Multiparametric ultrasound assessment of the pelvic floor in patients with genital prolapse after biological feedback and electric pulse stimulation
Objective. To provide a multiparametric ultrasound assessment of the pelvic floor in patients with genital prolapse after biofeedback (BFB) therapy and electrical pulse stimulation (EPS).Krutova V.A., Nadtochiy A.V., Naumova N.V., Boldovskaya E.A.
Subjects and methods. The investigation enrolled 134 women with signs of Pelvic Organ Prolapse Quantification (POP-Q) Stages I-II genital prolapse. A follow-up program was implemented in 107 patients: lifestyle modification was recommended for the patients of a control group; BFB therapy and EIS were for those of a study group. Pelvic floor ultrasound multiparametric examination findings were assessed at baseline and 6 months and 1 year after the follow-up and rehabilitation program.
Results. The authors provided an ultrasound multiparametric assessment of the pelvic floor after BFB therapy and EPS for grades I and II genital prolapse as its levelled signs in 47 (53.3%) patients and as transformation of Stage II genital prolapse into Stage I in 35 (46.7%). Multiparametric ultrasound assessment confirmed the positive effect of physiotherapeutic rehabilitation for failure of the anatomical and functional structures of the pelvic floor. Endoanal ultrasound was shown to have a diagnostic advantage in analyzing the echostructure of pelvic floor elements and in detecting the pathologies that could not be scanned by using endovaginal and transperineal approaches.
Conclusion. Multiparametric ultrasound for grades I and II genital prolapse has confirmed that BFB therapy and EPS are more effective than standard lifestyle modification. Endoanal ultrasound is essential for the examination of gynecological patients. The patient adherence in the follow-up and rehabilitation program is 79.9%.
Keywords
pelvic floor dysfunction
genital prolapse
biological feedback
electrical pulse stimulation
three-dimensional ultrasound scanning
References
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Received 29.04.2020
Accepted 22.06.2020
About the Authors
Victoria A. Krutova, Doctor of Medicine, Professor of the Department of Obstetrics, Gynecology, and Perinatology, Federal State Budgetary Educational Institution of higher education “Kuban State Medical University”, Ministry of Health of the Russian Federation; Head Physician, Clinic of the Federal State Budgetary Educational Institutionof higher education “Kuban State Medical University”, Ministry of Health of Russian Federation.
Tel.: +7(861)257-05-09. E-mail: vik-krutova@yandex.ru. ORCID: 0000-0002-9907-7491. 4/1, Zipovskaya str., Krasnodar, Russia, 350010.
Anna V. Nadtochy, Physiotherapist of the highest qualification category, Clinic of the Federal State Budgetary Educational Institution
of Higher Education “Kuban State Medical University”, Ministry of Health of the Russian Federation. Tel.: +7(918)398-24-43.
E-mail: nadto4iianna@yandex.ru. ORCID: 0000-0001-8681-2971. 4/1, Zipovskaya str., Krasnodar, Russia, 350010.
Natalia V. Naumova, Candidate of Medicine, Associate Professor of the Department of Radiation Diagnostics, Federal State Budgetary Educational Institution of higher education “Kuban State Medical University”, Ministry of Healthcare of the Russian Federation; Head of the Department of Radiation Diagnostics,
Clinic of the Federal State Budgetary Educational Institution of higher education “Kuban State Medical University”, Ministry of Health of the Russian Federation.
Tel.: +7(861)257-05-09. E-mail: nnamova@bagk-med.ru. 4/1, Zipovskaya str., Krasnodar, Russia, 350010.
Elena A. Boldovskaya, Candidate of Medicine, ultrasound specialist of the highest category of the Department of Radiation Diagnostics, Clinic of the Federal State Budgetary Educational Institution of higher education “Kuban State Medical University”, Ministry of Healthcare of the Russian Federation.
Tel.: +7(918)449-19-74. E-mail: mensfild-park@rambler.ru. 4/1, Zipovskaya str., Krasnodar, Russia, 350010.
For citation: Krutova V.A., Nadtochiy A.V., Naumova N.V., Boldovskaya E.A. Multiparametric ultrasound assessment of the pelvic floor in patients with genital prolapse after biological feedback and electric pulse stimulation.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2020; 10: 156-161 (in Russian)
https://dx.doi.org/10.18565/aig.2020.10.156-161
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