Abstract
Pelvic organ prolapse and urinary incontinence affect approximately 6–11% and 6–40% of women, respectively. These pathologies could result from a weakness of pelvic floor muscles (PFM) caused by previous deliveries, aging or surgery. It seems reasonable that improving PFM efficacy should positively impact both pelvic floor therapy and surgical outcomes. Nonetheless, the existing data are inconclusive and do not clearly support the positive impact of preoperative pelvic floor muscle training on the improvement of surgical results. The restoration of deteriorated PFM function still constitutes a challenge. Thus, further well-designed prospective studies are warranted to answer the question of whether preoperative PFM training could optimize surgical outcomes and if therapeutic actions should focus on building muscle strength or rather on enhancing muscle performance.
Highlights
Prehabilitation (PREHAB) is defined as the process of improving the functional capacity of an individual before a surgical procedure in order to reduce potential complications and enhance surgical success [1]
Due to the restricted amount of evidence for PREHAB among females, we looked at research that implemented pelvic floor therapy and perioperative assessment as a part of surgical treatment
Particular attention was paid to the correct execution of the Knack maneuver, which consists of the rapid maximal contraction of the pelvic floor muscles in order to protect the pelvic floor against a sudden increase in intra-abdominal pressure [7]
Summary
Prehabilitation (PREHAB) is defined as the process of improving the functional capacity of an individual before a surgical procedure in order to reduce potential complications and enhance surgical success [1]. Different forms of prehab can be distinguished: from complex training containing diverse sensorimotor and strengthening exercises [2] to preoperative pain neuroscience education [3]. The success rate of various procedures ranges from 40 to. Many factors contribute to obtaining an optimal surgical result. Preoperative preparation, surgical skills and course of postoperative healing are crucial
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