Gynaecology and Human Reproduction Physiopathology Unit, DIMEC, S. Orsola Hospital, University of Bologna, Bologna, Italy.
Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
J Sex Marital Ther. 2020;46(7):603-611. doi: 10.1080/0092623X.2020.1765057. Epub 2020 Jun 24.
A prospective study with the aim to evaluate the effects of pelvic floor physiotherapy was conducted among women with deep infiltrating endometriosis (DIE) and associated dyspareunia. At initial evaluation superficial and deep dyspareunia were assessed using a numerical rating scale, and levator hiatus area (LHA) was assessed with 3-D/4-D transperineal ultrasound. Women underwent five individual sessions of ultrasound visual feedback assisted pelvic floor physiotherapy. One month after the therapy, dyspareunia and LHA were reassessed and compared with pre-therapy data. Pelvic floor physiotherapy seems to improve both superficial and deep dyspareunia and pelvic floor muscle relaxation in women with DIE.
一项旨在评估盆底物理治疗效果的前瞻性研究在患有深部浸润型子宫内膜异位症（DIE）和相关性交痛的女性中进行。在初始评估中，使用数字评分量表评估浅表性和深部性交痛，使用 3D/4D 经会阴超声评估肛提肌裂孔面积（LHA）。女性接受五次个体化的超声可视化反馈辅助盆底物理治疗。治疗后 1 个月，重新评估性交痛和 LHA，并与治疗前数据进行比较。盆底物理治疗似乎可改善 DIE 女性的浅表性和深部性交痛以及盆底肌肉松弛。
