Vaginal pressure during daily activities before and after vaginal repair

Autor: Mette Hulbæk, Lone Mouritsen, Jeanette Bogstad, Søren Brostrøm
Rok vydání: 2007
Předmět:
Zdroj: International Urogynecology Journal. 18:943-948
ISSN: 1433-3023
0937-3462
DOI: 10.1007/s00192-006-0267-7
Popis: The objective of the study was to measure vaginal pressure during various daily activities in patients before and after vaginal surgery for pelvic organ prolapse, searching data for evidence-based activity guidelines. Vaginal pressure (VP) was studied in 23 patients during activities such as rest, pelvic floor contraction (PFC), coughing, Valsalva, rising from sitting to standing and lifting 2 and 5 kg with four different lifting techniques. VP was measured before, 1-5 days and 4-6 weeks after vaginal repair. Mean VP was four to five times higher during coughing and Valsalva compared to PFC and lifting 2 and 5 kg. Lifting in the walking position created a slightly higher VP compared to other lifting techniques, which did not differ. The VP did not increase when lifting 5 kg compared to 2 kg. Mean VP during coughing and Valsalva were significantly lower 1-5 days after the operation. VP was not related to the type of vaginal repair. The results imply that post-operative counselling should concentrate more on treating chronic cough and constipation than restrictions of moderate physical activities.
Databáze: OpenAIRE