Pelvic floor muscle training in prolapse surgery

...does the addition of perioperative pelvic floor muscle training improve outcomes?

Pelvic organ prolapse (POP) is a major female health problem with a negative impact on quality of life. The most valid symptom of POP is the sensation of a bulge in the vagina.
Therapeutic options for POP include surgery and conservative treatments such as insertion of a pessary or pelvic floor muscle training (PFMT).

Recent systematic reviews have concluded that PFMT reduces POP symptoms and severity stage and PFMT has been shown to:

  • Increase pelvic floor muscle (PFM) strength and endurance;
  • Reduce the levator hiatus area;
  • Lift the bladder and rectal ampulla;
  • Increase PFM volume; and reduce PFM length.

However, the recurrence rate after POP surgery is high, ranging from 10 to 54%. Because of this, it could be assumed that the success rate of POP surgery would increase by combining surgery with PFMT.


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