OJTR  Vol.2 No.3 , August 2014
Does Surgery Benefit Postmenopausal Overweight Women with Pelvic Floor Dysfunction?
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.

Cite this paper
Hock, M. , Domány, B. , Bódis, J. and Garai, J. (2014) Does Surgery Benefit Postmenopausal Overweight Women with Pelvic Floor Dysfunction?. Open Journal of Therapy and Rehabilitation, 2, 114-119. doi: 10.4236/ojtr.2014.23016.
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