Artymuk Natalia Vladimirovna, Khapacheva Svetlana Yurevna
G.A. Ushakova Obstetrics and Gynecology Department, Kemerovo State Medical University, Kemerovo, Russia.
J Matern Fetal Neonatal Med. 2022 Feb;35(3):481-485. doi: 10.1080/14767058.2020.1723541. Epub 2020 Feb 4.
Pelvic floor dysfunction (PFD) is a multifactorial condition that clinically manifests as the pelvic prolapse, urinary and/or rectal incontinence, and sexual dysfunction.
We aimed to evaluate the efficacy of two pelvic floor trainers for the prevention of PFD in women during the postpartum period.
This was a prospective, randomized, open-label study in 70 women in the postpartum period. Participants were randomized to complete a daily, 20-min set of pelvic floor muscle exercises using the EmbaGYN (UK; Group 1, = 40) or the Magic Kegel Master device (China; Group 2, = 40) for 4 weeks. All participants anonymously completed the PFDI-20 questionnaire and FSFI form at baseline and last visit. Pelvic floor muscle strength was measured using the XFT-0010 device.
After the completion of the 4-week pelvic floor muscle exercise program, there was a significant decrease in the rates of all PFD symptoms including pelvic organ prolapse and urinary and/or fecal incontinence in both groups. The rates of sexual dysfunction after the exercise program decreased significantly only in Group II (69.4 versus 25.0%; =.001). After the program, Group I showed a significant reduction in the number of women with symptoms of urgent urinary incontinence versus baseline (35.3 versus 8.8% = .009). Similarly, the rates of urine loss associated with coughing, sneezing or laughing in Group I decreased from 41.2% at baseline to 11.8% after the program ( =.006) and the rates of urine leakage independent of physical activity from 23.5 to 5.9% ( = .040), respectively.
The 4-week postpartum pelvic floor muscle exercise program utilizing the EmbaGYN or Magic Kegel Master device has significantly increased the pelvic floor muscle strength and decreased the symptoms of pelvic organ prolapse, urinary and fecal incontinence. The use of the Magic Kegel Master device significantly reduced the symptoms of sexual dysfunction. The use of the EmbaGYN device was effective in addressing the individual symptoms of urinary incontinence.
盆底功能障碍（PFD）是一种多因素疾病，临床表现为盆腔器官脱垂、尿失禁和/或大便失禁以及性功能障碍。
我们旨在评估两种盆底训练器对预防产后女性盆底功能障碍的疗效。
这是一项针对70名产后女性的前瞻性、随机、开放标签研究。参与者被随机分为两组，一组使用EmbaGYN（英国；第1组，n = 40），另一组使用Magic Kegel Master设备（中国；第2组，n = 40），每天进行20分钟的盆底肌肉锻炼，持续4周。所有参与者在基线和末次随访时匿名完成PFDI-20问卷和FSFI表格。使用XFT-0010设备测量盆底肌肉力量。
在完成为期4周的盆底肌肉锻炼计划后，两组中包括盆腔器官脱垂、尿失禁和/或大便失禁在内的所有盆底功能障碍症状的发生率均显著降低。锻炼计划后，性功能障碍的发生率仅在第2组显著降低（69.4%对25.0%；P = 0.001）。计划实施后，第1组中尿急尿失禁症状女性的数量与基线相比显著减少（35.3%对8.8%；P = 0.009）。同样，第1组中与咳嗽、打喷嚏或大笑相关的漏尿率从基线时的41.2%降至计划实施后的11.8%（P = 0.006），与体力活动无关的漏尿率从23.5%降至5.9%（P = 0.040）。
使用EmbaGYN或Magic Kegel Master设备进行为期4周的产后盆底肌肉锻炼计划显著增强了盆底肌肉力量，减少了盆腔器官脱垂、尿失禁和大便失禁的症状。使用Magic Kegel Master设备显著减轻了性功能障碍的症状。使用EmbaGYN设备对解决尿失禁的个体症状有效。
