Volume 12, Issue 1 (2-2014)                   IJRM 2014, 12(1): 7-14 | Back to browse issues page

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Eftekhar T, Sohrabi M, Haghollahi F, Shariat M, Miri E. Comparison effect of physiotherapy with surgery on sexual function in patients with pelvic floor disorder: A randomized clinical trial. IJRM 2014; 12 (1) :7-14
URL: http://ijrm.ir/article-1-476-en.html
Comparison effect of physiotherapy with surgery on sexual function in patients with pelvic floor disorder: A randomized clinical trial
Tahereh Eftekhar1 , Maryam Sohrabi2 , Fedyeh Haghollahi * 3, Mamak Shariat4 , Elahe Miri2
1- Institute for Family Health, Vali-e-Asr Reproductive Health Research Center, Vali-e-Asr Hospital, Tehran University of Medical Sciences, Tehran, Iran
2- Gynecology Ward, Vali-e-Asr Hospital, Tehran University of Medical Sciences, Tehran, Iran
3- Institute for Family Health, Vali-e-Asr Reproductive Health Research Center, Vali-e-Asr Hospital, Tehran University of Medical Sciences, Tehran, Iran , fedyeh_hagh@yahoo.com
4- Institute for Family Health, Maternal-Fetal and Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran
Abstract:   (2576 Views)
Background: Female sexual dysfunction is a common problem among general population, especially in urogynecological patient, and can lead to a decrease in quality of life and affect martial relationship.
Objective: This study was compared the effect of surgical methods versus physiotherapy on sexual function in pelvic floor disorder.
Materials and Methods: This randomized controlled trial (RCT) was performed in Urogynecology clinic since August 2007 to December 2009 on 90 patients aged from 25-55 years with previous delivery, positive history of sexual dysfunction with stage <3 of pelvic organ prolapsed and divided in two groups. Group A (n=45) received standard rectocele repair and prineorrhaphy, group B (n=45) received physiotherapy for eight weeks twice a week (electrical stimulation, Kegel exercises). The female sexual function index (FSFI) used to evaluate the sexual function in cases before and after intervention. Frequency of variable scores (libido, orgasm, dysparunia) included without disorder, frequently good, sometimes good, very much and extreme were compared between two groups.
Results: Libido and arousal were improved in both groups (p=0.007, p=0.001 respectively). Orgasm and dyspareunia were improved in group B (p=0.001). Dysparunia was more painful in group A. There was significant difference between two groups (improvement of orgasm and dysparunia in group B) (p=0.001).
Conclusion: It seems that physiotherapy is an appropriate method for treatment of sexual disorder in pelvic floor disorder.
Keywords: Pelvic floor, FSFI, Sexual dysfunction, Physiotherapy, Physical Therapy, Pelvic surgery.
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Type of Study: Original Article |
References
1. Stoker J. The anatomy of the pelvic floor and sphincters. In: Bartram CI, Delancey JO, eds. Imaging pelvic floor disorder. New York, springer-verlag PP; 2002: 1-26.
2. Persu C, Chapple CR, Cauni V, Gutue S, Geavlete P. Pelvic Organ Prolapse Quantification System (POP-Q)- a new era in pelvic prolapse staging. J Med Life 2011; 4: 75-81.
3. Brandner S, Monga A, Mueller MD, Herrmann G, Kuhn A. Sexual function after rectocele repair. J Sex Med 2011; 8: 583-588. [DOI:10.1111/j.1743-6109.2010.02101.x]
4. Achtari C, Dwyer PL. Sexual function and pelvic floor disorders. Best Pract Res Clin Obstet Gynecol 2005; 19: 993-1008. [DOI:10.1016/j.bpobgyn.2005.08.012]
5. Knoepp LR, Shippey SH, Chen CCG, Cundiff GW, derogatis LR, Handa VL. Sexual complaints, pelvic floor symptoms, and sexual distress in women over. J Sex Med 2010; 7: 3675-3682. [DOI:10.1111/j.1743-6109.2010.01955.x]
6. Gil KM, Somerville AM, Cichowski S, Savitski JL. Distress and quality of life characteristics associated with seeking surgical treatment for stress urinary incontinence. Health Qual Life Outcomes 2009; 7: 8. [DOI:10.1186/1477-7525-7-8]
7. Field SM, Hilton P. The prevalence of sexual problems in women attending for urodynamic investigation. Int Urogynecol J 1993; 4: 212-215. [DOI:10.1007/BF00372342]
8. Kammerer-Doak D. Assessment of sexual function in women with pelvic floor dysfunction. Int Urogynecol J Pelvic Floor Dysfunct 2009; 20 (Suppl.): S45-50. [DOI:10.1007/s00192-009-0832-y]
