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| The effect analysis of Kegel pelvic floor exercise and bioelectrical stimulation for reducing the postoperative urinary retention of patients with cervical cancer |
| Tangshan People's Hospital, Hebei Province, 063000 |
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Abstract To explore the effect of Kegel pelvic floor exercise and bioelectrical stimulation for reducing the postoperative urinary retention of patients with cervical cancer. Methods: 80 patients with cervical cancer who had been given total hysterectomy were selected and were divided into control group and study group according to random number table from January 2016 to January 2018. The patients in the control group were given Kegel pelvic floor exercises after surgery, and the patients in the study group were given Kegel pelvic floor exercises combined with bioelectrical stimulation. The incidence of urinary retention on the 7th day after operation, the voluntary urination time, the catheter removal time, and the residual urine volume(MFR)of the patients in the two groups were counted. The values of the urodynamic indexes, such as maximum urinary flow rate(MFR), the detrusor pressure(Pdet), the bladder compliance, and the urethral closure pressure, and pelvic floor muscle voltage of the patients in the two groups were measured on the 1st d and the 7th d after operation. Results: The incidence of postoperative urinary retention(5.0%)of the patients in the study group was significantly lower than that(20.0%)of the patients in the control group. The time of spontaneous urination(3.6±1.2d), the time of catheter removal(9.5±1.6d), and the residual urine volume(73.5±8.2ml)of the patients in the study group were significantly lower than those(6.8±1.6d, 11.8±1.9d, and 129.6±16.3ml)of the patients in the control group. The values of MFR, Pdet, bladder compliance, urethral closure pressure, and pelvic floor muscle voltage of the patients in the two groups on the postoperative 7th day were significantly higher than those of the patients on the postoperative 1st day, and the changes of which of the patients in the study group were significantly more than those of the patients in the control group(all P＜0.05). Conclusion: Kegel pelvic floor exercises and bioelectrical stimulation interventions for the patients after cervical cancer surgery can effectively improve their urodynamic indexes and pelvic floor muscle strength, reduce the incidence of their postoperative urinary retention, and shorten their postoperative voluntary urination time and catheter removal time.
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