Abstract
Introduction: Pelvic floor muscle function of 30 overweight postmenopausal women prior to and after colporrhahpy was monitored in this study. Material and Methods: Patients diagnosed with cystokele or combined cystorectokele was involved. 1 mg oral estriol and local estriol cream were administered for 30 days preoperatively. Pelvic floor muscle function was monitored by surface electromyography 1 month before (1st) 1 day prior to surgery (2nd), and six weeks after the surgery (3rd measurement). Body composition parameters (intra- and extracellular water and body fat) were also measured. Results: The ability to relax significantly improved (p = 0.03) in the preoperative period (between 1st and 2nd occasions). Six weeks after surgery a non-significant (p = 0.054) decrease in average muscle activity was detected when compared with values obtained before the surgery. Muscle-activity declined significantly from the first to the last measurements (p = 0.005). Conclusion: Our results confirm that postmenopausal obese women who undergo anterior or posterior colporrhaphy need a follow-up concerning pelvic floor muscle function and suggest that physiotherapy started the earliest possible may aid in preserving postoperative functionality on the long run.
Highlights
Pelvic floor muscle function of 30 overweight postmenopausal women prior to and after colporrhahpy was monitored in this study
Increased weight or abnormal power impulses might overload and injure connective tissues as well as pelvic floor muscles (PFM) that leads to pelvic floor dysfunction, and eventually to pelvic organ prolapse [2]-[5]
Obesity is a common condition among people nowadays that may significantly contribute to pelvic organ prolapse
Summary
Pelvic floor muscle function of 30 overweight postmenopausal women prior to and after colporrhahpy was monitored in this study. Pelvic floor muscle function was monitored by surface electromyography 1 month before (1st) 1 day prior to surgery (2nd), and six weeks after the surgery (3rd measurement). Isolated insufficiency of single pelvic tissues, is rare This may explain why surgical management of pelvic organ prolapse proves unsuccessful in about one third of the cases [8]. No study has reported yet the outcome of surgery against pelvic organ prolapse in relation to the pelvic floor muscle function of the preoperative period. In our follow-up study, we have aimed to correlate the preoperative pelvic floor muscle function with the surgical outcome in high risk and overweight patients
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