La Riabilitazione del pavimento pelvico nella patologia uroginecologica

Pelvic floor muscle training is the most commonly recommended physical therapy treatment for women with urogynecological disorders. Pelvic floor muscle training is commonly recommended during pregnancy and after birth both for prevention and treatment of incontinence. OBJECTIVES: To determine the effects of pelvic floor muscle training for women with diagnoses of stress, urge and mixed incontinence. MATERIALS AND METHOD: 35 women with urodynamic diagnoses of stress, urge or mixed incontinence included pelvic floor muscle training. Each subject received a total of 10 treatment sessions during 5 consecutive weeks, consisting 15-minute sessions pelvic-floor muscle exercise and biofeedback program followed by a 25 minute of electrical stimulation. CONCLUSIONS: Pelvic-floor rehabilitation appeared to be an effective treatment for women with stress or mixed incontinence. As a general rule, the least invasive and least dangerous procedure for the patient should be the first choice, and behavioural and rehabilitative techniques should be considered as the first line of therapy for urinary incontinence. The content of pelvic floor muscle training programmes is highly variable. This effect is durable for a long period but women must continue to perform pelvic muscle exercises one or more times per week.