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Int Urogynecol J. 2011 Oct;22(10):1233-9. doi: 10.1007/s00192-011-1428-x. Epub 2011 Apr 12.

Pelvic floor muscle training for treatment of pelvic organ prolapse: an assessor-blinded randomized controlled trial.

Author information

1
Department of Gynecology, Federal University of São Paulo, Rua Borges Lagoa 783, conjunto 31, 3° andar, CEP 04038-031, São Paulo, SP, Brazil. liliana.unifesp@gmail.com

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.

PMID:
21484362
DOI:
10.1007/s00192-011-1428-x
[Indexed for MEDLINE]

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