Department of Rehabilitation Medicine, Third Xiangya Hospital, Central South University, Changsha 410013, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2024 Mar 28;49(3):482-490. doi: 10.11817/j.issn.1672-7347.2024.230532.
Pelvic floor dysfunction (PFD) is a common clinical problem that can lead to bladder and bowel dysfunction such as urinary incontinence, urinary retention, fecal incontinence, pelvic organ prolapse, and sexual dysfunction. Pelvic floor rehabilitation aids are essential tools in the treatment of PFD. However, there is limited understanding of the efficacy and mechanisms of these aids, and there is a lack of standardized guidelines for selecting appropriate aids for different types of PFD. To assist patients in choosing suitable pelvic floor rehabilitation aids to their needs, it is necessary to summarize the existing types, mechanisms, and applications of these aids. Based on their mechanisms and target functions, pelvic floor rehabilitation aids can be mainly categorized into 3 main types. The first type includes aids that improve pelvic floor function, such as vaginal dumbbells, vaginal tampons, and vaginal dilators, which aim to strengthen pelvic floor muscles and enhance the contractility of the urethral, vaginal, and anal sphincters, thereby improving incontinence symptoms. The second type consists of aids that mechanically block the outlet, such as pessaries, urethral plugs, incontinence pads, incontinence pants, anal plugs, and vaginal bowel control systems, which directly or indirectly prevent incontinence leakage. The third type includes aids that assist in outlet drainage, such as catheters and anal excreta collection devices, which help patients effectively expel urine, feces, and other waste materials, preventing incontinence leakage. By summarizing the existing pelvic floor rehabilitation aids, personalized guidance can be provided to patients with PFD, helping them select the appropriate aids for their rehabilitation needs.
盆底功能障碍(PFD)是一种常见的临床问题,可导致膀胱和肠道功能障碍,如尿失禁、尿潴留、粪便失禁、盆腔器官脱垂和性功能障碍。盆底康复辅助器具是治疗 PFD 的重要工具。然而,人们对这些辅助器具的疗效和机制了解有限,也缺乏针对不同类型 PFD 选择合适辅助器具的标准化指南。为了帮助患者根据自身需求选择合适的盆底康复辅助器具,有必要总结这些辅助器具的现有类型、机制和应用。根据其机制和目标功能,盆底康复辅助器具主要可分为 3 种主要类型。第一种类型包括改善盆底功能的辅助器具,如阴道哑铃、阴道塞和阴道扩张器,旨在增强盆底肌肉,提高尿道、阴道和肛门括约肌的收缩力,从而改善失禁症状。第二种类型包括机械性阻塞出口的辅助器具,如子宫托、尿道塞、失禁垫、失禁裤、肛门塞和阴道肠控制系统,直接或间接防止失禁漏出。第三种类型包括辅助出口引流的辅助器具,如导尿管和肛门排泄物收集装置,帮助患者有效排出尿液、粪便和其他废物,防止失禁漏出。通过总结现有的盆底康复辅助器具,可以为 PFD 患者提供个性化的指导,帮助他们选择适合自己康复需求的辅助器具。