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| The Value of Pelvic Floor Yoga Combined with TVT-O Surgery in the Treatment of Pelvic Organ Prolapse with Lower Urinary Tract Symptoms |
| DONG Lijun, WEI Juan |
| Department of Gynecology, Pucheng County Hospital, Weinan Shaanxi 715500 |
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Abstract 【Objective】To explore the value of pelvic floor yoga combined with tension-free vaginal tape-obturator (TVT-O) in the treatment of pelvic organ prolapse (POP) with lower urinary tract symptoms. 【Methods】A total of 83 patients with pelvic organ prolapse (POP) combined with lower urinary tract symptoms who were admitted to our hospital from January 2019 to January 2022 were selected as the subjects of the study. They were randomly divided into the observation group of 42 cases and the control group of 41 cases. Both groups underwent modified pelvic floor reconstruction surgery. The control group used TVT-O surgery during the operation. The observation group added pelvic floor muscle yoga for intervention after the same surgical method as the control group. The clinical efficacy, perioperative indicators [operation time, blood loss, postoperative residual urine volume, urinary catheter indwelling time, 24-hour postoperative body temperature, hospital stay], the improvement of lower urinary tract symptoms before and after the operation, pre- and postoperative pelvic floor function scores [pelvic floor impact questionnaire (PFIQ-7), pelvic floor distress inventory (PFDI-20), pelvic organ prolapse/urinary incontinence sexual function questionnaire (PISQ-12)], as well as postoperative complications and recurrence were compared between the two groups. 【Results】The overall effectiveness rate of the observation group was 97.62%, which was significantly higher than the 85.37% in the control group (P<0.05). There was no significant difference in the perioperative indicators between the two groups (P>0.05). The lower urinary tract symptoms in both groups got significantly improved after surgery compared to before surgery (P<0.05), and the improvement in the observation group was better than that in the control group (P<0.05). After surgery, the PFIQ-7 and PFDI-20 scores in both groups were lower than before surgery, and PISQ-12 scores were higher than before surgery (P<0.05). Furthermore, the PFIQ-7 and PFDI-20 scores in the observation group were lower than those in the control group, while PISQ-12 score in the observation group was higher than that in the control(P<0.05). The incidence of complications and recurrence in the observation group was lower than that in the control group (P<0.05) .【Conclusion】The clinical effect of combining pelvic floor muscle yoga with TVT-O surgery in the treatment of pelvic organ prolapse and lower urinary tract symptoms is significant. It can effectively improve patients' lower urinary tract symptoms and pelvic floor dysfunction, promote the recovery of pelvic floor function, effectively reduce complications, avoid recurrence, and is worth promoting in clinical practice.
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Received: 06 October 2022
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2023, Vol. 40 
