Abstract:
Objective To explore the therapeutic effect of pelvic floor muscle training (PFMT) and pressure biofeedback in patients with urinary incontinence after hysterectomy.
Methods Patients with urinary incontinence after hysterectomy admitted to our hospital from June 2015 to June 2018 were included in our study,and they were randomly divided into the comprehensive treatment group (
n=52) with average age of (50.9±7.1) years,and the control group (
n=49) with average age of (49.8±6.5) years.Patients in comprehensive treatment group were treated with pelvic floor muscle training plus pressure biofeedback,and patients in control group were treated with pelvic floor muscle training alone.The symptoms of urinary incontinence,1h pad test and pelvic floor muscle strength were observed and compared before and after treatment.
Results At 3 and 6 months after treatment,compared with the control group,the amount of urine leakage of pad test in the comprehensive treatment group was less 3 months:(4.3±1.5) g
vs (6.6±2.1) g;6 months:(1.4±1.0) g
vs (2.3±1.6) g,
P<0.05,respectively,the recovery of muscular strength of type I and type II muscle fibers were better (
P<0.05),and the ICI-Q-SF score was lower 3 months:(4.3±2.2)
vs (6.8±3.5);6 months:(2.6±1.7)
vs (4.2±2.9),
P<0.05,respectively.At 3 months after treatment,88.5% patients in the comprehensive treatment group and 81.6% patients in the control group performed PFMT more than 5 days per week,showing no significant difference in compliance between the two groups;however,at 6 months after treatment,the percentage of patients performed PFMT >5 days/week in the comprehensive treatment group was higher than that in the control group (71.2%
vs 49.0%,
P=0.023).
Conclusion PFMT plus pressure biofeedback can improve the compliance and subjective symptoms of patients with urinary incontinence after hysterectomy.At the same time,the pelvic floor muscle strength recovery of comprehensive treatment group is better than that of PFMT alone.