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Effect of preoperative pelvic floor muscle training on pelvic floor muscle contraction and symptomatic and anatomical pelvic organ prolapse after surgery: Randomized controlled trial

Ultrasound in Obstetrics & Gynecology Jun 13, 2020

Nyhus MO, Mathew S, Salvesen O, et al. - Researchers investigated how preoperative pelvic floor muscle training (PFMT) affects pelvic floor muscle (PFM) contraction, symptoms of pelvic organ prolapse (POP) and anatomical POP, 6 months after prolapse surgery. In addition, they examined the overall changes in PFM contraction, POP symptoms and pelvic organ descent after surgery. In this randomized controlled trial, 159 women with symptomatic POP, Stage 2 or higher, who were scheduled for surgery, were included and were randomized to intervention including daily PFMT from inclusion to surgery ( = 81) or no intervention (controls;  = 78). Per outcomes, preoperative PFMT did not affect PFM contraction, POP symptoms or anatomical prolapse after surgery. All patients had improvement in PFM contraction and POP symptoms at the 6‐month follow‐up, most probably due to the anatomical correction of POP.

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