Effect of a Nurse-Led Remote Guided Pelvic Floor Exercise Program on Stress Urinary Incontinence, Pelvic Floor Function and Sexual Function in Patients after Total Hysterectomy: A Retrospective Study

• Fengping Lai ^[1] ; Hui Liu ^[2] ; Huihua Wang ^[3]
  1. [1] Department of Gynaecology and Obstetrics, Ganzhou People’s Hospital, 341000 Ganzhou, Jiangxi, China
  2. [2] Imaging Department, Affiliated Hospital of Jinggangshan University, 343000 Ji’an, Jiangxi, China
  3. [3] Clinical Medical Research Center, Affiliated Hospital of Jinggangshan University, 343000 Ji’an, Jiangxi, China

  Mostrar afiliaciones +
• Localización: Archivos españoles de urología, ISSN 0004-0614, Tomo 77, Nº. 9, 2024, págs. 992-998
• Idioma: inglés
• Texto completo no disponible (Saber más ...)
• Resumen

  • Background: Hysterectomy is associated with stress urinary incontinence (SUI), pelvic floor muscle weakness and sexual dysfunction. Pelvic floor exercises have emerged as a potential intervention for addressing these challenges, with remote guided programs offering personalised care. This retrospective study aimed to assess the effect of a nurse-led remote guided pelvic floor exercise program on in patients after total hysterectomy.

    Methods: A retrospective analysis was conducted on 81 patients who underwent pelvic floor exercises after total hysterectomy. The patients were divided into regular pelvic floor exercise group (n = 40) and nurse-led remote guided pelvic floor exercise group (n = 41). The severity of SUI in patients was assessed using the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF). The strength and endurance of pelvic floor muscles were assessed using a pressure sensor before and after treatment, and sexual function was evaluated using the Female Sexual Function Index (FSFI) questionnaire.

    Results: The baseline characteristics showed no significant differences between the two groups. The nurse-led remote guided pelvic floor exercise group had a significantly greater reduction in urinary incontinence severity (65.00% vs. 85.37%, χ2 = 4.516, p = 0.034) and a lower post-treatment SUI frequency (1.76 ± 0.75 vs. 2.15 ± 0.95, t = 2.059, p = 0.043). Additionally, this group showed better improvements in muscle strength and endurance (25.61 ± 5.69 vs. 23.19 ± 5.02, t = 2.036, p = 0.045) and FSFI score (29.67 ± 4.05 vs. 27.91 ± 3.83, t = 2.011, p = 0.048).

    Conclusions: The study demonstrates that a nurse-led remote guided pelvic floor exercise program is associated with significant improvements in SUI, pelvic floor muscle function and sexual well-being in patients after total hysterectomy.