PELVIC FLOOR MUSCLE TRAINING IN WOMEN WITH PELVIC ORGAN PROLAPSE- A RANDOMIZED CONTROLLED STUDY

Approximately 50% women deprived of some supportive mechanism around pelvic floor muscles after the childbirth which leads to different degrees of pelvic organ prolapse (POP). It has estimated that there is 3-28% prevalence of pelvic organ prolapse, vaginal bulging and heaviness indicates the most specific symptoms of prolapse. The mentioned symptoms can influence a woman’s quality of life and are the main sign of the surgery. In the major waiting lists of gynecological surgery, there is 20% present with complain of pelvic organ prolapse. 58% women reported reoccurrence of pelvic organ prolapse after surgery and one third have reported who underwent one more surgery for prolapse. It underlines the significant primary measures and prevention that could minimize the occurrence of pop. In supporting the pelvic organs, strength of pelvic floor muscles plays a critical role. In the PFMT group of the symptomatic group, 74% showed reduced frequency of vaginal bulging and/or heaviness at the 6-month posttest. Therefore the reduction in prolapse symptoms may be considered the most important treatment effect, because these subjective symptoms are the main indication for surgery