Department of Physiotherapy, Scheer Memorial Adventist Hospital, Banepa, Kavre, Nepal.
Int Urogynecol J. 2021 Jun;32(6):1351-1360. doi: 10.1007/s00192-020-04613-w. Epub 2021 Jan 8.
This review article was aimed at evaluating the effectiveness of pelvic floor muscle training (PFMT) during conservative management and as an adjunct to prolapse surgery based on recently published articles.
The PubMed and PEdro databases were searched from 2005 to 2020 for all types of studies reporting on PFMT as the primary treatment for conservative management of prolapse as well as an adjunct for prolapse surgery.
The result of this review demonstrated that PFMT is effective in conservative management, especially in women with mild to moderate prolapse(stages I-III), for those who wish to have more children, who are not willing to undergo surgery, who are frail because of co-morbidities, and for those who need to delay surgery. However, results evaluating the effectiveness of PFMT as an adjunct to surgery demonstrated insufficient evidence to support the benefit of PFMT in addition to prolapse surgery over the use of surgery alone.
Through this review, we have concluded that PFMT shows a more prominent effect when applied as conservative management. Currently available evidence demonstrated no additional clinically significant augmentation of PFMT as an adjunct to surgery compared with prolapse surgery alone.
本综述文章旨在评估基于最近发表的文献，PFMT（盆底肌训练）在保守治疗和脱垂手术辅助治疗中的有效性。
我们检索了 2005 年至 2020 年期间的 PubMed 和 PEdro 数据库，寻找所有类型的研究，这些研究报告了 PFMT 作为脱垂保守治疗的主要治疗方法，以及脱垂手术的辅助治疗方法。
本综述的结果表明，PFMT 在保守治疗中是有效的，尤其是对于那些希望生育更多孩子、不愿意接受手术、因合并症而身体虚弱、需要延迟手术的轻度至中度脱垂（I-III 期）的女性。然而，评估 PFMT 作为手术辅助治疗的有效性的结果表明，目前的证据不足以支持 PFMT 除了手术之外，对脱垂手术的额外益处。
通过本次综述，我们得出结论，PFMT 在作为保守治疗时效果更为显著。目前的证据表明，与单独手术相比，PFMT 作为手术辅助治疗并没有额外的显著临床效果。
