
Panman, C. M. C. R., Wiegersma, M., Kollen, B. J., Berger, M. Y., van Leeuwen, Y., Vermeulen, K. M., & Dekker, J. H. (2017) · Huisarts en Wetenschap · doi:10.1007/s12445-017-0036-5
Pelvic Floor Muscle Training in Prevention and Treatment of Pelvic Organ Prolapse
Bø, K., & Brækken, I. H. (2020) · Springer eBooks · doi:10.1007/978-3-030-40862-6_52
Rééducation périnéale et pelvienne : guérir une contraction à la fois
Fournier-Côté, É., Lambert, A., Martel, M., & Pelletier, V. (2011) · Papyrus : Institutional Repository (Université de Montréal)
- Authors
- Ghroubi, S., Kharrat, O., Chaari, M., Ben Ayed, B., Guermazi, M., & Elleuch, M. H.
- Affiliations
- Hopital Universitaire Habib Bourguiba (TN)
- Corresponding author
- Ghroubi, S.
- ORCID
- Elleuch, M.H.
- Venue
- Annales de Réadaptation et de Médecine Physique
- Publisher
- Elsevier BV
- Published
- 2008-03
- Volume
- 51
- Issue
- 2
- Pages
- 96-102
- ISSN
- 0168-6054 (ISSN-L)
- OpenAlex
- W2067726336
- Cited by
- 46
- References
- 12
- Citations by year
- 2022: 1 · 2021: 2 · 2020: 1 · 2018: 1 · 2017: 2 · 2016: 4 · 2015: 5 · 2014: 6 · 2013: 6 · 2012: 4
- FWCI
- 3.20
- Type
- journal article
- Language
- fr
- Open access
- closed
- Locations
- Annales de Réadaptation et de Médecine Physique (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
- Health Sciences › Medicine › Obstetrics and Gynecology › Ureteral procedures and complications
- Keywords
- conservative treatment, pelvic floor muscle training, cystocele, pelvic organ prolapse, urinary incontinence, urodynamics, maximum urinary flow rate, long-term outcomes, women's health, lifestyle advice, pelvic floor dysfunction
- MeSH terms
- Adult, Data Interpretation, Statistical, Female, Follow-Up Studies, Humans, Middle Aged, Parity, Perineum, Pregnancy, Prospective Studies, Quality of Life, Surveys and Questionnaires, Time Factors, Urination Disorders, Urodynamics, Treatment Outcome, Patient Satisfaction, Pelvic Floor, Rectocele, Physical Therapy Modalities, Cystocele
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