Jarvis Sherin K, Hallam Taryn K, Lujic Sanja, Abbott Jason A, Vancaillie Thierry G
Department of Endo-Gynaecology, Royal Hospital for Women, University of New South Wales, Sydney, Australia.
Aust N Z J Obstet Gynaecol. 2005 Aug;45(4):300-3. doi: 10.1111/j.1479-828X.2005.00415.x.
Urinary incontinence and pelvic organ prolapse are common complaints in women. Physiotherapy and surgery to correct these conditions are often seen as mutually exclusive. No study has yet investigated their synergistic potential.
This study aimed to investigate the role of peri-operative physiotherapy in women undergoing corrective surgery for pelvic organ prolapse and/or incontinence.
In this randomised controlled trial, 30 women underwent preoperative physiotherapy and 30 others had no physiotherapy prior to their incontinence and or prolapse surgeries. Comparison was performed on the basis of the following tests: paper towel test, urinary symptom specific health and quality of life questionnaire, frequency/volume chart and pelvic floor muscle manometry. Women were followed up for 3 months.
Both groups showed improvement in urinary continence. Significant group differences were noted in the quality of life questionnaire (P= 0.004), urinary symptoms (P= 0.017) and maximum pelvic floor muscle squeeze on manometry (P= 0.022). Diurnal frequency analysis indicates that there is a significant difference in favour of the treatment group (P= 0.024).
Routine pre and post operative physiotherapy interventions improve physical outcomes and quality of life in women undergoing corrective surgery for urinary incontinence and or pelvic organ prolapse.
尿失禁和盆腔器官脱垂是女性常见的病症。治疗这些病症的物理治疗和手术通常被视为相互排斥的。尚无研究调查它们的协同潜力。
本研究旨在调查围手术期物理治疗在接受盆腔器官脱垂和/或尿失禁矫正手术的女性中的作用。
在这项随机对照试验中，30名女性在进行尿失禁和/或脱垂手术前接受了术前物理治疗，另外30名女性在手术前未接受物理治疗。基于以下测试进行比较：纸巾试验、尿症状特异性健康和生活质量问卷、频率/容量图表以及盆底肌肉测压。对女性进行了3个月的随访。
两组的尿失禁情况均有改善。在生活质量问卷（P = 0.004）、尿症状（P = 0.017）和测压时盆底肌肉最大收缩力（P = 0.022）方面，两组存在显著差异。日间频率分析表明，治疗组有显著差异（P = 0.024）。
常规的术前和术后物理治疗干预可改善接受尿失禁和/或盆腔器官脱垂矫正手术的女性的身体状况和生活质量。
