Document Type : Original Article
Department of Physical Therapy, Isfahan University of Medical Sciences, Isfahan, Iran
Introduction: Pelvic floor muscle training increases muscle strength and support of pelvic organs. The purpose of this study was to determine the effect of pelvic floor muscles training using biofeedback device on symptoms of urinary incontinence and pelvic organ prolapse in females with anterior and posterior prolapse grades 2 or 3.
Methods: In this interventional study, 20 females with prolapse grades 2 or 3 were examined. Participants were treated with biofeedback 3 sessions/week for 4 weeks. Symptoms of urinary incontinence and prolapses were measured using ICIQ-FLUTS and P-QoL questionnaires, respectively. Prolapse severity was assessed using the POP-Q system and pelvic floor muscle function and strength were evaluated by perineometry.
Results: The results of this study showed that pelvic floor muscle training significantly increases pelvic floor muscle strength and decreases prolapse severity (P < 0.001 and P < 0.01, respectively). Based on the ICIQ-FLUTS questionnaire, symptoms of filling, voiding, and incontinence improved significantly (P < 0.05, P < 0.01 and P < 0.01, respectively). Our results also showed that the score of quality of life significantly improved based on the ICIQ-FLUTS questionnaire (P < 0.01). The results for P-QOL questionnaire indicated that prolapse symptoms in the areas of general health, prolapse impact, physical limitation, social limitation, personal limitation, emotions, sleep, and severity had a significant difference (P < 0.05) albeit it did not show any significant differences in the role limitation criteria (P > 0.05).
Conclusion:Pelvic floor muscle training using biofeedback improves prolapse symptoms and enhances the quality of life of females with pelvic organ prolapse.