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Published in: Archives of Gynecology and Obstetrics 3/2011

01-03-2011 | General Gynecology

Effect of colpexin sphere on pelvic floor muscle strength in women with pelvic organ prolapse: a randomized controlled trial (a preliminary report)

Authors: Thitima Harnsomboon, Jittima Manonai, Sirirat Sarit-apirak, Rujira Wattanayingcharoenchai, Apichart Chittacharoen, Somsak Sututvoravut

Published in: Archives of Gynecology and Obstetrics | Issue 3/2011

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Abstract

Objective

The aim of this study was to assess the effect of Colpexin Sphere with pelvic floor exercise in women with stage I and II pelvic organ prolapse on improving pelvic floor muscle strength compared with the pelvic floor exercise only.

Methods

The women were divided into two groups: one group used Colpexin Sphere with pelvic floor muscle exercise, and the other group did pelvic floor exercise only for a 16-week period. The efficacy was evaluated at baseline and 16-week for comparison of pelvic floor muscle strength.

Results

A total of 50 women were enrolled and 48 women completed the full 16-week assessment. A statistically significant improvement in pelvic floor muscle strength as compared with baseline values and at 16 weeks was shown in both groups, with mean difference pull test contraction values of 2.25 + 3.28 N (P < 0.05) in the study group and 1.38 + 2.17 N (P < 0.05) in the control group. There was no statistically significant difference in improving pelvic floor muscle strength between the study and the control groups.

Conclusion

Even though Colpexin Sphere plus pelvic floor exercise improved pelvic floor muscle strength, the improvement was not statistically different from exercise alone
Literature
1.
go back to reference Hendrix SL, Clark A, Nygaard I, Aragaki A, Barnabei V, McTiernan A (2002) Pelvic organ prolapse in the Women’s Health Initiative: gravity and gravidity. Am J Obstet Gynecol 186:1160–1166CrossRefPubMed Hendrix SL, Clark A, Nygaard I, Aragaki A, Barnabei V, McTiernan A (2002) Pelvic organ prolapse in the Women’s Health Initiative: gravity and gravidity. Am J Obstet Gynecol 186:1160–1166CrossRefPubMed
2.
go back to reference Swift SE (2000) The distribution of pelvic organ support in a population of female subjects seen for routine gynecologic health care. Am J Obstet Gynecol 183:277–285CrossRefPubMed Swift SE (2000) The distribution of pelvic organ support in a population of female subjects seen for routine gynecologic health care. Am J Obstet Gynecol 183:277–285CrossRefPubMed
3.
go back to reference Nygaard I, Barber MD, Burgio KL, Kenton K, Meikle S, Schaffer J et al (2008) Prevalence of symptomatic pelvic floor disorders in US women. JAMA 300:1311–1316CrossRefPubMed Nygaard I, Barber MD, Burgio KL, Kenton K, Meikle S, Schaffer J et al (2008) Prevalence of symptomatic pelvic floor disorders in US women. JAMA 300:1311–1316CrossRefPubMed
4.
go back to reference Lawrence JM, Lukacz ES, Nager CW, Hsu JW, Luber KL (2008) Prevalence and co-occurrence of pelvic floor disorders in community-dwelling women. Obstet Gynecol 111:687-685 Lawrence JM, Lukacz ES, Nager CW, Hsu JW, Luber KL (2008) Prevalence and co-occurrence of pelvic floor disorders in community-dwelling women. Obstet Gynecol 111:687-685
5.
go back to reference Meidel A, Tegerstedt G, Maehle-Schmidt M, Nyren O, Hammarstrom M (2009) Nonobstetrics risk factors for symptomatic pelvic organ prolapse. Obstet Gynecol 113:1089–1097 Meidel A, Tegerstedt G, Maehle-Schmidt M, Nyren O, Hammarstrom M (2009) Nonobstetrics risk factors for symptomatic pelvic organ prolapse. Obstet Gynecol 113:1089–1097
6.
go back to reference Whitcomb EL, Rortveit G, Brown JS, Creasman JM, Thom DH, Van Den Eeden SK et al (2009) Racial differences in pelvic organ prolapse. Obstet Gynecol 114:1271–1277CrossRefPubMed Whitcomb EL, Rortveit G, Brown JS, Creasman JM, Thom DH, Van Den Eeden SK et al (2009) Racial differences in pelvic organ prolapse. Obstet Gynecol 114:1271–1277CrossRefPubMed
7.
go back to reference Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL (1997) Epidermiology of surgically managed pelvic organ prolapse and urinary incomtinence. Obstet Gynecol 89:501–506CrossRefPubMed Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL (1997) Epidermiology of surgically managed pelvic organ prolapse and urinary incomtinence. Obstet Gynecol 89:501–506CrossRefPubMed
8.
go back to reference Hagen S, Stark D, Maher C, Adams E (2006) Conservative management of pelvic organ prolapsed in women. Cochrane Database Syst Rev (4):CD003882 Hagen S, Stark D, Maher C, Adams E (2006) Conservative management of pelvic organ prolapsed in women. Cochrane Database Syst Rev (4):CD003882
9.
go back to reference Adamkiewicz MM, Adamkiewicz MF, Jozwik M, Jozwik M (2001) Combined treatment of pelvic floor exercises and new intravaginal device for genital prolapse. Int Urogynecol J 12(Suppl 3):48 Adamkiewicz MM, Adamkiewicz MF, Jozwik M, Jozwik M (2001) Combined treatment of pelvic floor exercises and new intravaginal device for genital prolapse. Int Urogynecol J 12(Suppl 3):48
10.
go back to reference Lukban JC, Aguirre OA, Davila GW, Sand PK (2006) Safety and effectiveness of Colpexin Sphere in the treatment of pelvic organ prolapse. Int Urogynecol J 17:449–454CrossRef Lukban JC, Aguirre OA, Davila GW, Sand PK (2006) Safety and effectiveness of Colpexin Sphere in the treatment of pelvic organ prolapse. Int Urogynecol J 17:449–454CrossRef
11.
go back to reference Guerette N, Neimark M, Kopka SL, Jones JE, Davila GW (2004) Initial experience with a new method for the dynamic assessment of pelvic floor function in women; the Kolpexin Pull Test. Int Urogynecol J 15:39–43CrossRef Guerette N, Neimark M, Kopka SL, Jones JE, Davila GW (2004) Initial experience with a new method for the dynamic assessment of pelvic floor function in women; the Kolpexin Pull Test. Int Urogynecol J 15:39–43CrossRef
12.
go back to reference Brink CA, Sampselle CM, Wells TJ, Diokno AC, Gillis GL (1989) A digital test for pelvic muscle strength in older women with urinary incontinence. Nurs Res 38:196–199CrossRefPubMed Brink CA, Sampselle CM, Wells TJ, Diokno AC, Gillis GL (1989) A digital test for pelvic muscle strength in older women with urinary incontinence. Nurs Res 38:196–199CrossRefPubMed
Metadata
Title
Effect of colpexin sphere on pelvic floor muscle strength in women with pelvic organ prolapse: a randomized controlled trial (a preliminary report)
Authors
Thitima Harnsomboon
Jittima Manonai
Sirirat Sarit-apirak
Rujira Wattanayingcharoenchai
Apichart Chittacharoen
Somsak Sututvoravut
Publication date
01-03-2011
Publisher
Springer-Verlag
Published in
Archives of Gynecology and Obstetrics / Issue 3/2011
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-010-1394-4

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