Author(s)

Márta Hock, Balázs Domány, József Bódis, János Garai

Department of Obstetrics and Gynaecology, Faculty of Medicine, University of Pécs, Pécs, Hungary.
Institute of Pathophysiology and Gerontology, Faculty of Medicine, University of Pécs, Pécs, Hungary.
Institute of Physiotherapy and Sport Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary.
MTA-PTE Human Reproduction Scientific Research Group, Pécs, Hungary.

Introduction: Pelvic floor muscle function of 30 overweight postmenopausal women prior to and after colporrhahpy was monitored in this study. Material and Methods: Patients diagnosed with cystokele or combined cystorectokele was involved. 1 mg oral estriol and local estriol cream were administered for 30 days preoperatively. Pelvic floor muscle function was monitored by surface electromyography 1 month before (1st) 1 day prior to surgery (2nd), and six weeks after the surgery (3rd measurement). Body composition parameters (intra- and extracellular water and body fat) were also measured. Results: The ability to relax significantly improved (p = 0.03) in the preoperative period (between 1st and 2nd occasions). Six weeks after surgery a non-significant (p = 0.054) decrease in average muscle activity was detected when compared with values obtained before the surgery. Muscle-activity declined significantly from the first to the last measurements (p = 0.005). Conclusion: Our results confirm that postmenopausal obese women who undergo anterior or posterior colporrhaphy need a follow-up concerning pelvic floor muscle function and suggest that physiotherapy started the earliest possible may aid in preserving postoperative functionality on the long run.

Pelvic Floor Muscle Function, Operative Period, Body Composition, Postmenopause, Obesity

Hock, M. , Domány, B. , Bódis, J. and Garai, J. (2014) Does Surgery Benefit Postmenopausal Overweight Women with Pelvic Floor Dysfunction?. Open Journal of Therapy and Rehabilitation, 2, 114-119. doi: 10.4236/ojtr.2014.23016.