Pelvic Floor Rehabilitation of Female Pelvic Floor Dysfunction

Summary

The goal of this observational study is to learn about the therapeutic effects of different pelvic floor rehabilitation treatments, including pelvic floor muscle training , pelvic floor biofeedback electrical stimulation, and magnetic stimulation, in a population of Chinese patients with female pelvic floor dysfunction disorders. The study aims to find out the individualised pelvic floor rehabilitation treatment plan suitable for the Chinese population. The main question it aims to answer is:

1. Do patients with reduced pelvic floor muscle strength after childbirth, or patients with mild to moderate pelvic organ prolapse and symptomatic pelvic organ prolapse benefit from pelvic floor rehabilitation?
2. Is the combination of biofeedback electrical stimulation plus pelvic floor magnetic stimulation superior to single electrical stimulation, magnetic stimulation or pelvic floor muscle training?
3. Which pelvic floor rehabilitation therapy is most suitable for Chinese patients with female pelvic floor dysfunction?
4. What factors are early predictors of developing female pelvic floor dysfunction? And what factors can predict the prognostic status of patients treated with pelvic floor rehabilitation? Participants in the multicenter will be treated with different rehabilitation therapies, during which the researchers will collect clinical symptoms using the PFDI20 questionnaire, and POP-Q scores, pelvic floor muscle strength, and electromyography results from participants before, at the end of, and 3 months and 1 year after the end of treatment.

Conditions

• Pelvic Floor Disorders
• Pelvic Organ Prolapse

Interventions

BEHAVIORAL

Pelvic floor muscle training

A therapist will instruct the patient to contract the anus, perineum as well as the urethra, until the patient masters the correct method.

OTHER

Biofeedback electrical stimulation

The therapist will place the electrodes of the instrument into the vagina, adjust the current value until the woman feels obvious contraction of the pelvic floor muscles but no pain, and instructs the patient to refer to the biofeedback mode for vaginal and anal contraction and relaxation.

OTHER

Magnetic Stimulation

The therapist will use the magnetic stimulator to intermittently stimulate the and adjust the stimulation intensity at any time according to the patient\'s condition, adjusting it until there is a clear sense of contraction and feel comfortable.

OTHER

Magnetic stimulation combined with biofeedback electrical stimulation

Pelvic floor magnetic stimulation for 30 minutes followed by biofeedback electrical stimulation.

Sponsors & Collaborators

• Peking Union Medical College Hospital

  collaborator OTHER

• Peking University Third Hospital

  collaborator OTHER

• The Second Hospital of Shandong University

  collaborator OTHER

• Changsha Hospital for Maternal and Child Health Care

  collaborator OTHER

• Southwest Hospital, China

  collaborator OTHER

• Hangzhou Women's Hospital

  collaborator UNKNOWN

• Mingfu Wu

  lead OTHER

Eligibility

Min Age

18 Years

Sex

FEMALE

Healthy Volunteers

No

Timeline & Regulatory

Start

2024-05-20

Primary Completion

2026-11-30

Completion

2026-11-30

Countries

• China

Study Locations