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| The effect of rehabilitation therapy of patients with stress urinary incontinence on their pelvic floor function and structure evaluated by transperineal ultrasound |
| Zhengzhou Maternal and Child Health Care Hospital, Henan Province, 450000 |
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Abstract Objective:To investigate the effect of rehabilitation therapy of patients with stress urinary incontinence on their pelvic floor function and structure evaluated by transperineal ultrasound. Methods: 80 patients with stress urinary incontinence were divided into the rehabilitation group and control group. The patients in control group were treated by routine pelvic floor muscle exercise, and the patients in rehabilitation group were treated by rehabilitation therapy excepted routine pelvic floor muscle exercise. The pelvic structure changes of all included patients in resting state or after Valsalva action were detectioned before and after treatment by the perineum four-dimensional ultrasound. The changes of muscle fiber muscle strength of class I and II before and after treatment were evaluated by neuromuscular stimulation therapy instrument. Results: In resting state or after Valsalva action, the area of pelvic septum, bladder and posterior urethral space and the urethral space of the levator ani muscle of all patients decreased significantly after rehabilitation therapy, and the vertical distance from the bladder neck to the inferior edge of the pubic symphysis and the thickness of the levator ani muscle of all patients increased significantly (P<0.05). The area of pelvic septum, bladder and posterior urethral muscle and urethral space of the levator ani muscle of patients in the rehabilitation group were significant lower than those of patients in control group after treatment, and the vertical distance from the posterior margin of the bladder neck to the pubic symphysis and the thickness of the levator ani muscle in the rehabilitation group were significant higher than those of patients in control group (P<0.05). Muscle fibers of class I and class II of patients in both groups were increased significantly after treatment (P<0.05), and muscle fibers of class I and class II of patients in rehabilitation group after the treatment were significant higher than those of patients in control group (P<0.05). Conclusion: Rehabilitation therapy can improve the function and structure of pelvic floor of patients with
stress urinary incontinence, and the curative effect can be evaluated effectively by transperineal fourdimensional ultrasound.
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