Электромиостимуляция в лечении начальных форм несостоятельности тазового дна после родов

Abstract

Objective. To study the results of electromyostimulation using an electrical device Tonis in patients with minimal signs of postpartum pelvic floor trauma. Patients and methods. The study included 24 women aged 20–32 years (27.4 (24.4; 29.1)) who were observed 6–12 months after delivery of their first child through vaginal childbirth in a cephalic presentation and whose examination revealed minimal signs of pelvic floor trauma or dysfunction. The electromyostimulation trainer Tonis was used 20 minutes daily (postpartum rehabilitation program) for 3 months. Results. After 3 months of training, in all patients, previously minimal complaints ceased. The POP-Q measurements significantly improved almost in all patients: the uterus was in a higher position, the topography of both the anterior and posterior vaginal walls improved, and the genital hiatus narrowed. Conclusion. Transperineal ultrasound showed a statistically significant improvement in the height of the central tendon of the perineum and in the muscle mass, the number of patients with muscle diastasis decreased, urethral hypermobility also decreased. Key words: postpartum rehabilitation, POP-Q system, transperineal ultrasound, electromyostimulation