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Cited by 21Pelvic floor disorders treatmentsSexual function and dysfunction studiesUrinary Bladder and Prostate Research

Pelvic Floor Physical Therapy: Impact on Quality of Life 6 Months After Vaginal Reconstructive Surgery

Pauls, Rachel N., Crisp, Catrina C., Novicki, Kathleen, Fellner, Angela N., Kleeman, Steven D.·2014·Female Pelvic Medicine & Reconstructive Surgery
DOI 10.1097/spv.0000000000000090
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Abstract

OBJECTIVES: Pelvic floor physical therapy (PFPT) is often used as a treatment of pelvic floor disorders and may improve function after pelvic reconstructive surgery. However, the long-term impact of this modality is not understood. METHODS: This randomized controlled trial compared PFPT to the standard care in women undergoing vaginal reconstruction. The intervention group received PFPT biweekly until 12 weeks postoperatively, in conjunction with a physician assessment. Control subjects underwent a physician assessment alone at all postoperative intervals. The final follow-up was at 24 weeks. Physical examinations (pelvic organ prolapse quantification assessment), intravaginal electromyography, voiding diaries, and validated questionnaires were completed by all subjects. The primary outcome was change in the World Health Organization Quality of Life-BREF. RESULTS: Forty-nine women completed the study, 24 in the PFPT group and 25 in the control group. Although electromyography measures showed better muscular function in PFPT subjects after 12 weeks, at 6 months after surgery, this was no longer noted. However, quality of life parameters improved for the entire sample at 24 weeks, with no difference between groups. Positive change from 12 to 24 weeks was also documented in scores on the Pelvic Floor Distress Inventory-20 (P = 0.04) and Pelvic Floor Impact Questionnaire-7 (P = 0.018), corresponding with continued improvement in bladder symptoms. Finally, Prolapse and Incontinence Sexual Questionnaire-12 and Female Sexual Function Index scores improved between 12 and 24 weeks, suggesting better sexual function overall with time elapsed from surgery. CONCLUSIONS: Quality of life improves in all subjects after vaginal reconstructive surgery, with ongoing benefit between 3 and 6 months. Nevertheless, standardized PFPT was not associated with differences at 24 weeks in this cohort of women.

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Crossref · 10.1097/spv.0000000000000090

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Authors
Pauls, R. N., Crisp, C. C., Novicki, K., Fellner, A. N., & Kleeman, S. D.
Affiliations
Good Samaritan Hospital (US)
Corresponding author
  • Pauls, Rachel N.
  • Crisp, Catrina C.
  • Kleeman, Steven D.
ORCID
Venue
Female Pelvic Medicine & Reconstructive Surgery
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2014-11
Volume
20
Issue
6
Pages
334-341
ISSN
2151-8378 (ISSN-L)
DOI
10.1097/spv.0000000000000090
OpenAlex
W2074213683
Cited by
19
References
34
Citations by year
2024: 3 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 3 · 2019: 3 · 2018: 2 · 2017: 1 · 2015: 1
FWCI
0.55
Type
journal article
Language
en
Open access
closed
Locations
  • Urogynecology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
  • Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
  • Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
Keywords
pelvic floor physiotherapy, vaginal reconstruction, pelvic organ prolapse, pelvic floor dysfunction, postoperative rehabilitation, quality of life, pelvic floor muscle function, urinary incontinence, sexual function
MeSH terms
Arousal, Electromyography, Female, Humans, Middle Aged, Orgasm, Postoperative Care, Preoperative Care, Quality of Life, Sexual Behavior, Sexual Dysfunction, Physiological, Vagina, Treatment Outcome, Patient Satisfaction, Pelvic Floor, Physical Therapy Modalities, Pelvic Organ Prolapse

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