Voorspellers voor een succesvolle bekkenfysiotherapie behandeling bij urogenitale prolaps en het beloop van urogenitale prolaps bij een bekkenfysiotherapie behandeling.

Hesselink, E.C. (2014) Voorspellers voor een succesvolle bekkenfysiotherapie behandeling bij urogenitale prolaps en het beloop van urogenitale prolaps bij een bekkenfysiotherapie behandeling. thesis, Medicine.

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Abstract

Objectives: 1. To investigate which factors are predictive for a successful pelvic floor muscle training (PFMT) treatment in women aged ≥55 years with a symptomatic urogenital prolapse; 2. To investigate the course of the degree of urogenital prolapse among women who underwent a PFMT treatment for this disease. Methods: An observational, prospective cohort study with a 12-month follow-up in 225 women aged ≥55 years who received PFMT treatment for urogenital prolapse (POP-Q stage 1-3). The primary outcome for the first research question was the patients’ experience of an improvement of symptoms, the secondary outcome was an improvement of ≥ 50% in symptoms measured with the PFDI-20 questionnaire. A logistic regression analysis was performed. For research question 2 the primary outcome was the difference in the degree of the prolapse in centimetres between baseline and follow-up (Wilcoxon signed rank test) Results: A higher educational degree, a complicated parturition, a better mental health and a lower POP-Q stage were predictive for the experience of an improvement of symptoms. A lower age and a better mental health were predictive an improvement of ≥50% of symptoms measured with the PFDI-20 questionnaire. 2. There was no significant difference in the degree of urogenital prolapse of the anterior wall (-0.04 cm; p=0,473), the posterior wall (0.16 cm; p=0,061) and the middle compartment (0.31 cm; p=0,093) between baseline and 12-month follow-up. Conclusion: 1. A better mental health was predictive for a successful PMFT treatment in both models. 2. There was no significant difference in the degree of urogenital prolapse between baseline and 12-month follow-up.

Item Type:	Thesis (Thesis)
Supervisor name:	Dekker, J.H. and Wiegersma, M.
Faculty:	Medical Sciences
Date Deposited:	25 Jun 2020 11:04
Last Modified:	25 Jun 2020 11:04
URI:	https://umcg.studenttheses.ub.rug.nl/id/eprint/2366

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