9. Di Benedetto P. Female urinary rehabilitation. Minerva Ginecol 2004; 56: 353-369.
10. Hay-Smith EJ, Dumoulin C. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev 2010; 1: CD005654.
11. Nancy A. Phillip S. Femal sexual dysfunction Evaluation and treatment. Am Fam Physician 2000; 62: 127-136.
12. Kuhn A, Brunnmayr G, Stadlmayr W, Kuhn P, Mueller MD. Male and female sexual function after surgical repair of female organ. J Sex Med 2009; 6: 1324-1334. [DOI:10.1111/j.1743-6109.2009.01229.x]
13. Ferreira M, Santos P. [Pelvic floor muscle training programmes: a systematic review]. Acta Med Port 2011; 24: 309-318. (In Portuguese)
14. Geiss M, Umek WH, Dungl A, Sam C, Riss P, Hanzal E. Prevalence of female sexual dysfunction in gynecologic and urogynecologic patients according to the international consensus classification. Urology 2003; 62: 514-518. [DOI:10.1016/S0090-4295(03)00487-4]
15. Pauls RN, Segal JL, Silva WA, Kleeman SD, Karram MM. Sexual function in patients presenting to a urogynecology practice. Int Urogynecol J Pelvic Floor Dysfunct 2006; 17: 576-580. [DOI:10.1007/s00192-006-0070-5]
16. Handa VL, Harvey L, Cundiff GW, Siddique SA, Kjerulff KH. Sexual function among women with urinary incontinence and pelvic organ prolapsed. Am J Obstet Gynecol 2004; 191: 751-756. [DOI:10.1016/j.ajog.2003.11.017]
17. Rogers RG, Kammerer-Doak D, Darrow A, Murray K, Olsen A, Barber M. et al. Does sexual function change after surgery for stress urinary incontinence and/or pelvic organ prolapse? A multicenter prospective study. Am J Obstet Gynecol 2006; 195: 1-4. [DOI:10.1016/j.ajog.2006.09.021]
18. Pauls RN, Silva WA, Rooney CM, Siddighi S, Kleeman SD, Dryfhout V, et al. Sexual function after vaginal surgery for pelvic organ prolapse and urinary incontinence. Am J Obstet Gynecol 2007; 197: 622-627. [DOI:10.1016/j.ajog.2007.08.014]
19. Azar M, Noohi S, Radfar S, Radfar MH. Sexual function in women after surgery for pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct 2008; 19: 53-57. [DOI:10.1007/s00192-007-0399-4]
20. Komesu YM, Rogers RG, Kammerer-Doak DN, Barber MD, Olsen AL. Posterior repair and sexual function. Am J Obstet Gynecol 2007; 197: 101. [DOI:10.1016/j.ajog.2007.03.054]
21. Kizilkaya NB, Yalicin O, Erkan HA. The effect of pelvic floor training on sexual function of treateel patients. Int Urogynecol J Pelvic Floor Dysfunct 2003; 14: 234-238. [DOI:10.1007/s00192-003-1071-2]
22. Wurn LJ, Wurn BF, Roscow AS. Increasing orgasm anal decreasing dyspareunia by a manual physical therapy technique. Med Gen Med 2004; 6: 47-58.
23. Liebergall-Wischnitzer M, Paltiel O, Hochner Celnikier D, Lavy Y, Manor O, Woloski Wruble AC. Sexual function and quality of life of women with stress urinary incontinence: a randomized controlled trial comparing the Paula method (circular muscle exercises) to pelvic floor muscle training (PFMT) exercises. J Sex Med 2012; 9: 1613-1623. [DOI:10.1111/j.1743-6109.2012.02721.x]
24. di Benedetto P, Coidessa A, Floris S. Rationale for pelvic floor muscles training in women with urinary incontinence. Minerva Ginecol 2008; 60: 529-541.
25. Haase P, Skibsted L. Influence of operations for stress incontinence and/or genital descensus on sexual life. Acta Obstet Gynecol Scand 1988; 67: 659-661. [DOI:10.3109/00016348809004283]
26. Weber AM, Walters MD, Schover LR, Mitchinson A. Sexual function in women with uterovaginal prolapse and urinary incontinence. Obstet Gynecol 1995; 85: 483-487. [DOI:10.1016/0029-7844(94)00434-F]
27. Helström L, Nilsson B. Impact of vaginal surgery on sexuality and quality of life in women with urinary incontinence or genital descensus. Acta Obstet Gynecol Scand 2005; 84: 79-84. [DOI:10.1111/j.0001-6349.2005.00668.x]
28. Rogers RG, Kammerer-Doak D, Villarreal A, Coates K, Qualls C. A new instrument to measure sexual function in women with urinary incontinence or pelvic organ prolapse. Am J Obstet Gynecol 2001; 184: 552-558. [DOI:10.1067/mob.2001.111100]
29. Rogers RG, Rockwood TH, Constantine ML, Thakar R, Kammerer-Doak DN, Pauls RN, et al. A new measure of sexual function in women with pelvic floor disorders (PFD): the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, IUGA-Revised (PISQ-IR). Int Urogynecol J 2013; 24: 1091- 1103. [DOI:10.1007/s00192-012-2020-8]
30. Khademi A, Alleyassin A, Amini M, Ghaemi M. Evaluation of sexual dysfunction prevalence in infertile couples. J Sex Med 2008; 5: 1402-1410. [DOI:10.1111/j.1743-6109.2007.00687.x]
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