Rééducation pelvi-périnéale et troubles de la statique pelvienne de la femme

Abstract

Our goal is to provide an update on the results of pelvic floor rehabilitation in the treatment of urinary incontinence and genital prolapse symptoms. Pelvic floor muscle training allows a reduction of urinary incontinence symptoms. Pelvic floor muscle contractions supervised by a healthcare professional allow cure in half cases of stress urinary incontinence. Viewing this contraction through biofeedback improves outcomes, but this effect could also be due by a more intensive and prolonged program with the physiotherapist. The place of electrostimulation remains unclear. The results obtained with vaginal cones are similar to pelvic floor muscle training with or without biofeedback or electrostimulation. It is not known whether pelvic floor muscle training has an effect after one year. In case of stress urinary incontinence, supervised pelvic floor muscle training avoids surgery in half of the cases at 1-year follow-up. Pelvic floor muscle training is the first-line treatment of post-partum urinary incontinence. Its preventive effect is uncertain. Pelvic floor muscle training may reduce the symptoms associated with genital prolapse. In conclusion, pelvic floor rehabilitation supervised by a physiotherapist is an effective short-term treatment to reduce the symptoms of urinary incontinence or pelvic organ prolapse.

Effect of different electrical stimulation protocols for pelvic floor rehabilitation of postpartum women with extremely weak muscle strength

“…Pelvic floor rehabilitation is an effective short-term treatment to elevated pelvic muscle strength, but should be supervised by a physiotherapist. [ 39 ]…”

Pelvic floor therapy program for the treatment of female urinary incontinence in Belize: a pilot study

“…At the same time, pelvic floor physical therapy (PFMT) and behavioral techniques (i.e., behavioral and dietary modifications) are recognized as a standard treatment for female UI and is supported by a large body of research and expert guideline statements (9, 10). Notably, published investigation demonstrates that completion of PFMT avoids the need for surgery in half of patients with stress urinary incontinence when assessed at 1-year follow-up (11). Accordingly, GSE initiated development of a parallel PFMT program for UI in Belize to support its surgical programming and thereby comprehensively treat UI in women with both surgical and non-surgical approaches.…”

Evaluation of Pelvic Floor Muscle Function(PFMF) In Cervical Cancer Patients With Querleu-Morrow Type C Hysterectomy: A Multicenter Study

“…PFM training is the most preferred treatment to increase PFM strength (PFMS) in women with stress urinary incontinence (SUI). [12][13][14][15][16] The life quality of the patient is expected to be improved if the elements affecting post QM-C hysterectomy PFMS were analyzed and treated after type QM-C hysterectomy. However, there were only few studies focusing on the post QM-C hysterectomy PFMF.…”