National Medical Research Center for Obstetrics, Russia
Title: Pelvic floor muscle training in biofeedback mode in aesthetic gynecology
The doctor works in National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov in Moscow, in the Department of Aesthetic Gynecology and Rehabilitation. She has more than 30 publications. Now she is engaged in research work as part of the dissertation. Scientific adviser is Head of the Department of Aesthetic Gynecology and Rehabilitation, MD, professor, Apolikhina Inna Anatolievna. In 2018 Malyshkina Darya Andreevna together with the PhD Saidova Ayna Salavdinovna under the leadership of MD, professor, Apolikhina Inna Anatolievna took the research about pelvic floor muscle training for women after breast cancer. The doctor is the member of the ISSVD. The doctor represents the leading medical institution in the field of obstetrics and gynecology of the Russian Federation - National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov.
Statement of the Problem: The issue of pelvic floor muscle dysfunction (PFMD) is common in female population. In the world 3-5% of women report manifestations of pelvic organ prolapse. The frequency of pelvic organ prolapse varies from 2 to 28% in the structure of gynecological diseases. Up to 47% of women with pelvic organ prolapse are of working age. It causes severe moral suffering and reduces both social activity and a quality of patient’s life. In this regard PFMD management with modern methods for training of pelvic floor muscles using devices is the «first line» method.
The purpose of this study is to study treatment effectiveness and a quality of life in women with PFMD followed by radical treatment for breast cancer (BC), to describe the experience of training pelvic floor muscles in biofeedback mode among women who require postoperative rehabilitation.
Methodology & Theoretical Orientation: A prospective clinical study on clinical efficacy of a biofeedback method in combination with electrical stimulation of pelvic floor muscles using a device «Urostim» in patients with mild PFMD followed combined treatment fpr BC was carried out at Department of Aesthetic Gynecology of V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology. The study included 15 postmenopausal women.
Findings: It was established that 10 sessions of pelvic floor muscles training in a mode of biofeedback result in beneficial effects on for all clinical indicators.
Conclusion & Significance: PFMD treatment by training of pelvic floor muscles using devices is one of the most promising ways to reduce surgical interventions number in urogynecology and to provide a rehabilitation of women who had surgery for BC.