A Feasibility Study on the Value of Pelvic Floor Training After Pelvic Organ Prolapse Surgery

Landspítali – National University Hospital of Iceland

Status

Unknown

Conditions

Pelvic Organ Prolapse

Treatments

Other: Physiotherapy intervention

Study type

Interventional

Funder types

Other

Identifiers

NCT04539782

LSH-20-001

Details and patient eligibility

About

The main objective is to assess the feasibility of a randomized controlled trial that investigates the effects of pelvic floor training on recurrence in pelvic organ prolapse surgeries. This will be achieved by measuring POP-Q stage and by a validated questionnaire before surgery and one year after. Women having POP surgery at Landspitali will be offered to participate if they meet the criteria of the research. Participants will be randomized into two groups, interventions and control group that gets standard care at the hospital. The intervention group will meet a physiotherapist 6 weeks post-op for targeted physiotherapy with pelvic floor training, conventional advice and support. Over 16 weeks period participants in intervention group will get physiotherapy four times and get two follow up phone calls. Pelvic floor activity will be measured with EMG and symptoms collected with questionnaire before surgery and year post-op.

Recurrent surgeries are common problem shortly after the first one. POP symtoms can be bothersome for women and reduce their quality of life. More knowledge is needed to figure out if targeted physiotherapy with pelvic floor training can help reduce recurrency and bothersome symptoms.

Full description

A feasibility study to assess the practicality of physiotherapy treatment after pelvic organ prolapse (POP) surgery and the effect on recurrent POP symptoms, pelvic floor activity and general physical fitness.

Pelvic organ prolapse is a common problem among women and many do need surgery. Little is known about recurrence of POP surgeries. Pelvic floor muscle training (PFMT) has positive effects on POP symptoms and quality of life. Research shows PFMT can reduce stage of the prolapse.

Before surgery POP-Q stage will be measured by urogynocologist. Pelvic floor muscle activity will be measured with EMG vaginal probes. General physical fitness will be tested with 30s chair-stand and core strenght with prone bride test. An Icelandic version of The Australian Female PelvicFloor questionnaire will be used to assess symptoms and affect on quality of life.

Participants will be randomized into two groups, intervention and control group. The control group gets standard care at the hospital. The interventional group gets physiotherapy with PFMT, conventional advise and support. During 16 weeks intervention participants get four sessions with specialized physiotherapist and two follow up phone calls. Follow up measures will be made at 12 months.

Enrollment

50 estimated patients

Sex

Female

Ages

Under 80 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Women having their first POP surgery at LSH
<80 years old
Icelandic speaking

Exclusion criteria

Women that previously have had incontinence surgery, hysterectomy or previous POP surgery.
Dementia, physical disabilities that could affect the research, previous radiotherapy and neurological diseases.
Women participating in the research that need to have recurrent POP surgery or incontinence surgery within the year of the surgery.