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Pelvic-perineal training and pelvic floor disorders in women

机译：女性的骨盆-会阴训练和骨盆底疾病

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Our goal is to provide an update on the results of pelvic floor rehabilitation in the treatment of urinary incontinence and genital prolapse symptoms. Pelvic floor muscle training allows a reduction of urinary incontinence symptoms. Pelvic floor muscle contractions supervised by a healthcare professional allow cure in half cases of stress urinary incontinence. Viewing this contraction through biofeedback improves outcomes, but this effect could also be due by a more intensive and prolonged program with the physiotherapist. The place of electrostimulation remains unclear. The results obtained with vaginal cones are similar to pelvic floor muscle training with or without biofeedback or electrostimulation. It is not known whether pelvic floor muscle training has an effect after one year. In case of stress urinary incontinence, supervised pelvic floor muscle training avoids surgery in half of the cases at 1-year follow-up. Pelvic floor muscle training is the first-line treatment of post-partum urinary incontinence. Its preventive effect is uncertain. Pelvic floor muscle training may reduce the symptoms associated with genital prolapse. In conclusion, pelvic floor rehabilitation supervised by a physiotherapist is an effective short-term treatment to reduce the symptoms of urinary incontinence or pelvic organ prolapse. (C) 2015 Elsevier Masson SAS. All rights reserved.
机译：我们的目标是提供有关骨盆底康复治疗尿失禁和生殖器脱垂症状的最新信息。骨盆底肌肉训练可以减少尿失禁症状。由医护人员监督的骨盆底肌肉收缩可以治愈一半的压力性尿失禁。通过生物反馈观察这种收缩改善了结局，但这种效果也可能是由于与物理治疗师进行了更深入，更长时间的计划所致。电刺激的位置仍不清楚。通过阴道锥获得的结果类似于有或没有生物反馈或电刺激的盆底肌肉训练。尚不清楚一年后骨盆底肌肉训练是否有效。在压力性尿失禁的情况下，有监督的骨盆底肌肉训练在1年随访中避免了一半的病例手术。骨盆底肌肉训练是产后尿失禁的一线治疗。其预防作用尚不确定。骨盆底肌肉训练可以减轻与生殖器脱垂有关的症状。总之，在物理治疗师的指导下进行骨盆底康复治疗是减少尿失禁或骨盆器官脱垂症状的有效短期治疗方法。 （C）2015 Elsevier Masson SAS。版权所有。

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