Published in:
01-10-2011 | Original Article
Pelvic floor muscle training for treatment of pelvic organ prolapse: an assessor-blinded randomized controlled trial
Authors:
Liliana Stüpp, Ana Paula Magalhães Resende, Emerson Oliveira, Rodrigo Aquino Castro, Manoel João Batista Castello Girão, Marair Gracio Ferreira Sartori
Published in:
International Urogynecology Journal
|
Issue 10/2011
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Abstract
Introduction and hypothesis
This pilot study aimed to investigate the effectiveness of pelvic floor muscle training (PFMT) for the treatment of pelvic organ prolapse.
Methods
Thirty-seven women with stage II prolapse were randomized to either the intervention group (n = 21) or the control group (n = 16). The evaluation included assessments of pelvic floor muscle function and surface electromyography at baseline and post 14 weeks of treatment. The severity of prolapse was quantified by the POP-Q method and symptoms by P-QoL questionnaire.
Results
The intervention group showed significantly greater anatomic improvements in the anterior and posterior vaginal wall prolapses than did the control group (P < 0.001 and 0.025, respectively) and a decrease of symptoms. In addition, the intervention group had greater improvements in muscle strength (P < 0.001), endurance (P < 0.001), and electromyography parameters (P = 0.008) compared to the control group.
Conclusions
PFMT is effective in the treatment of pelvic organ prolapse.