Effect of Different Delivery Modes on Pelvic Floor Function and Effect of Postpartum Pelvic Floor Rehabilitation

2021 ◽  
Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Cinara Sacomori ◽  
Luz Alejandra Lorca ◽  
Mónica Martinez-Mardones ◽  
Roberto Ignacio Salas-Ocaranza ◽  
Guillermo Patricio Reyes-Reyes ◽  
...  

Abstract Background There is scarcity of trials about preventative strategies for low anterior resection syndrome (LARS) in rectal cancer patients. The aim of this study is to evaluate the effectiveness of a pre- and post-surgical pelvic floor rehabilitation program on the bowel symptoms, pelvic floor function, and quality of life of rectal cancer patients. Methods A randomized controlled trial with parallel groups (pelvic floor rehabilitation versus control group), with a blinded evaluator. Participants and setting: 56 stage I to III rectal cancer patients aged from 18 to 80 years old undergoing sphincter preservation surgery at Hospital del Salvador and who have a sufficient knowledge of Spanish. Main outcome measures: ICIQ-B questionnaire for intestinal symptoms, high-resolution anorectal manometry (Alacer Multiplex 24-channel manometry equipment) for anorectal function, pelvic floor muscle strength test with Oxford Modified Scale, and a quality of life test with the EORTC QLQ C30 questionnaire. The evaluations will be carried out at five stages: before surgery, before and after the pelvic floor rehabilitation, and during a 3-month and 1-year follow-up. Interventions: one pre-rehabilitation session and 9 to 12 sessions of pelvic floor rehabilitation, including patient education, pelvic floor muscle exercises, pelvic floor electromyography biofeedback, and capacitive and sensory rectal training with a balloon probe. Rehabilitation will begin 3–5 weeks before the ileostomy is removed (four sessions) and around 3 weeks after stoma removal (5–8 sessions). Discussion We expect the program to improve the bowel symptoms, pelvic floor function, and quality of life of rectal cancer patients. Trial registration Australian New Zealand Clinical Trials Register ACTRN12620000040965. Registered on 21 January 2020.


2006 ◽  
Author(s):  
Luis A. Ferreira ◽  
Francisco M. Araújo ◽  
Teresa Mascarenhas ◽  
Renato M. Natal Jorge ◽  
António A. Fernandes

2000 ◽  
Vol 37 (1) ◽  
pp. 72-78 ◽  
Author(s):  
Dirk-Henrik Zermann ◽  
Manabu Ishigooka ◽  
Heiko Wunderlich ◽  
Olaf Reichelt ◽  
Jürg Schubert

2013 ◽  
Vol 27 (1) ◽  
pp. 6 ◽  
Author(s):  
Chendrimada Madhu ◽  
Penelope Harber ◽  
David Holmes

Urinary incontinence is a debilitating problem in women with significant effects on quality of life. The tension free vaginal tape (TVT) improves urinary symptoms and achieves a high rate of patient satisfaction. The aim of the study was to evaluate the effect of TVT on vaginal symptoms, pelvic floor function and in turn quality of life. We hypothesize that the TVT is associated with an improvement in pelvic floor function. A prospective questionnaire- based analysis was conducted over a period of ten months in patients undergoing the TVT procedure. The International Consul - tation on Incontinence Modular Questionnaire - Vaginal Symptoms questionnaire was used to evaluate the vaginal symptoms pre-operatively and 6 months post-operatively. The results were compared to assess for any significant differences. A total of 31 patients were recruited for the study. There was a statistically significant improvement in vaginal symptoms score at 6 months in women undergoing TVT along with an improvement in urinary symptoms. This study suggests a positive impact of TVT insertion on vaginal symptomatology, which is an exciting prospect influencing patient counseling for treatment options of urinary stress incontinence. This finding may have an impact on performing concomitant surgeries for stress incontinence and pelvic organ prolapse. There is a need for further large–scale research to explore this aspect of unexpected benefit from the TVT.


2019 ◽  
Vol 31 (3) ◽  
pp. 495-504 ◽  
Author(s):  
Pamela S. Fairchild ◽  
Lisa Kane Low ◽  
Katherine M. Kowalk ◽  
Giselle E. Kolenic ◽  
John O. DeLancey ◽  
...  

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