Peri-operative physiotherapy improves outcomes for women undergoing incontinence and or prolapse surgery: Results of a randomised controlled trial

Sherin K. Jarvis, Taryn K. Hallam, Sanja Lujic, Jason A. Abbott, Thierry G. Vancaille

This study aimed to investigate the role of peri-operative physiotherapy in women undergoing corrective surgery for pelvic organ prolapse and/or incontinence.  In this randomised controlled trial, 30 women underwent preoperative physiotherapy and 30 others had no physiotherapy prior to their incontinence and or prolapse surgeries. The results show that both groups showed improvement in urinary continence. Significant group differences were noted in the quality of life questionnaire, urinary symptoms and maximum pelvic floor muscle squeeze on manometry. Diurnal frequency analysis indicates that there is a significant difference in favour of the treatment group. The authors conclude that routine pre and post operative physiotherapy interventions improve physical outcomes and quality of life in women undergoing corrective surgery for urinary incontinence and or pelvic organ prolapse.

The Australian and New Zealand Journal of Obstetrics and Gynaecology, 45, (4), 300–303.    

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